NR508 FINAL EXAM STUDY GUIDE LATEST UPDATED, ALREADY PASSED

NR 508 Final Exam Consist of 100 Questions From a Random Test Bank of Questions from All 8 weeks and All Embedded Recorded Lectures. Information is taken from the following Areas listed below: These areas are areas to ...

NR 508 Final Exam Consist of 100 Questions From a Random Test Bank of Questions from All 8 weeks and All Embedded Recorded Lectures. Information is taken from the following Areas listed below: These areas are areas to help you understand the concepts better they are in NO way an indication of what you are guaranteed to see on the exam. Remember these are random some of your classmates may not have the same question that appear on your exam. PLEASE NOTE that this study guide may not be inclusive of all topics you may see on the exam Cardiovascular management: Know Initial treatment choices for HTN Know first line treatment options for HTN for African Americans without renal impairment. First line option for HTN for anyone with chronic kidney disease Diuretics:  Types  Uses  Side effects  Names (eg metolazone, furosemide, spironolactone, HCTZ  Preferred diuretic with renal impairment  Side effect of post diuretic sodium retention  Recognition that some diuretics are sulfa derivatives (carbonic anhydrase inhibitors, loop diuretics, thiazides, but NOT ethacrynic acid)  Management of edema CHF drugs including diuretic choices Neuro/Psych: Know migraine management and prophylactics (see migraine lecture) Herbal migraine management What drugs can cause serotonin syndrome? What migraine prophylactic medication class to avoid in patients with asthma. Know the common side effects of methylphenidate Ritalin ADHD management – This study source was downloaded by 100000831988016 from CourseHero.com on 04-26-2022 06:48:09 GMT -05:00 https://www.coursehero.com/file/31629962/Final-Exam-Guide-May-2018-1docx/ At what age can ADHD dx be made? Stimulants including  Side effects -eg HA, tics, appetite suppression, elevated BP  At what age can medications for ADHD be prescribed?  Which is the longest acting stimulant? Nonstimulant alternatives:  Strattera/ atomoxetine  Clonidine derivatives eg guanfacine (intuniv)- these tend to be most effective in younger boys with hyperactivity symptoms and can be helpful with insomnia  Buproprion (wellbutrin) (it is an off-label use) – consider in adolescent who also has depressive symptoms Know the treatment of Alzheimer’s and the education behind the medication management of the disease. - Cholinesterase inhibitors (ChE inhibitors (this abbreviation may be seen on the exam) eg donepezil: Can be used at any stage; Helps with functioning - Memantine for moderate to late stages; can be added to ChE inhibitors (When are each of them indicated? What is their benefit?) Parkinson Disease: Drugs including - Levodopa/carbidopa – monotherapy or adjunctive; most effective therapy for slowness, stiffness, tremor; can cause dyskinesias (abnormal movements) - Benztropine – this is an anticholinergic that can be used to treat tremor in younger patients with PD; it can also be used to treat excessive drooling; anticholinergics can cause confusion, hallucinations, dry mouth, blurred vision and urinary retention (anticholinergic adverse effects more commonly a problem for older patients) - MAOI (eg selegiline) – monotherapy for slowness, stiffness therapy; adjunctive as well for motor fluctuations – wearing off phenomena - Amantadine – not the most effective but can be tried as adjunctive therapy for classic PD sx of slowness, stiffness and tremor - Pramipexole – this is a dopamine agonist and can be used as mono or adjunctive therapy for classic PD sx This study source was downloaded by 100000831988016 from CourseHero.com on 04-26-2022 06:48:09 GMT -05:00 https://www.coursehero.com/file/31629962/Final-Exam-Guide-May-2018-1docx/ - Apomorphine – used for late stage PD as an adjunctive therapy for wearing off symptoms - Wearing off phenomena - Effect of protein on absorption of levodopa Depression medications including  SSRIs  SNRIs  Recognition that the SNRI duloxetine can be used for pain management as well It has official approval for both OA and fibromyalgia and neuropathic pain.  Which SSRI is approved for use in children/teen?  Monitoring of depression. Side effects of antipsychotics What is the side effect of antipsychotics that can lead to abnormal rhythmic movements? How should this be managed? - Serentil - Mesoridazine - Lab monitoring required with Clozaril - Side effects of carbamazepine and lab monitoring Know first line treatment for generalized seizure management (eg Dilantin) not adjunct therapies GU: Be familiar with Beer’s Criteria Evaluation of incontinence – initial steps Meds for erectile dysfunction know which have a quick onset of action. – which has quickest onset: tadalafil (Cialis), sildenafil (Viagra), avanafil (Stendra) or vardenafil (Levitra)? Why should we avoid use of chronic nitrofurantoin in older adults? (See Geriatric lecture) Endocrine: Know the treatment and labs for Hyperthyroid and Hypothyroid (know normal TSH and T4 labs as well as pattern seen with hypo vs hyperthyroidism) This study source was downloaded by 100000831988016 from CourseHero.com on 04-26-2022 06:48:09 GMT -05:00 https://www.coursehero.com/file/31629962/Final-Exam-Guide-May-2018-1docx/ What dose of levothyroxine should be started in a patient who has coronary artery disease? How often should one obtain a TSH when initially treating hypothyroidism? Know what labs indicate Hypothyroid and which indicate Hyperthyroid Know side effects of hyperthyroid medications How to monitor methimazole therapy What is the typical course of congenital hypothyroidism – will the child always need thyroid replacement? Know how to prescribe oral diabetic medications and what labs to monitor. Know first line medication management in Type II Diabetes. Know first line oral diabetes management in a patient with and without renal disease. DM:  Preferred first line oral agent- Metformin  Vitamin deficiency associated with this drug (Metformin)  Side effects of this drug (Metformin)  MOA and side effects of acarbose  MOA and side effects of canaglifozin ENT: Know the treatment for Otitis Media and Otitis Externa Preferred medication for impetigo (honey crusted skin lesions)? What are the recommended therapies if the impetigo is in a limited area vs more extensive? Preferred first line antibiotic for acute OM including dose and management of otorrhea in a patient who has tympanostomy tubes How should you manage OME? When should you check hearing in a patient who has OME? How should you treat resistant AOM? (See lecture slides under Course Resources) Tx of otitis externa GI/nutrition: This study source was downloaded by 100000831988016 from CourseHero.com on 04-26-2022 06:48:09 GMT -05:00 https://www.coursehero.com/file/31629962/Final-Exam-Guide-May-2018-1docx/ Know evaluation and treatment of IBS including specific medications and their side effects, assessment of abdominal pain, evaluation and tx of IBS Antispasmodics, simethicone, TCAs Tx of infant with oral candidiasis/thrush Vitamin deficiency questions (eg what are the symptoms of various vitamin deficiencies?) What vitamin deficiency is common with chronic alcohol abuse? What iron deficiency is associated with overconsumption of milk in toddlers? What is the screening test that should be ordered? What side effect can occur with salt substitutes? Vitamins a vegetarian may require