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NURSING NR508MIdterm Study Guide

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Chapter 1: The Role of the Advanced Practice Nurse as Prescriber  Roles and responsibilities of APRN prescribers: all states have title protection for NPs, only Oregon has mandated third-party re... imbursement parity for NP services, all but 5 states the control of practice/licensure is within the sole authority of the states BON, SOP determined by individual’s NP license under the nurse practice act, 17 states and the District of Columbia NPs have independent practice w/o physician, 6 states have full autonomous practice/prescriptive authority after postlicensure/postcertification supervision/collaboration  Clinical judgement in Prescribing: best = least invasive, least expensive, least likely to cause adverse reactions. Have lifestyle, nonpharmacological and pharmacological therapies working together  Collaboration with other providers: MD emphasizes disease and drug/NP does patient, pharmacist emphasizes on pathophysiology, pharmacokinetics, pharmcotherapeutics, other NP’s can share “clinical pearls”, Nurses w/ special training  Autonomy and Prescriptive authority: requires co-signatures on prescriptions Chapter 2: Review of Basic Principles of Pharmacology  Metabolism: Metabolism & Half Life: The rate of drug metabolism depends on the blood levels of drug in relation to the affinity of the drug for its metabolism enzymes. Most drugs are present at concentrations below their Km for metabolism (the concentration at which metabolism is half of maximum). Under these conditions, metabolism is related to drug concentration so that a fixed fraction of drug is metabolized per hour. This is called firstorder metabol [Show More]

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