*NURSING > EXAM REVIEW > Pharmacology NR566 final Exam review questions and answers. Rated A+ Download to score A+ (All)
Pharmacology NR566 final Exam review questions and answers. Rated A+ For treatment of existing osteoporosis, the dose of alendronate - ✔✔10 mg/day or 70 mg/week Initial dosage for bone l... ess prevention alendronate and risedronate - ✔✔5 mg/day or 35 mg/week For treatment of existing osteoporosis, the dose of risedronate - ✔✔75 mg for 2 consecutive days or 150 mg once a month Alendronate (Fosamax) - ✔✔Therapy with 10 mg daily can increase bone density by up to 10% after 3 years and can decrease vertebral and hip fractures by 50% Testosterone replacement therapy - ✔✔risk of prostate cancer Testosterone replacement therapy - ✔✔Erythrocytosis is a risk; Hgb and Hct levels checked, expect increase first 6 mths, unless Hgb level higher than 17.5 g/dL, Hct higher than 54%, or both suggests overtreatment or occasionally abuse. IM happens more than transdermal. If the Hct is greater than 54%, therapy is stopped until the Hct decreases to a safe level. The patient should also be evaluated for hypoxia and sleep apnea. Restarting therapy at a reduced dose usually solves problems. Adults with vitamin B12 deficiency that is not pernicious anemia - ✔✔1,000 mcg of oral cobalamin are given until normal B12 levels are achieved—usually 6 to 12 weeks. In seriously ill patients, both vitamin B12 and folic acid may need to be administered. Who cannot get TRT - ✔✔breast cancer in a male patient, prostrate cancer, polycythemia vera, increased calcium in the blood from cancer, diabetes, high cholesterol, overweight and high blood pressure BC contraindications - ✔✔Age >40 yr or Smoker <35 yr BMI >30 due to increased VTE risk HTN or hyperlipidemia First-degree relative with DVT/PE Major surgery without prolonged immobilization Superficial thrombophlebitis SLE on immunosuppressive therapy or with severe thrombocytopenia Rheumatoid arthritis Sickle cell disease BC contraindications - ✔✔Valvular heart disease, uncomplicated Migraine without neurological aura, age <35 yr Unexplained vaginal bleeding, suspicious for serious underlying condition Cervical intraepithelial neoplasia Cervical cancer, awaiting treatment Undiagnosed breast mass BC contraindications - ✔✔Diabetes, insulin dependent or non-insulin-dependent, without vascular disease Asymptomatic gallbladder disease or postcholecystectomy Benign focal nodular hyperplasia of the liver Hx of cholestasis in pregnancy Ulcerative colitis or Crohn's disease Postpartum & breastfeeding ethinyl estradiol/norgestimate contraindications - ✔✔Current or prior history of an estrogen-dependent cancer Pregnancy Undiagnosed dysfunctional uterine bleeding DVT [Show More]
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