Pour Some Sugar On Me (Diabetes Management)
A patient with Type 2 diabetes implements lifestyle changes and loses 10% of their body weight. The NP recognizes that this could...
What is put the Type 2 diabetes in remission?
In choosing a benzo to treat anxiety, the prescriber needs to be aware of the possibility of dependence. The benzo with the greatest likelihood of causing rapidly developing dependence is this.
What is Alprazolam (xanax)?
These drugs are the drug of choice for exertional angina because they decrease myocardial oxygen demand by decreasing heart rate and vascular resistance.
What are beta blockers?
A patient with a fractured ankle is being discharged home on acetaminophen and hydrocodone (Vicodin). What are important aspects of patient education to discuss before discharge?
What is that the patient should not take any other acetaminophen-containing medications during this time.
Name one important prescribing principle for older adults.
What is starting at a low dose and increasing the dose slowly?
Obesity increases risk for type 2 diabetes by this mechanism.
What is secretion of inflammatory factors?
An appropriate drug for the treatment of depression AND anxiety would be this.
What is Escitalopram (Lexapro)?
Appetite and concentration typically improve before depressed mood in this class of drugs.
What are selective serotonin reuptake inhibitors (SSRIs)?
Dizziness, confusion, diaphoresis and tachycardia are signs of hypoglycemia which can be caused by this class of drug.
What is insulin or oral hypoglycemics?
What are 1) asking the pt to bring in a list of their current prescription meds to the visit, 2) having the pt bring all of their Rx, OTC and herbal meds to the visit, and 3) asking what other providers are writing prescriptions for them.
When given SubQ, this type of insulin begins to take effect sixty (60) to ninety (90) minutes after administration.
What is NPH (neutral protamine Hagedorn) insulin?
This drug is an appropriate first-line drug for the treatment of depression with fatigue and low energy.
What is Fluoxetine (Prozac)?
This medication treats hypertension and benign prostatic hypertrophy (BPH) because it relaxes smooth muscle in the bladder neck.
What is Doxazosin?
Patients on this drug used to treat mental health disorders should be monitored for weight gain.
What is olanzapine (Zyprexa)?
Prescribers should caution men when taking Paroxetine (Paxil) for depression that this ADR may occur about a month after starting the medication.
What is sexual dysfunction?
Prior to prescribing metformin, the provider should order this lab test.
What is an eGFR to assess renal function?
This drug is an appropriate first-line drug to try for mild-to-moderate generalized anxiety disorder (GAD).
What is buspirone (Buspar)?
This class of drugs may take 2 to 6 weeks to show maximum effects.
What are SSRIs?
This anti-seizure drug has known drug interactions with few, if any, drugs.
What is Levetiracetam (Keppra)?
This drug is the first-line antidepressant therapy in children.
What is Fluoxetine?
Beta blockers are prescribed with caution to diabetics because they may block the common symptoms of hypoglycemia. Which symptom of hypoglycemia can be used to warn diabetics of possible low blood sugar, since it is not blocked by these drugs?
What is diaphoresis?
A patient who has been on escitalopram (Lexapro) for a year is now wanting to taper off her SSRI. How would you advise to do this?
What is tapering should occur over several weeks?
All drugs in this class have an FDA black box warning regarding potential for causing life-threatening GI bleeds.
What are NSAIDs?
Patients on SSRIs should avoid using what?
What is alcohol?
A 19yo male is started on risperidone. The NP should monitor this patient for common side effects including these.
What are bradykinesia, akathisia, and agitation?