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Midterm Study Guide for NR566, Study notes of Nursing

Chamberlain College of NursingNursing
Prof. Sandra Abrahams

Midterm study guide for NR566 2022-2023

Typology: Study notes

2022/2023

Uploaded on 06/01/2024

bj-crivello
bj-crivello 🇺🇸

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Be familiar with the interactive activities throughout course modules. You could see
variations of those same questions on your exams.
Week 1
Community Acquired Pneumonia (CAP)
Common pathogens
First line treatment for previously healthy adults
What to give if first drug didn’t work
Treatment for M. Pneumoniae in pediatric patient (Specific/example antibiotic
from drug class will be provided)
Treatment of CAP in pregnancy
If someone has been treated with an antibiotic in the previous 90 days of
contracting CAP, a quinolone would be a prudent choice to prescribe.
Be familiar with drug examples within the antibiotic classes.
Treatment of chlamydial pneumonia in infant (options will include dose, but if you know
the correct drug, the dose will come with it on the exam so no need to memorize dose)
Broad vs narrow spectrum agents
When to use which one
Empiric antibiotics
What are they
When to prescribe
Clostridium difficile associated diarrhea
How to treat
Drug class known for ALL drugs in class to promote development of C. Diff.
One question from article in required reading list:
Ungureanu, G., Alexa, I.-D., & Ungureanu, M.-C. (2018). Unnecessary Medicine,
an Issue with Major Ethical Implications. Internal Medicine / Medicina Interna,
15(5), 65–74.
Penicillin
Cross-sensitivity reactions with which drug classes
Prescribing in pregnant patients
Cephalosporins
Patient education needed
Prescribing in pregnant patients
Tetracyclines
Patient education needed
Prescribing in pregnant patients
Macrolides
Patient education needed
Aminoglycosides
Patient education needed
Sulfonamides
Patient education needed
Prescribing in pregnant patients
Gentamicin
Renal adjustments
pf3
pf4

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Be familiar with the interactive activities throughout course modules. You could see variations of those same questions on your exams.

Week 1

 Community Acquired Pneumonia (CAP)  Common pathogens  First line treatment for previously healthy adults  What to give if first drug didn’t work  Treatment for M. Pneumoniae in pediatric patient (Specific/example antibiotic from drug class will be provided)  Treatment of CAP in pregnancy  If someone has been treated with an antibiotic in the previous 90 days of contracting CAP, a quinolone would be a prudent choice to prescribe.  Be familiar with drug examples within the antibiotic classes.  Treatment of chlamydial pneumonia in infant (options will include dose, but if you know the correct drug, the dose will come with it on the exam so no need to memorize dose)  Broad vs narrow spectrum agents  When to use which one  Empiric antibiotics  What are they  When to prescribe  Clostridium difficile associated diarrhea  How to treat  Drug class known for ALL drugs in class to promote development of C. Diff.  One question from article in required reading list:  Ungureanu, G., Alexa, I.-D., & Ungureanu, M.-C. (2018). Unnecessary Medicine, an Issue with Major Ethical Implications. Internal Medicine / Medicina Interna, 15(5), 65–74.  Penicillin  Cross-sensitivity reactions with which drug classes  Prescribing in pregnant patients  Cephalosporins  Patient education needed  Prescribing in pregnant patients  Tetracyclines  Patient education needed  Prescribing in pregnant patients  Macrolides  Patient education needed  Aminoglycosides  Patient education needed  Sulfonamides  Patient education needed  Prescribing in pregnant patients  Gentamicin  Renal adjustments

Week 2

 How to treat tinea capitis (don’t need specific drug or dose, focus on drug classes)  Specific drug to treat aspergillosis  Anthelmintic drugs  Which ones carry risk for hypotension with patients on antihypertensives?  Which ones can cause bone marrow suppression and liver impairment?  Which is generally safe to give without obtaining baseline data?  Safe for use in pregnancy  HIV Medications  Risks with didanosine  Risks with saquinavir  PR Interval impacts use of which HIV drugs?  How to measure success with antiretroviral therapy for HIV  What does an increase in CD4 T-cell indicate?  When do use foscarnet in HIV+ patients?  Metronidazole  Patient teaching  Abacavir  Adverse effects  Monitoring needs for long-term antifungal use  Antifungals to use in immunocompromised patients  How to treat systemic fungal infections  Ketoconazole and omeprazole concurrently  What does the patient need to know?  Enterobius vermicularis  What is it and who would you expect to have it?  Budesonide  Risks of use in children Notes: Voriconazole can interact with many drugs. It should not be combined with drugs that are powerful P450 inducers, including phenobarbital, because these can reduce the levels of voriconazole

Week 3

 Excessive cerumen in ear  Causes  Treatment  How to treat otomycosis  How to treat acute otitis media (general information for both infection and symptoms)  Treatment in pediatric patient (drug and dose per kg found in textbook)  Allergic Rhinitis

 Ongoing monitoring/assessment needs  Phentermine  Baseline data needed  Ongoing monitoring/assessment needs  How to discontinue phentermine and/or topiramate  Topiramate  Therapeutic effect  Orlistat  Patient education needed

Prescription Writing

On the exam, you will be provided an example of a prescription for you to analyze and determine what error exists on the prescription. On the midterm, you will receive 2 of the following 4 possible questions. You will need to be familiar with common doses, directions for use, indication, and calculations to figure quantity. A calculator will not be needed or acceptable to use.  Tetracycline  Amoxicillin  Timolol ophthalmic  Benzoyl Peroxide Cream