Microsoft word - medications post test online.doc
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Medication: Learning Objectives
Describe the epidemiology of medication use and medication-related problems in
Identify the etiology of drug-related problems.
Describe risk factors for and consequences of medication iatrogenesis.
Describe parameters for a comprehensive medication assessment in older adults.
Describe medication-related assessment for abrupt changes in patients’ conditions.
Identify high risk medications in older adults.
Identify common drug-disease interactions in older adults.
Implement nursing care strategies for prevention and treatment related to
Describe expected outcomes from institutions of preventive strategies for
Medication Post-Test Questions
Older Americans consume what fraction of the total number of prescription medications written?
A common, unintended adverse drug effect in older adults is:
“The prescription, administration, or use of more medications than is clinically indicated in a given individual” is the definition of:
“The process of comparing a patient’s medication orders to all of the medications that the person has been taking” is the definition of:
Approximately what percent of adverse drug events in older adults is preventable?
A risk factor for medication iatrogenesis in older adults is: a.
Self medication for age-related symptoms
Consequences of medication nonadherence in older adults include increased morbidity and mortality.
Which drug would you avoid due to its potential anticholinergic side effects in older adults? a. Atenolol
Ms. C., a 78 year old female with hypertension and atrial fibrillation, has a heart rate of 48, dehydration, anorexia. She has been on Hydrochlorothiazide 25 mg daily and Digoxin 0.25 mg daily for over a year. Her last labs (complete blood count, chemistry panel, and digoxin level) were normal six months ago. Her orthostatic vital signs and urine are currently normal. Which of the following would you suggest to the primary care provider?
Repeat orthostatic vital signs and check electrolytes and digoxin level
Which of the following class of antidepressants would you use as a last choice in elderly patients due to their potential anticholinergic side effects?
Mr. R., an 84 year old male with COPD and early Alzheimer’s dementia is admitted to the hospital for COPD exacerbation due to medication non adherence. He forgot to use his inhalers for the last several days. Mr. R, now stable on Prednisone PO, is about to be discharged back to his home where he lives alone. His daughter agrees to help him with his medications. You suggest to the patient and daughter:
Hiring a home attendant to administer the medications
Hiring a registered nurse to administer the medications
Developing a method to keep track of the medications
Continue medication administration as per pre-hospitalization method
Criteria for determining inappropriate medication use in older adults is:
Which of the following diabetic medications would you not use in the older adult population due to its long half-life?
One of the first things you need to assess in a delirious patient is:
According to Beer’s Criteria, which of the following pain medications would you avoid in older adults?
Herbal remedies are part of medication assessment.
A realistic plan for follow-up on medication use after an acute care hospital stay of an older adult with newly diagnosed diabetes is:
Assume patient will adhere to all medication instructions
Have a family member move in to give all medications
Hire a live-in home attendant to give all medications
Home care referral for a registered nurse assessment and follow-up
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NOTA DE IMPRENSA 1. Em 31 de Agosto do ano transacto, a Agência Nacional do Petróleo viu-se na obrigação de emitir uma nota de imprensa com vista ao esclarecimento da opinião pública a respeito de notícias veiculas pela Associação dos Economistas Santomense respeitantes a eventuais actos pouco transparentes na gestão do dossier petróleo. Na ocasião a ANP-STP afirmou entre outras
ChromTech Application Bulletin No.5 (2004) Chiral separation of multifunctional complex drug compounds New drug compounds often contain several functional Benazepril groups. This means that they are not easily classified, (J.Chrom. A, 818 (1998) 53-60, R.Cirilli et al) ie. if they are acidic, basic or ampholytic. In addition they may also contain several stereogenic centers.