application of pharm part 1 Flashcards
How does the Oklahoma nursing practice act define the four roles of APRNs and prescriptive authority
CNP, CNS, CNM, and CRNA’s can prescribe legend schedule III-V with physician supervision
What kind and what examples are schedule I drugs?
Drugs with high abuse potential and no medicinal use like; heroin, marijuana, LSD, PCP, crack cocaine.
What kind and what examples are schedule II drugs?
High abuse potential with valid medicinal use like; morphine, cocaine, oxycodone, methylphenidate, dextroamphetamine, fentanyl, and pentobarbital.
Which drug was changed from a schedule III to schedule II to avoid diversion and abuse in 2014?
hydrocodone (acetaminophen + codeine)
What kind and what examples are schedule III-V drugs?
Lower to least abuse potential. hydrocodone with less than 90 mg of codeine, ketamine, anabolic steroids, testosterone, paregoric, diazepam, alprazolam, propoxyphene, pentazocine, midazolam, phenobarbital, zolpidem,
Which schedule IV drug can be prescribed by APRNs for RSI?
benzodiazepine and midazolam
what is the objective data used for diagnostic reasoning while prescribing?
medication history, co-morbidities, age, occupation, personality
what are factors to consider when APNs are prescribing?
drugs should align with current guidelines, alternate therapy options than the drug prescribed including none at all, patient preferences, educating the patient to understand the disease and treatment options.
What is the most common cause of nonadherence to medications?
cost of drug
what are legend drugs?
FDA approved drugs that require a script to be dispensed to the public
true or false: APNs in OK may not sign for or dispense sample drugs
False
True or false: APNs in OK may prescribe morphine
False
What is concordance?
an agreement between the patient and provider about whether, when, and how a med should be taken.
What is pharmacokinetics vs pharmacodynamics
PK is what the body does to the drug PD is what the drug does to the body
