NSG 6005 Pharmacology Midterm Study Guide Below are topics that students will need to be familiar with for the Week 5 Midterm Exam. There may be multiple questions on the same topic listed below. 1. Valerian tea (Ch 10 pg. 138) used for insomnia. is derived from the roots of Valeriana officinalis. Inhibit uptake and increase presynaptic release of GABA; however, it is not readily absorbed, is highly unstable, and readily decomposes. Therefore, availability of the active drug is minimal when it is taken orally. Valerian has no adverse reactions when used at the recommended level; however, overdosage at 2.5 g or more can cause cardiac disturbance, excitability, headache, insomnia, and nausea. 2. Ayurvedic medicine (Ch 10 pg. 144) based on the tridoshic theory that there exist six basic tastes (sweet, sour, salty, pungent, astringent, and bitter). The use of food, spices, and herbs not only to maintain good health but also to prevent and treat diseases. Vata sweet, sour, and salty tastes reduce vata, and bitter, pungent, and astringent tastes enhance it Pitta Astringent, bitter, and sweet tastes reduce pitta; sour, salty, and pungent tastes enhance it. Kapha Bitter, pungent, and astringent foods reduce kapha; sweet, salty, and sour tastes enhance it. Women to possess a greater amount of vata-type characteristics: foods, spices, and herbs emphasizing sweet, sour, and salty tastes are often prescribed. Thin-framed, always-cold person with dry skin you are considered to have a vata constitution and should eat a vata-balanced diet as a lifetime program Person that retains water, feel sluggish, and have excess mucus demonstrate kapha imbalance and should avoid a sweet, sour, and salty diet to achieve balance. 3. Choosing an effective drug (Ch 3 pg. 30?) Two step process: 1.What would be the appropriate therapy based on evidence-based guidelines 2.Individualizing the drug choice for the specific patient Two types of reasoning: 1. Analytical Novice providers use an analytical approach, which is slow, time- consuming, systematic, and evidence-based. 2. Nonanalytical use their experience and pattern recognition to carry out a nonanalytical process in a faster, subconscious manner. When an experienced provider deals with a more complex matter they then will use the more analytical approach -WHO recommends that the provider examine the drug and the dose, the dosage schedule, duration of treatment, effectiveness, and safety I ndication C ontraindications P recautions C ost/ C ompliance E fficacy A dverse effects D ose/ D uration/ D irection Pg. 30
4. Prescribing clinical judgment (Ch 3 pg. 34) 5. Penciclovir (Ch 23 pg. 658 )
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- Fall '16