Quiz #13
which process replaces new bone cells whini bone to keep the bone dense
osteoblastic activity
why are estrogen agonist/antagonists preferred as preventive therapy for osteoporosis instead of pure estrogen agonists
pure estrogen agonists promote cell growth in the breast and uterus as well as in the bones
Which action by a skeletal muscle relaxant is the major mechanism of action
reducing motor nerve impulse transmission to the skeletal muscles
a pt prescriber to take allopurinol (Zyloprim once daily aks when is the best time to take the drug. what is your best response
right after a full meal to prevent conversion of purines into uric acid
whatslowinf of joint damages the main goal of therapy with uric acid synthesis inhibitors for gouty arthritis
slowing of joint damage
in what way do uric acid synthesis inhibitors reduce gout symptoms
suppressing the conversion of purines into uric acid crystals
why is it necessary to slow or prevent osteoproosis
to reduce the incidence of bone fractures
for which pt should you question the order for cyclobenzaprine (Flexeril)
25 year old man with severe back spasms who also has epilepsy
For which pt who has severe osteoporosis is a drug form the bisphosphonate class of drug a better choice of therapy than a drug from the estrogen agonist/antagonist class
40 year old premenopausal women who engages in aerobic exercise daily
for which pt would IV ibandronate (Boniva) be a better choice of drug therapy for osteoporosis instead of the oral form of the drug
58 year old women who has early stage Alzheimer Disease
what is the maximum daily oral dose of allopurinol (Zyloprim) for an adult
800mg
which drug reduces the production of aqueous humor to the greastest degree
Acetazolamide (Diamox)
Which assessment is most important to perform after administering the first dose of dipivefrin (propine) to a pt with glaucoma
Assess Level of consciousness
A pt who has been prescribed timolol (Timoptic) for the last month reports that his asthma is worse. What is your best response
Check the pts breath sounds and ppulse rate
How do beta adrenergic blocking agents (antagonists) lower intraocular pressure
They slow the production of aqueous humor inside the eye
which drug for glaucoma is a beta blocker
Timolol (Timoptic)
what is the most important action to perform after administering eye drops to a pt who is prescribed pilocarpine (Ocu-Carpine)
wipe the excess drug from the pts skin
which class of drug for glaucoma therapy generally is used to short term to prevent or reduce increases in intraocular pressure (IOP) after eye surgery rather than for long term IOP control
adrenergic agonists
Which precaution is most important to teach a pt who is prescribed any type of eye drug administered as eye drops
apply only the number of drops prescrigbed
A pt is prescribed an ophthalmic beta blocking agent for the treatment of of glaucoma. which precaution is most important to teach the pt to prevent orthostatic hypotension
apply pressure to the inside corner of your eye when putting the drops into the eye
which actions help prevent infection when placing ointments into a pts eye (SATA)
avoiding touching the tip of the applicator using separate drug tubes for the right and left eye squeezing out and discarding a small amount of ointment before installing the drug
What is the most important precaution to teach the parent of a 4 year old who is prescribed eye drops for glaucoma in the right eye because the facial trauma
only place the drops in the affected eye
Which drug group for glaucoma can worsen asthma
beta blockers
Which assessment is most important to perform before installing latanoprost (Xalatan) into pts eye
check the cornea for abrasions or open arease
What is the most important precaution to teach a pt prescribed brimonidine (Alphagan P) eye drops for glaucoma
do not take this drug beyond the period your doctor prescribed even if some drug remains in the bottle
which action is most important to teach a pt prescribed to take allopurinol (Zyloprim) daily for gout
drink plenty of water
what is the most common side effect of all drug therapy for skeletal muscle relaxants
drowsiness
A pt is prescribed to start cyclobenzaprine (Flexeril) before administering the drug you find he has a slow and irregular heartbeat. What is your best action
hold the dose and notify the prescriber
Where in or on the eye should eye drops be placed
in a pocket of the lower lid
what is the most important precaution to to teach an older pt who is prescribed a glaucoma drug that causes miosis
increase the light indoor because vision will be decreased in low-light environments
what is the main problem of glaucoma
increased intraocular pressure
which bone or joint is most likely to be adversely affected by bisphosphonates
jawbone
which electrolyte imbalance is most likely to trigger skeletal muscle spasms
low serum calcium level
why are women overall at a greater risk for osteoporosis than men
men generally have a larger stature than women
which term means constriction of the pupil of the eye
miosis