NR 565 - advanced pharmacology midterm - Chamberlain

1st line treatment of osteoporosis - alendronate 12 CDC guidelines for prescribing opioids - Opioids are not first line therapy establish goals for pain and function Discuss risks and benefits Use immediate release opioids when starting Use the lowest effective dose Prescribe short durations for acute pain Evaluate benefits and harms frequently Use strategies to migrate risk Review PDMP data Use urine drug testing Avoid concurrent opioid and benzo prescribing Offer treatment for opioid use disorder A 41 year old patient comes into the clinic complaining of increased heart rate after starting nitro patches for stable angina. What would an appropriate response be? 1. lets lower the dose and frequency of use 2. I will prescribe a BB to help with this 3. Next time this happens, lie down and practice deep breathing, this will bring your heart rate down - 2- I will prescribe a BB to help with this A 55 year old male comes into the clinic with a gouty arthritis. He states that he has one flareup a year. Your response is: 1. I will prescribe you glucocorticoids to help with inflammation 2. Lets start you on prophylactic therapy colchicine. 3. It will be helpful to take an NSAID to start with to help relive some inflammation. I'll prescribe naproxen. - 3- in patients with infrequent flareups, being less than three per year, treatment of symptoms is all thats needed. NSAIDS are the first line agent for relieving pain of an acute gout attack. A patient comes in stating that he tried NSAIDS to relieve a gouty attack but it hasnt helped. He asks, "what are my options?" He further states that he has attacks every few years but when he does NSAIDS do not help. Your response is: 1. I can prescribe a glucocorticoid (prednisone) and that will bring down the inflammation and pain. 2. Have your tried increasing your dosage of NSAIDS and drink plenty of water? 3. Lets start by making some changes in your diet, can you tell me what you eat regularly? - 1