SPECIAL DOSING CONSIDERATIONS
50 questions available
Questions
What is the primary reason for adjusting drug dosages in pediatric patients?
View answer and explanationIn older adults over 65, which pharmacokinetic change is caused by diminished gastrointestinal (GI) motility and blood flow?
View answer and explanationDuring which trimester of pregnancy is the fetus most vulnerable to malformation from teratogenic drugs due to the formation of vital organs?
View answer and explanationHow is renal function typically measured to guide drug dosage adjustments in patients with renal impairment?
View answer and explanationWhat is the consequence of administering a prodrug, such as enalapril, to a patient with hepatic impairment?
View answer and explanationHow does chronic heart failure affect drug pharmacokinetics?
View answer and explanationFor an obese patient, how should the dosage be determined for a drug like gentamicin that does not selectively penetrate fatty tissues?
View answer and explanationWhat is the consequence of a highly protein-bound drug like phenytoin being displaced from plasma proteins by another drug?
View answer and explanationWhat is the toxic reaction called 'gray baby syndrome' associated with?
View answer and explanationFor adults over 65 years of age, which of the following is a reason for altered drug distribution?
View answer and explanationWhat is the general prescribing rule when medications are necessary for a pregnant woman with a chronic condition like asthma or diabetes?
View answer and explanationWhich factor makes it difficult to predict the correct drug dosage for a patient with hepatic impairment compared to renal impairment?
View answer and explanationWhat effect does dietary calcium from dairy products have on the drug tetracycline?
View answer and explanationWhat is the recommended dosing initiation strategy for older adults?
View answer and explanationWhy might premature infants with immature renal function require careful drug dose adjustments?
View answer and explanationWhat effect can grapefruit juice have on certain medications?
View answer and explanationWhich patient population is specifically mentioned as being at risk for polypharmacy?
View answer and explanationWhat risk should male patients be informed of when taking certain medications?
View answer and explanationHow can dosages be optimized for drugs like digoxin in patients with renal impairment?
View answer and explanationWhat physical sign in a patient might indicate problems metabolizing drugs due to hepatic impairment?
View answer and explanationWhich patient population is mentioned as needing dosing consideration due to having a limb amputated?
View answer and explanationWhat is the effect of administering a drug like cimetidine, which decreases the liver's ability to metabolize other drugs?
View answer and explanationHow can the interaction between allopurinol and 6-mercaptopurine be described?
View answer and explanationWeight-based pediatric drug dosages are typically expressed in number of milligrams per kilogram of body weight, which is abbreviated as what?
View answer and explanationWhich drug is mentioned alongside digoxin as requiring decreased doses in the older adult population?
View answer and explanationWhat is the reason a fetus may experience toxicity from drugs administered near term, after the infant is delivered?
View answer and explanationIn patients with advanced liver disease, what physiological change also impairs drug absorption?
View answer and explanationFor which group of patients are there special dosing considerations due to being grossly underweight?
View answer and explanationWhat is the effect of administering phenobarbital, which stimulates the liver to metabolize drugs more rapidly?
View answer and explanationHow can alkalinizing the urine affect the excretion of an acidic drug like aspirin?
View answer and explanationIn addition to body weight, what other factor may be needed to properly dose drugs in a neonate?
View answer and explanationWhy do older adults with malnutrition have altered drug distribution?
View answer and explanationAccording to the text, the placenta protects the fetus only from what kind of molecules?
View answer and explanationWhich condition is a preventable source of adverse drug reactions if not accounted for during dosing?
View answer and explanationWhat is the effect of food high in pyridoxine (vitamin B6) on the drug levodopa?
View answer and explanationWhich natural product is mentioned as having the potential to interact with pharmaceutical drugs?
View answer and explanationWhich drug is given as an example of one that requires careful dosing in patients with hepatic impairment?
View answer and explanationWhich statement accurately describes the reason for adjusting doses in patients with chronic heart failure?
View answer and explanationWhat does BSA stand for in the context of pediatric dosing?
View answer and explanationThe Beers List/Criteria is a list of drugs to be used with caution in which patient population?
View answer and explanationHow does acidification of the urine affect the excretion of alkaline drugs?
View answer and explanationWhat happens if dosage adjustments are not made for drugs that do not penetrate fatty tissues in an obese patient?
View answer and explanationAt what age are adults considered 'older' in the context of special dosing considerations, according to the text?
View answer and explanationWhy do neonates and premature infants require additional dosage adjustments secondary to immature function of body systems?
View answer and explanationWhich patient population is at risk for toxic reactions due to diminished hepatic and renal function?
View answer and explanationWhat is the reason a woman is least likely to know she is pregnant during the most vulnerable period for fetal malformation?
View answer and explanationWhy must dosages of drugs metabolized mainly by the liver or excreted by the kidneys be decreased in patients with chronic heart failure?
View answer and explanationWhat is the consequence of the fact that most drugs prescribed to children are not approved by the FDA for pediatric use?
View answer and explanationWhat is the main concern when a patient's drug regimen consists of multiple drugs, especially in the older adult population?
View answer and explanationFinal responsibility for promoting desired therapeutic outcomes and minimizing toxicity for a patient lies with whom?
View answer and explanation