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NR 565 Midterm Exam Advanced Pharmacology Which schedule drugs can APRNs prescribe? Schedule II-V Who determines and regulates prescriptive authority? Nurse practitioner scope of practice is determined by state practice and licensure laws. How does limited prescriptive authority impact patients within the healthcare system? Limited authority creates problems for the patient. The patient is not able to get the care they need What are the key responsibilities of prescribing? 1. Be prudent and deliberate in your decision-making process 2. Have a documented provider-patient relationship with the person for whom you are prescribing 3. Do not prescribe medications for family or friends or for yourself 4. Document a thorough history and physical examination in your records 5.Include any discussions you have with the patient regarding risk factors, side effects, or therapy options 6. Have a documented plan regarding drug monitoring or titration, if applicable What happens when someone has a poor metabolism phenotype? Metabolizes to slow or to fast. How is absorption of intramuscular medication different in neonates? •Slow and erratic due to low blood flow in muscles first few days of life Why is absorption of medication in the stomach increased in infancy? Delayed gastric emptying (adult values reached by 6-8 months) What are some medications that should be avoided in the pediatric patient?