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PHARM Exam 1 BP
PHARM Exam 1 Blueprint, starting #35 - Alison Miles
| Question | Answer |
|---|---|
| MAOI's; ex:Phenelzine (Nardil), tranylcypromine (Parnate) | Drug class that is seldom used or prescribed because of the many drug to drug or drug to food interactions; CAUSES EXTREMELY HIGH BP |
| Symptoms of barbituate overdose | profound respiratory depression, hypotension, and shock |
| Therapeutic blood level range for lithium | 0.6-1.5 mEq/L |
| Parkinson't disease (signs and symptoms) | tremors, muscle rigidity, bradykinesia, postural instability (stooped posture), shuffling gait |
| Acute Dystonia (signs and symptoms) | severe spasms (particularly back muscles, tongue, and facial muscles), twitching movements |
| Neuroleptic malignant syndrome (signs and symptoms) | high fever, confusion, muscle rigidity, and high serum creatine kinase; CAN BE FATAL |
| Tardive dyskinesia (signs and symptoms) | bizarre tongue and face movements such as lip smacking and wormlike motions of the tongue; puffing of cheeks, uncontrolled chewing movements |
| adverse effects of antiphychotic medications | weight gain (obesity), menstrual disorders and osteoporosis in women and decreased sex drive in both men and women; some may also alter glucose metabolism |
| degenerative disorder of CNS caused by death of neurons that produce brain neurotransmitter dopamine | Parkinson's disease |
| Neurotransmitter associated with Alzheimer's disease? | acetylcholine |
| Class of meds used to treat Alzheimer's disease? | acetylcholinesterase inhibitors |
| How would you stop a benzodiazepine med. that had been taken by a patient for many years? | is withdrawn over a period of 6-12 weeks; seizures could occur with abrupt withdrawal |
| what time is appropriate for administration of Ambien (zolpidem)? | onset is 7 to 27 minutes; should be taken just before expected sleep |
| common side effect of SSRI (selective serotonin-reuptake inhibitors) | sexual dysfunction |
| cause of lithium toxicity? | conditions that cause a decrease in sodium such as dehydration, N/V, diarrhea, excessive sweating |
| foods containing Tyramine | avocados, bananas, raisins, canned figs, papaya products including meat tenderizers, cheese, sour cream, yogurt, beer, wine, soy sauce, pods of broad beans (fava beens) |
| foods containing Tyramine (con't) | all yeast or yeast extracts, beef or ckn liver, pate, meat extracts, pepperoni, salami, sausage, bologna/hot dogs, pickled or kippered herring, chocolate |
| Parkinson's disease | degenerative disorder of CNS caused by death of neurons that produce the brain neurotransmitter dopamine |
| What class of antidepressants interacts w/Tyramine and what occurs w/the interaction? | MAOI's; causes acute hypertension (symptoms include: occipital headache, stiff neck, flushing, palpitations, profuse sweating, and nausea |
| goal of Pharmacotherapy when treating Parkinson's disease | to increase the ability of patient to perform normal daily activities such as eating, walking, dressing, and bathing |
| type of agents used in the treatment of Parkinson's disease | Dopaminergic agents (such as: levodopa (Larodopa)) |
| what is treatment goal of anti-parkinsonism agents | to make symptoms less severe |
| anticholinergics | inhibit overactivity of neurotransmitter in the corpus striatum of the brain |
| adrenergic blocker used to treat glaucoma | carteolol (cartrol) and timolol (blocadren, timoptic) |
| patient teaching included for patient taking birth control pills? | thromboembolic disease-due to smoking and taking birth control pills |
| med used to treat BPH but does not affect patient's blood pressure? | tramsulosin (Flomax) |
| Beta 2 adrenergic meds used for asthma | albuterol, epinephrine |
| action and side effects of Atropine | blocks ACH; dry mouth, constipation, increased heart rate |
| signs and symptoms of barbituate withdrawl | nightmares, insomnia |
| what is important to assess in patient taking sedatives | respiration |
| adverse effects and meds of Hydantoins | phenytoin (Dilantin), fosphenytoin (Cerebyx), mephnytoin (Mesantoin); ataxia, slurred speech, mental changes, rashes, N/V, hematologic changes, hepatotoxicity, gingival hyperplasia |
| Benzodiazepines used in treatment of seizures that are difficult to control | clonazepam (Klonopin), clorazepate (Tranxene), diazepam (Valium) |
| use of Narcan | to reverse respiratory depression and other acute symptoms |
| most serious symptom of Acute opioid intoxication | respiratory depression |
| TCA drugs used for Migraines | Triptans |
| main concern when taking NSAID's for prolonged period of time | stomach upset, GI bleed, kidney function, |
| Atypical antidepressant that can be used to help patient quit smoking | Wellbutrin |
| Bersed (midazolam); nursing interventions for patient just administered this med | monitor respirations, heart rate, blood pressure |
Created by:
txladybug70
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