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Pharmacology Mod 1
Question | Answer |
---|---|
What disorder is Lithium used to treat? | Treats and prevents manic episodes in patients with Bipolar Disorder |
What disorder would indicate the need to prescribe Chlorpromazine Hydrochloride (Thorazine)? | Schizophrenia |
Which medication (benzodiazepine) is used to treat recurrent convulsive seizures and status epilepticus? | Diazepam |
Haloperidol (Haldol) can be used to treat which mental health disorder? | Schizophrenia |
What are some indications for the use of Gabapentin? | Treatment of partial seizures and postherpetic neuralgia pain t |
Clozapine (Clozaril) is used to treat which two mental health disorders? | Schizophrenia and Psychosis |
Phenobarbital is used to treat ________ . | It is an antiepileptic (barbiturate) that is used to treat generalized tonic - clonic and partial seizures. |
Which benzodiazepine can be used to treat reccurent convulsive seizures? | Diazepam |
Which antiepileptic medication can be given IV in an emergent situation where the patient is experiencing status epilepticus? | Diazepam |
Gabapentin can be used to treat postherpic neuralgia pain but is most commonly prescribed for what disorder? | Treat partial seizures in antiepileptic patients |
Phenytoin is the oldest and most widely used _______ that is prescribed to control tonic - clonic seizures, pschomotor seizures, and nonepileptic seizures. | Antiepileptic |
Which street drug (hint: stimulant) can lead to recurrent seizures by decreasing the seizure threshold? | Cocaine |
True / False : Phenytoin can cause a vitamin D deficiency | True |
Is alcohol a CNS depressant or CNS stimulant? | CNS Depressant |
Which benzodiazepine is given to treat alcohol withdrawl? | Chlordiazepoxide |
What is the therapeutic use of Chlordiazepoxide? | This benzo helps prevent delirium tremens |
What are three common side effects of Chlordiazepoxide? | CNS depression. Constipation. and Increased Sex Drive |
Which medication is given for patients who wish to become sober (abstain from alcohol) ? | Disulfiram |
Do not give disulfiram to a patient who has consumed alcohol in the last ___ hours. | 12 |
Patients taking disulfiram should avoid products containing alcohol such as; | Nyquil, Aftershave, Mouthwash, |
What is a common side effect of Disulfiram? | This medication leaves a garlic aftertaste following PO administration |
What is the antidote used for Benzodiazepines? | Flumazenil |
Why is the use huffing / inhalants so popular among teens and young adults? | More accessible than most street drugs |
If a patient consumes alcohol or uses alcohol-containing products while taking disulfiram, they will experience what kind of symptoms? | HA, Blurred Vision, N/V, Dysrythmias, HF, Death, Hypotension |
Define Tolerance: | Tolerance is when a drug is increased, and now the person requires more of the drug to achieve the same effect. |
CNS depressants can cause ______ depression, therefore you should always assess respiratory rate and status before adminstering Benzos or Opioids. | Respiratory |
Status Epilepticus is a seizure that lasts > _____ minutes | 5 |
Which electrolyte replacement can be given IV to control the seizure threshold and prevent seizures from occurring? | IV Mag |
What is a common SE of phenytoin? | Gingival Hyperplasia |
When administering seizure medications to children, the nurse should always ___________. | Get a 2nd witness |
Patients taking a cyclobenzaprine (skeletal muscle relaxant) should avoid _____. | Alcohol , Driving, and Operating Heavy Machinery |
What is the lithium blood level range? | 0.6 - 1.2 |
What are common side effects of lithium toxicity (>1.2) ? | Metallic Taste, Hand Tremors, Polydipsia, Polyuria, Nausea, Weakness, Fatigue, Edema, Weight Gain, Diarrhea |
Which condition is contraindicated for the use of Lithium? a. Pregnancy b. Liver Failure c. DM Type 1 d. Depression | a. Pregnancy |
Chlorpromazine (phenothiazine, 1st generation atypical antipsychotic) should not be concurrently used with: | Barbiturates, Lithium, CNS depressants, Narcotics, Beta-Blockers, and Anticholinergic Medications |
Adverse Effects seen in patients prescribed chlorpromazine are: | Sedation, Hypotension, Bone Marrow Supression, and EPS effects |
Haloperidol (Haldol) is contraindicated in which 3 conditions? | Parkinson's Disease, Seizure Disorders, and Severe Mental Depression |
When caring for a patient taking Haldol, the nurse should know to monitor _______ function by looking at _____ levels. | Renal Function ; BUN levels |
Patients taking Clozapine (antipyschotic) should not concurrently use: | Alcohol, Caffeine, SSRIs, or Anticholinergics, or Phenytoin |
Some adverse effects seen with Clozapine include: | hyperglycemia, anticholinergic effects, QT prolongation |
What are anticholinergic effects? | dry mucous membranes, urinary retention, photosensitivity, etc. |
What are some side effects of phenytoin (Hydantoin)? | Ataxia, Drowsiness, Lethargy, N/V |
Phenobarbital contains a black box warning indicating that the patient is at an increased risk for ____________ _____________ . | suicidal ideations |
Patients taking Phenobarbital (Barbiturate) should avoid alcohol, and concurrent use with; | Diazepam, MAOIs, Gabapentin |
What fruit cannot be consumed during the use of Diazepam? | Grapefruit |
What is our biggest concern for patients (SE) taking Diazepam? | Respiratory Depression |
What are some SE of Gabapentin? | Pruritus, Dry Mouth, Dyspepsia, N/V, Suicidal Ideations, and CNS Depression |
What is the antidote to given patients who have overdosed on opioids? | Naloxone (Narcan) |
Patients taking Disulfiram may experience which side effects? | HA, Confusion, Seizures, Hypotension |