Central Nervous System Drugs

Question 1

CNS drugs are used for psychiatric disorders, suppression of seizures, relief of pain, and production of anesthesia.

Answer 1

TRUE

Question 2

Monoamines (Dopamine, Epinephrine, and Serotonin) are usually used in sensory responses of the body.

Answer 2

FALSE
(motor responses)

Question 3

Children is not that sensitive to CNS drugs than adults.

Answer 3

FALSE
(they are far more sensitive as it can alter their developmental progress)

Question 4

Tolerance is when the patient has decreased response to the drug due to prolonged drug use.

Answer 4

TRUE

Question 5

Anti-psychotic and Anti-depressant drugs usually took 2-4 weeks before their effects.

Answer 5

TRUE

Question 6

Withdrawal Syndrome usually takes place in the ones who use drugs for recreation.

Answer 6

TRUE

Question 7

You can abruptly withdraw Anti-epileptic drugs.

Answer 7

FALSE
(abruptly withdrawal of Anti-epileptic drug can cause rebound seizures)

Question 8

Taking medication everytime even for a little pain does not produce tolerance.

Answer 8

FALSE
(it produces tolerance that requires a much higher dose next time for it to take effect)

Question 9

Morphine is actually a CNS depressant and too of it much can cause respiratory depression which can lead to the patient not breathe.

Answer 9

TRUE

Question 10

Anti-epileptic medication causes physical dependence.

Answer 10

TRUE

Question 11

Phenytoin is advised to be given with D5W.

Answer 11

FALSE
(Phenytoin can cause crystallization if it is given with D5W, and new tubing will be advised so the patient will have a new IV, so new pain is on the way. But, you can give it with D5W, just clear the tubing first with plain NSS)

Question 12

If the patient has 10/10 on the pain scale, you can give Morphine.

Answer 12

TRUE

Question 13

When a patient is having a seizure, never put anything on the patient’s mouth.

Answer 13

TRUE

Question 14

Phenytoin can cause gum recession (gum pulls away from the teeth) when given orally.

Answer 14

FALSE
(Phenytoin can cause gingival hyperplasia (thickening of the gums), so proper oral hygiene is needed when giving Phenytoin orally)

Question 15

Barbiturate is for the absence of seizures and to keep patients awake.

Answer 15

FALSE
(It is good with partial seizures, not absence of seizures, and is used as daytime sedative “sleeping pills”)

Question 16

Valproic Acid is good for different types of seizures.

Answer 16

TRUE

Question 17

Tyramine-rich foods are good for hypertensive patients.

Answer 17

FALSE
(Tyramine-rich foods {foods that are stored for a long time i.e. cheese, wine, smoked/pickled foods} can cause hypertensive crisis in Levodopa+Maoi)

Question 18

Patient A- takes medication every time he feels a little pain
Patient B- tolerates the pain and doesn’t take too much medication when in pain
If they are given an equal amount of pain medication, who can absorb the medication better?

Answer 18

Patient B
Because Patient A developed tolerance to the drugs and needed a higher dose next time to reduce his pain while Patient B because he doesn’t take pain medications that much, can absorb it faster than Patient A.

Question 19

Carbamazepine is the cornerstone of epilepsy therapy.

Answer 19

TRUE

Question 20

Nonadherence accounts for nearly half of all treatment failures.

Answer 20

TRUE
(that’s why health teaching is a must for the patients to adhere to their medications)