Ch 14 (test 3)

Question 1

amphetamines

Answer 1

stimulant drugs that cause:

1. euphoria
2. increase mental alertness
3. increase capacity to work
4. decrease fatigue
5. decrease drowsiness
6. Prolonged wakefulness

Question 2

Amphetamines used for

Answer 2

ADHD: increase concentration b redirecting and exciting the arousal stimuli from the CNS.

Narcolepsy:

Question 3

Amphetamine side effects

Answer 3

nervousness and insomnia, weight loss/anorexia, hypertension.

Question 4

Don’t use with amphetamines

Answer 4

Other CNS stimulants

1. alcohol
2. nicotine
3. caffeine

Question 5

Examples of amphetamines

Answer 5

1. Ritalin (methylphenidate)
2. Concerta
3. Strattera (atomoxetine): non addictive
4. Adderal

Question 6

guidelines for administering amphetamines

Answer 6

1. lowest dose
2. last dose before 6p to avoid insomnia
3. monitor weight and EKG
4. comprehensive care

Question 7

Anorexiant

Answer 7

drug used to control or suppress appetite.

Question 8

BMI calc

Answer 8

weight in kg/height in meters (2)

Question 9

Tenuate (diethylpropion) and Meridan (sibutramine)

Answer 9

1. anorexiants
2. inhibit neuron reuptake of dopamine and serotonin
3. increase basal metabolic rate to move adipose tissue, decrease dietary fat absorption, and improve cellular glucose uptake.
4. watch for hypertension and palpitations

Question 10

Xenical/Alli (orlistat)

Answer 10

decreases absorption of fat and increases excretion in stool. (modifies behaviors to prevent symptoms).

important to supplement fat sol vitamines A,D,E, and K.

accompany w/ diet and exercise.

Question 11

Migraines

Answer 11

severe throbbing head ache on one side of the head that can have an aura or warning syndrome.
Caused by vasodilation and hyperperfusion of the brain vessels/ decreased serotonin levels which produce inflammation in the brain.

Question 12

migraine symptoms

Answer 12

1. N&V
2. sensitivity to light and sound.
3. worsens with activity

Question 13

Triptans

Answer 13

selective serotonin receptor blockers. They cause vasoconstriction which relieves Migraine (abortive therapy)

Question 14

Imitrex

Answer 14

1. Triptan
2. for migraine head ache
3. take at first sign may repeat in 2 hours.
4. Side effects: numbness of extremities, flushing of skin.

Question 15

Ergots

Answer 15

block receptor sites in brain to produce constriction of cranial vessels and decrease pulsation in cranial arteries

Question 16

2 groups of drugs used for migraine headache relief.

Answer 16

Triptans and Ergots (don’t use together)

Question 17

Migranal

Answer 17

1. Ergot
2. rapid migraine relief via nasal spray
3. may repeat after 15 minutes

Question 18

ergotamine (Cafergot)

Answer 18

1. Ergot
2. used for prevention and abortion of migraine
3. sublingual may repeat after 30 minutes
4. inhalant repeat in 5 minutes
5. Caffeine

Question 19

Execedrin

Answer 19

1. Ergot

2. Aspirin with 65 mg of caffeine per tab

Question 20

Caffeine effect on migraine

Answer 20

caffeine is a vasoconstrictor which decreases cerebral blood flow. It also increases analgesic effects and absorption of ergots.

Question 21

Ergotism

Answer 21

syndrome associated with use of ergot products. Includes: N&V, severe thirst, chest pain, confusion, and B/P changes.

Question 22

Precipitators of Migraine

Answer 22

1. STRESS
2. Hypoglycemia
3. Menses
4. Estrogens (oral contraceptives)
5. exercise
6. alcohol, caffeine, cocaine, aspartame, MSG
7. Nitroglycerin
8. Tyramine: beer, wine, aged cheese, yeast, pickled meats.