Class 8

Question 1

diazepam Valium
lorazepam Ativan
ACTION

Answer 1

Changes GABA action

Question 2

diazepam Valium
lorazepam Ativan
USE

Answer 2

Short term seizure control

Antianxiety

Question 3

diazepam Valium
lorazepam Ativan
ADVERSE EFFECTS

Answer 3

Drowsiness

Dizziness

Question 4

diazepam Valium
lorazepam Ativan
Nx Implication/Teaching

Answer 4

Tolerance may develop quickly

OD, give Romazicon

Question 5

phenytoin Dilantin class

Answer 5

Hydantoin

Question 6

phenytoin Dilantin

ACTION

Answer 6

To desensitize sodium channels

Question 7

phenytoin Dilantin

USE

Answer 7

All types of epilepsy except absence seizures

Question 8

phenytoin Dilantin

ADVERSE EFFECTS

Answer 8

CNS depression
Gingival hyperplasia
Skin rash
Cardiac dysrhythmias
Hypotension

Question 9

phenytoin Dilantin

Nx IMPLICATION/TEACHING

Answer 9

Maintain oral hygiene

Question 10

phenobarbital Luminal

CLASS

Answer 10

Barbiturate

Question 11

phenobarbital Luminal

ACTION

Answer 11

Changes the action of GABA

Question 12

phenobarbital Luminal

USE

Answer 12

Controlling seizures

Question 13

phenobarbital Luminal

ADVERSE EFFECTS

Answer 13

Dependence
Drowsiness
Vitamin deficiencies
Laryngospasm

Question 14

phenobarbital Luminal

Nx IMPLICATION/TEACHING

Answer 14

Use reliable form of contraception
Report excessive signs of bleeding
Report drowsiness and bone pain

Question 15

valproic acid Depakene

CLASS

Answer 15

Phenytoin-like

Question 16

valproic acid Depakene

ACTION

Answer 16

Desensitize sodium channels

Question 17

valproic acid Depakene

USE

Answer 17

Absence seizures

Question 18

valproic acid Depakene

ADVERSE EFFECTS

Answer 18

Limited CNS depression
Visual disturbances
Ataxia
Vertigo
Headache
GI effects
Hepatotoxicity
Pancreatitis

Question 19

valproic acid Depakene

Nx IMPLICATION/TEACHING

Answer 19

Avoid alcohol, OTC, herbs, nicotine
Avoid driving
Take with food
Rebound seizures if discontinued abruptly

Question 20

levodopa Larodopa
carbidopa Sinement
CLASS

Answer 20

Dropaminergic agent

Question 21

levodopa Larodopa
carbidopa Sinement
ACTION

Answer 21

Increases biosynthesis of dopamine within nerve terminals

Question 22

levodopa Larodopa
carbidopa Sinement
USE

Answer 22

Restore dopamine function

Stimulate dopamine receptors within the brain

Question 23

levodopa Larodopa
carbidopa Sinement
ADVERSE EFFECTS

Answer 23

Dizziness
Lightheadedness
Fatigue
Sleep dysfunction
N/V
Constipation
Orthostatic hypotension
Dystonia
Dyskinesia

Question 24

levodopa Larodopa
carbidopa Sinement
Nx IMPLICATIONS/TEACHING

Answer 24

Increase fiber and fluids
Avoid food and drugs high in pyridoxine
Abruptly stopping may cause Parkinsonism crisis

Question 25

benztropine mesylate Cogentin

CLASS

Answer 25

Anticholinergic

Question 26

benztropine mesylate Cogentin

ACTION

Answer 26

Blocks acetylcholine

Inhibits overactivity in the brain

Question 27

benztropine mesylate Cogentin

USE

Answer 27

Treat early stages of Parkinson’s

Question 28

benztropine mesylate Cogentin

ADVERSE EFFECTS

Answer 28

Dry mouth
Blurred vision
Photophobia
Urinary retention
Constipation
Tachycardia
Glaucoma

Question 29

benztropine mesylate Cogentin

Nx IMPLICATION/TEACHING

Answer 29

Relieve dry mouth with frequent drinks
Take with food to prevent GI upset
Avoid alcohol
Wear dark glasses; avoid bright sunlight
Do not stop taking abruptly