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NUR 221 > CNS DRUGS > Flashcards

CNS DRUGS Flashcards

1
Q

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRI’S)

Med Class

A

ANTIDPERESSANT

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2
Q

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRI’S)

Therapeutic Uses

A

DEPRESSION
OCD
ANXIETY
EATING DISORDERS

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3
Q

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRI’S)

Drug Names (Suffix / Prefix)

A

TALOPRAM’ / ‘OXETINE’ / ‘ZODONE’

SERTRALINE
CITALOPRAM
ESCITLAOPRAM
FLUOXETINE
VILAZODONE

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4
Q

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRI’S)

Side Effects

A

4 S’S OF SSRI’S
SEROTONIN SYNDROME
SEX DYSFUNCTION
STOMACH ISSUES
SWOLLEN (WEIGHT GAIN)

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5
Q

SEROTONIN SYNDROME

A

TO MUCH SEROTONIN IN BRAIN
MUSCLE RIGIDITY
HIGH BP / HR
MENTAL CHANGES
TIGHT MUSCLES

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6
Q

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRI’S)

Nclex Tips / Memory Tricks

A

SMILEY SERITONIN (INCREASE SEROTONIN IN BRAIN)

4 S’S OF SSRI’S

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7
Q

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRI’S)

Patient Education

A

4-6 WEEKS FOR EFFECT
TAKE IN AM
DO NOT STOP ABRUPTLY / COMPLIANCE MATTERS
HEALTH DIET / REGULAR EXERCISE
DO NOT COMBINE WITH MAOIS

DO NOT TAKE WITH ST JOHN WORT - INCREASES SEROTONIN IN BRAIN - SEROTONIN SYNDROME

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8
Q

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRI’S)

Nursing Admin

A

INCREASED SUICIDE RISK
PATIENT WHO WAS THINKING SUICIDE MAY NOW HAVE THE ENERGY TO ACTUALLY DO IT

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9
Q

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRI’S)

Relevant Lab Values

A

??

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10
Q

SEROTONIN / NOREPINEPHRINE REUPTAKE INHIBITOR (SNRI’S) AND DOPAMINE / NOREPINHEPHRINE REUPTAKE INHIBITOR (DNRI’S)

Med Class

A

ANTIDPRESSANT

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11
Q

SEROTONIN / NOREPINEPHRINE REUPTAKE INHIBITOR (SNRI’S) AND DOPAMINE / NOREPINHEPHRINE REUPTAKE INHIBITOR (DNRI’S)

Therapeutic Uses

A

DEPRESSIVE EPISODES
FIBROMYALGIA
ANXIETY DISORDERS
DIABETIC NEUROPATHY PAIN

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12
Q

SEROTONIN / NOREPINEPHRINE REUPTAKE INHIBITOR (SNRI’S) AND DOPAMINE / NOREPINHEPHRINE REUPTAKE INHIBITOR (DNRI’S)

Drug Names( suffix or prefix)

A

BUPROPION
DULOXETINE
VENLAFAXINE
NEFAZODONE
MILNACIPRAN

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13
Q

SEROTONIN / NOREPINEPHRINE REUPTAKE INHIBITOR (SNRI’S) AND DOPAMINE / NOREPINHEPHRINE REUPTAKE INHIBITOR (DNRI’S)

Side Effects

A

INCREASED SUICIDE RISK
PATIENT WHO WAS THINKING SUICIDE MAY NOW HAVE THE ENERGY TO ACTUALLY DO IT

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14
Q

SEROTONIN / NOREPINEPHRINE REUPTAKE INHIBITOR (SNRI’S) AND DOPAMINE / NOREPINHEPHRINE REUPTAKE INHIBITOR (DNRI’S)

Nclex Tips / Memory Tricks

A

?

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15
Q

SEROTONIN / NOREPINEPHRINE REUPTAKE INHIBITOR (SNRI’S) AND DOPAMINE / NOREPINHEPHRINE REUPTAKE INHIBITOR (DNRI’S)

Patient Education

A

NO NOT CHEW / CRUSH / CUT (SWALLOW WHOLE)

4-6 WEEKS TO BE EFFECTIVE

DO NOT MIX WITH TCA’S OR MAOIS’

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16
Q

SEROTONIN / NOREPINEPHRINE REUPTAKE INHIBITOR (SNRI’S) AND DOPAMINE / NOREPINHEPHRINE REUPTAKE INHIBITOR (DNRI’S)

Nursing Admin

A

INCREASED SUICIDE RISK
PATIENT WHO WAS THINKING SUICIDE MAY NOW HAVE THE ENERGY TO ACTUALLY DO IT

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17
Q

SEROTONIN / NOREPINEPHRINE REUPTAKE INHIBITOR (SNRI’S) AND DOPAMINE / NOREPINHEPHRINE REUPTAKE INHIBITOR (DNRI’S)

Relevant Lab Values

A

?

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18
Q

TRICYCLIC ANTIDEPRESSANTS (TCA’S)

Med Class

A

ANTIDPRESSANT

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19
Q

TRICYCLIC ANTIDEPRESSANTS (TCA’S)

Therapeutic Uses

A

DEPRESSIVE EPISODES
BIPOLAR
OCD
NEUROPATHY
ENURESIS

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20
Q

TRICYCLIC ANTIDEPRESSANTS (TCA’S)

Drug Names( suffix or prefix)

A

TRIPTYLINE’ / ‘PRAMINE’

AMITRIPTYLINE
PROTRIPTYLINE
NORTRIPTYLINE
AMOXAPINE
CLOMIPRAMINE

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21
Q

TRICYCLIC ANTIDEPRESSANTS (TCA’S)

Side Effects

A

DIZZINESS
ORTHOSTATIC HYPOTENSION
DRY MOUTH
CONSTIPATION

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22
Q

TRICYCLIC ANTIDEPRESSANTS (TCA’S)

Nclex Tips / Memory Tricks

A

??

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23
Q

TRICYCLIC ANTIDEPRESSANTS (TCA’S)

Patient Education

A

2-3 WEEKS TO BE EFFECTIVE
WAIT 14 DAYS AFTER STOPPING MAOIS
GET UP SLOWLY FROM BED / SITTING (ORTHOSTATIC HYPOTENSION)

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24
Q

TRICYCLIC ANTIDEPRESSANTS (TCA’S)

Nursing Admin

A

INCREASED SUICIDE RISK
PATIENT WHO WAS THINKING SUICIDE MAY NOW HAVE THE ENERGY TO ACTUALLY DO IT

MONITOR ORTHOSTATIC HYPOTENSION

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25
Q

TRICYCLIC ANTIDEPRESSANTS (TCA’S)

Relevant Lab Values

A

??

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26
Q

MONOAMINE OXIDASE INHIBITORS (MAOI’S)

Med Class

A

ANTIDPRESSANT

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27
Q

MONOAMINE OXIDASE INHIBITORS (MAOI’S)

Therapeutic Uses

A

DEPRESSIVE EPISODES
BIPOLAR
OCD
NEUROPATHY
ENURESIS

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28
Q

MONOAMINE OXIDASE INHIBITORS (MAOI’S)

Drug Names( suffix or prefix)

A

TIP
T - TRANYLCPROMINE
I - ISOCARBOXAZID
P - PHENELZINE

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29
Q

MONOAMINE OXIDASE INHIBITORS (MAOI’S)

Side Effects

A

INCREASED SUICIDE RISK
PATIENT WHO WAS THINKING SUICIDE MAY NOW HAVE THE ENERGY TO ACTUALLY DO IT

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30
Q

MONOAMINE OXIDASE INHIBITORS (MAOI’S)

Nclex Tips / Memory Tricks

A

LET ME GIVE YOU A TIP
TIP
T - TRANYLCPROMINE
I - ISOCARBOXAZID
P - PHENELZINE

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31
Q

MONOAMINE OXIDASE INHIBITORS (MAOI’S)

Patient Education

A

TYRAMINE RESTRICTED DIET
CAN LEAD TO HYPERTENSIVE CRISIS - DEADLY

TAKE IN AM
UP TO 4 WEEKS TO BE EFFECTIVE

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32
Q

FOODS THAT CONTAIN TYRAMINE

A

FERMENTED PRODUCTS
CHEESE
MEATS / LIVER
OVER RIPE FRUIT
SOUR CREAM / YOGURT

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33
Q

MONOAMINE OXIDASE INHIBITORS (MAOI’S)

Nursing Admin

A

DO NOT TAKE SSRIS OR TCAS WHILE ON MAOIS

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34
Q

MONOAMINE OXIDASE INHIBITORS (MAOI’S)

Relevant Lab Values

A

??

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35
Q

BENZODIAZEPINES

Med Class

A

ANTI ANXIETY (ANXIOLYTICS)

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36
Q

BENZODIAZEPINES

Therapeutic Uses

A

ACUTE ANXIETY
SEDATION / MUSCLE RELAXER
SEIZURES
ALCOHOL WITHDRAWAL

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37
Q

BENZODIAZEPINES

Drug Names( suffix or prefix)

A

ZOLAM’ / ‘ZEPAM’

ALPRASOLAM
LORAZAPAM
DIAZEPAM
CLONAZEPAM

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38
Q

BENZODIAZEPINES

Side Effects

A

HYPOTENSION
RESPIRATORY ARREST
APNEA
AIRWAY OCCLUSION

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39
Q

BENZODIAZEPINES

Nclex Tips / Memory Tricks

A

FLU FAST IN MY MERCEDES BENZ

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40
Q

BENZODIAZEPINES

Patient Education

A

NOT MEANT FOR LONG TERM THERAPY - LEADS TO TOLERANCE
MUST BE TAPERED
AT PM SINCE CAUSE DROWSINESS

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41
Q

BENZODIAZEPINES

Nursing Admin

A

ANTIDOTE - FLUMANZENIL
NOT MEANT FOR LONG TERM THERAPY - LEADS TO TOLERANCE
MUST BE TAPERED
AT PM SINCE CAUSE DROWSINESS

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42
Q

BENZODIAZEPINES

Relevant Lab Values

A

NORMAL O2 95-100
NORMAL RR 12-20/MIN

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43
Q

LITHIUM

Med Class

A

MOOD STABILIZER

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44
Q

LITHIUM

Therapeutic Uses

A

BIPOLAR
MOOD SWINGS (DEPRESSION / MANIA)

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45
Q

LITHIUM

Drug Names( suffix or prefix)

A

LITHIUM

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46
Q

LITHIUM

Side Effects

A

EXPECTED SIDE EFFECTS
DROWSY
WEIGHT GAIN
DRY MOUTH

LITHIUM TOXICITY >1.5 MEQL/L

TOXICITY HAPPENS BY
DEHYDRATION
DECREASED RENAL FUNCTION
DIET LOW IN NA+
DRUG INTERACTIONS (NSAIDS / THIAZIDE DIURETICS)

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47
Q

LITHIUM TOXICITY S/S

A

GI - NAUSEA / VOMITING / DARRHEA
NEURO - ATAXIA / CONFUSION / AGITATION / NEUROMUSCULAR EXCITABILITY

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48
Q

LITHIUM

Nclex Tips / Memory Tricks

A

LITHIUM IS A LONG TERM MAINTENANCE THERAPY

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49
Q

LITHIUM

Patient Education

A

DO NOT RESTRICT NA+ / H20 TO AVOID HYPONATREMIA OR DEHYDRATION

BLOOD DRAW EVERY 1-2 MONTHS - MONITOR LITHIUM LEVELS

DRY MOUTH - SUCK ON ICE CHIPS / SUGAR FREE GUM / HARD CANDY / DRINK H20

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50
Q

LITHIUM

Nursing Admin

A

BLOOD DRAW EVERY 1-2 MONTHS - MONITOR LITHIUM OTXICITY

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51
Q

LITHIUM

Relevant Lab Values

A

LITHIUM TOXICITY > 1.5

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52
Q

BUSPIRONE

Med Class

A

ANTI ANXIETY (ANXIOLYTICS)
NONBENZODIAZEPINES

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53
Q

BUSPIRONE

Therapeutic Uses

A

ANXIETY DISORDERS

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54
Q

BUSPIRONE

Drug Names( suffix or prefix)

A

BUSPIRONE

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55
Q

BUSPIRONE

Side Effects

A

?

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56
Q

BUSPIRONE

Nclex Tips / Memory Tricks

A

BUSES ARE SLOW AND SO IS BUSPIRONE

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57
Q

BUSPIRONE

Patient Education

A

DIFFERENT THAN BENZOS - DOES NOT CAUSE
DEPENDENCE
TOLERANCE
CNS DEPRESSION
WITHDRAWAL SYMPTOMS

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58
Q

BUSPIRONE

Nursing Admin

A

HAS SLOW ONSET - NOT FOR ACUTE ANXIETY OR PANIC ATTACKS

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59
Q

BUSPIRONE

Relevant Lab Values

A

??

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60
Q

PHENYTOIN

Med Class

A

ANTICONVULSTANT (HYDANTOINS)

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61
Q

PHENYTOIN

Therapeutic Uses

A

TONIC CLONIC SEIZURE

tonic clonic seixure
tonic state - lose conssciousness / body goes stiff / fall to floor
clonic state - limbs jerk / lose bladder control / bite tongue / difficulty breathing

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62
Q

PHENYTOIN

Drug Names( suffix or prefix)

A

PHENYTOIN

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63
Q

PHENYTOIN

Side Effects

A

GINGIVAL HYPERPLASIA (GUMS PUFFY AND RED)

HYPERSENSITIVITY - STEVENS JOHNSON SYNDROME (PAINFUL RASH / FLU LIKE SYMPTOMS

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64
Q

PHENYTOIN

Nclex Tips / Memory Tricks

A

??

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65
Q

PHENYTOIN

Patient Education

A

FOR GINGIVAL HYPERPLASIA
GOOD ORAL HYGIENE
SOFT BRISLTE TOOTHBRUSH
REGULAR DENTAL VISITS
FOLIC ACID SUPPS

DO NOT ABRUPTLY STOP - MAY CAUSE STATUS EPILEPTICUS (A seizure that lasts longer than 5 minutes, or having more than 1 seizure within a 5 minutes period, without returning to a normal level of consciousness between episodes is called status epilepticus.)

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66
Q

PHENYTOIN

Nursing Admin

A

TOXICITY S / S
ATAXIA
NYSTAGMUS
UNSTEADY GAIT
SLURRED SPEECH
CONFUSION
COMA

STOP IF SIGNS OF STEVENS JOHNSON ALSO

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67
Q

PHENYTOIN

Relevant Lab Values

A

THERAPEUTIC RANGE 10-20

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68
Q

VALPROIC ACID

Med Class

A

CARBOXYLIC ACID DERIVATIVE

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69
Q

VALPROIC ACID

Therapeutic Uses

A

EPILEPSY
MIGRAINES
HEADACHES
MANIA

70
Q

VALPROIC ACID

Drug Names( suffix or prefix)

A

VALPRIOC ACID (AKA DEPAKOTE)

71
Q

VALPROIC ACID

Side Effects

A

NAUSEA
VOMITING
DIARRHEA
HEARTBURN

ADRS
HEPATOTOXICITY
PROLONGED BLEEDING TIME

72
Q

VALPROIC ACID

Nclex Tips / Memory Tricks

73
Q

VALPROIC ACID

Patient Education

A

DO NOT STOP ABRUPTLY
TAPER TO PREVENT CONVULSIONS

SWALLOW WHOLE (NO CRUSH / CHEW)

TAKE WITH MEALS (DECREASE GI UPSET)

74
Q

VALPROIC ACID

Nursing Admin

A

MONTIOR PLATELETS / BLEEDING TIME

MONITOR LIVER FUNCTION TESTS (ALT / AST)

75
Q

VALPROIC ACID

Relevant Lab Values

A

LOOK FOR PLATELET AND BLEEDING TIME LAB VALUES AND ALT AND AST VALUE RANGES

76
Q

SEROTONIN 5-HT RECEPTOR ANTAGONISTS

Med Class

A

SEROTONIN AGONIST

Serotonin agonists - bind to /activate serotonin receptors. -triggers response from receptors, increasing amount of serotonin in central nervous system. Serotonin antagonists bind to serotonin receptors but do not activate them / trigger a response.

77
Q

SEROTONIN 5-HT RECEPTOR ANTAGONISTS

Therapeutic Uses

A

ACUTE MIGRAINES
CLUSTER HEADACHES

WORK BY CONSTRICTING BLOOD VESSELS

78
Q

SEROTONIN 5-HT RECEPTOR ANTAGONISTS

Drug Names( suffix or prefix)

A

TRIPTAN’

SUMATRIPTAN
ZOLMITRIPTAN
ALMOTRIPTAN
ELETRIPTAN

79
Q

SEROTONIN 5-HT RECEPTOR ANTAGONISTS

Side Effects

80
Q

SEROTONIN 5-HT RECEPTOR ANTAGONISTS

Nclex Tips / Memory Tricks

A

TRIPTANS TREAT MIGRAINES NOT PREVENT MIGRAINES

81
Q

SEROTONIN 5-HT RECEPTOR ANTAGONISTS

Patient Education

A

TAKE FIRST DOSE AT FIRST SIGN OF MIGRAINE

82
Q

SEROTONIN 5-HT RECEPTOR ANTAGONISTS

Nursing Admin

A

CONTRAINDICATED IN CORONARY ARTERY DIEASES / UNCONTROLLED HYPERTENSION (BECAUSE MED WORKS BY CONSTRICTING BLOOD VESSELS)

83
Q

SEROTONIN 5-HT RECEPTOR ANTAGONISTS

Relevant Lab Values

84
Q

HALOPERIDOL

Med Class

A

CARD MISSING

85
Q

HALOPERIDOL

Therapeutic Uses

A

CARD MISSING

86
Q

HALOPERIDOL

Drug Names( suffix or prefix)

A

CARD MISSING

87
Q

HALOPERIDOL

Side Effects

A

CARD MISSING

88
Q

HALOPERIDOL

Nclex Tips / Memory Tricks

A

CARD MISSING

89
Q

HALOPERIDOL

Patient Education

A

CARD MISSING

90
Q

HALOPERIDOL

Nursing Admin

A

CARD MISSING

91
Q

HALOPERIDOL

Relevant Lab Values

A

CARD MISSING

92
Q

RISPERIDONE

Med Class

A

ATYPICAL ANTIPSYCHOTIC (SECOND GENERATION ANTIPSYCHOTIC - SGA’s)

93
Q

RISPERIDONE

Therapeutic Uses

A

DIMINISH POSITIVE SYMPTOMS OF SHIXIPHRENIA
HEALPS NEGATIVE SYMTPOMS AS WELL

positive symptoms - and change in behaviour / thoughts (hallucinations / delusions) - things that are there that should not be

negative symptoms - withdrawal from world / no interest in everyday social interactions / emotionless / flat

94
Q

RISPERIDONE

Drug Names( suffix or prefix)

A

RISPERIDONE

95
Q

RISPERIDONE

Side Effects

A

NEUROLEPTIC MALIGNANT SYNDROME (but lower risk of this than FGA’s)
INCREASED WEIGHT
HIGH CHOLESTEROL
HIGH TRIGLYCERIDES
HIGH BLOOD SUGAR

OTHER S/S
HIGH FEVER
MUSCLE RIGIDITY
ALTERED MENTAL STATUS
AUTONOMIC DISTURBANCES (SWEATING / HIGH BP / HR) - MOSTLY SEEN WITH TYPICAL ANTIPSYCHOS BUT CAN HAPPEN WITH ATYPICALS AS WELL

96
Q

RISPERIDONE

Nclex Tips / Memory Tricks

97
Q

RISPERIDONE

Patient Education

A

6-10 WEEKS TO BE EFFECTIVE

ADVISE EXERCISE / LOW CALORIE DIET / MONITOR WEIGHT TO COMBAT WEIGHT GAIN

98
Q

RISPERIDONE

Nursing Admin

99
Q

RISPERIDONE

Relevant Lab Values

A

BLOOD SUGAR
LDL
TRIGLYCERIDES

100
Q

CLOZAPINE

Med Class

A

ATYPICAL ANTIPSYCHOTIC (SECOND GENERATION ANTIPSYCHOTIC - SGA’s)

101
Q

CLOZAPINE

Therapeutic Uses

A

DIMINISH POSITIVE SYMPTOMS OF SHIXIPHRENIA
HEALPS NEGATIVE SYMTPOMS AS WELL

positive symptoms - and change in behaviour / thoughts (hallucinations / delusions) - things that are there that should not be

negative symptoms - withdrawal from world / no interest in everyday social interactions / emotionless / flat

102
Q

CLOZAPINE

Drug Names( suffix or prefix)

103
Q

CLOZAPINE

Side Effects

A

CAN CAUSE AGRANULOCYTOSIS

absolute neutrophile count < 100 - high risk of sever infection

NEUROLEPTIC MALIGNANT SYNDROME (but lower risk of this than FGA’s)
INCREASED WEIGHT
HIGH CHOLESTEROL
HIGH TRIGLYCERIDES
HIGH BLOOD SUGAR

OTHER S/S
HIGH FEVER
MUSCLE RIGIDITY
ALTERED MENTAL STATUS
AUTONOMIC DISTURBANCES (SWEATING / HIGH BP / HR) - MOSTLY SEEN WITH TYPICAL ANTIPSYCHOS BUT CAN HAPPEN WITH ATYPICALS AS WELL

104
Q

CLOZAPINE

Nclex Tips / Memory Tricks

105
Q

CLOZAPINE

Patient Education

A

6-10 WEEKS TO BE EFFECTIVE

ADVISE EXERCISE / LOW CALORIE DIET / MONITOR WEIGHT TO COMBAT WEIGHT GAIN

REPORT SIGNS OF INFECTION (FEVER / FLU LIKE SYMPTOMS)

106
Q

CLOZAPINE

Nursing Admin

A

MONITOR NEUTROPHIL COUNT

107
Q

CLOZAPINE

Relevant Lab Values

A

ABSOLUTE NEUTROPHIL COUNT

108
Q

ZIPRASIDONE

Med Class

A

ATYPICAL ANTIPSYCHOTIC (SECOND GENERATION ANTIPSYCHOTIC - SGA’s)

109
Q

ZIPRASIDONE

Therapeutic Uses

A

DIMINISH POSITIVE SYMPTOMS OF SHIXIPHRENIA
HEALPS NEGATIVE SYMTPOMS AS WELL

positive symptoms - and change in behaviour / thoughts (hallucinations / delusions) - things that are there that should not be

negative symptoms - withdrawal from world / no interest in everyday social interactions / emotionless / flat

110
Q

ZIPRASIDONE

Drug Names( suffix or prefix)

A

ZIPRASIDONE

111
Q

ZIPRASIDONE

Side Effects

A

CAN CAUSE PROLONGED QT INTERVALS (LEADING TO TORSADES DE POINTES -

type of vtac (fast hear rhythym - begins in ventricles)

NEUROLEPTIC MALIGNANT SYNDROME (but lower risk of this than FGA’s)
INCREASED WEIGHT
HIGH CHOLESTEROL
HIGH TRIGLYCERIDES
HIGH BLOOD SUGAR

112
Q

ZIPRASIDONE

Nclex Tips / Memory Tricks

113
Q

ZIPRASIDONE

Patient Education

A

6-10 WEEKS TO BE EFFECTIVE

ADVISE EXERCISE / LOW CALORIE DIET / MONITOR WEIGHT TO COMBAT WEIGHT GAIN

114
Q

ZIPRASIDONE

Nursing Admin

A

MONITOR BLOOD SUGAR / TRIGLYCERIDES / CHOLESTEROL / WEIGHT

115
Q

ZIPRASIDONE

Relevant Lab Values

A

BLOOD SUGAR / TRIGLYCERIDES / CHOLESTEROL /

116
Q

METHYLPHENIDATE

Med Class

A

CENTRAL NERVOUS STIMULANT (CNS)

117
Q

METHYLPHENIDATE

Therapeutic Uses

A

ADHD
NARCOLEPSY

IMPROVES FOCUS
IMPROVES SCHOOL WORK
IMPROVES SOCIAL RELATIONSHIPS

118
Q

METHYLPHENIDATE

Drug Names( suffix or prefix)

A

METHYLPHENIDATE

119
Q

METHYLPHENIDATE

Side Effects

A

LOSS OF APPETITE
DELAYED GROWTH
DRY MOUTH
INCREASED HR/ BP

120
Q

METHYLPHENIDATE

Nclex Tips / Memory Tricks

A

need information

121
Q

METHYLPHENIDATE

Patient Education

A

MONITOR
WEIGHT / BP / CARDIAC FUNCTION

DECREASE CAFFEINE (DECREASE IRRITABILITY)

DO NOT TAKE AT NIGHT (STIMULANT)

122
Q

METHYLPHENIDATE

Nursing Admin

A

need information

123
Q

METHYLPHENIDATE

Relevant Lab Values

A

need information

124
Q

CARBIDOPA / LEVODOPA

Med Class

A

DOPAMINERGIC

increase dopamine related activity in the brain
dopaminergic neurons - midbrain - main source of dopamine - their loss - associated with parkinsons

125
Q

CARBIDOPA / LEVODOPA

Therapeutic Uses

A

PARKINSONS DISEASE

DOES NOT IMPROVE MEMORY OR CURE
DECREASES TREMORS / RIGIDITY

126
Q

CARBIDOPA / LEVODOPA

Drug Names( suffix or prefix)

A

CARBIDOPA / LEVODOPA

127
Q

CARBIDOPA / LEVODOPA

Side Effects

A

DARK COLOR URINE / SWEAT / SALIVA (HARMLESS)

128
Q

CARBIDOPA / LEVODOPA

Nclex Tips / Memory Tricks

A

need information

129
Q

CARBIDOPA / LEVODOPA

Patient Education

A

TAKE WITH FOOD
SEVERAL MONTHS TO BE EFFECTIVE
CHANGE POSITIONS SLOWLY (ORTHOSTATIC HYPOTENSION)

130
Q

CARBIDOPA / LEVODOPA

Nursing Admin

A

ORTHOSTATIC HYPOTENSION

DON’T TAKE WITH MAO’S - RISK HYPERTENSIVE CRISIS)

131
Q

CARBIDOPA / LEVODOPA

Relevant Lab Values

A

need information

132
Q

OPIOIDS

Med Class

133
Q

OPIOIDS

Therapeutic Uses

A

DECREASE ANXIETY
POST OP SEDATION
RELIEVES PAIN (MI)
DIARRHEA / INTESTINAL CRAMPING

134
Q

OPIOIDS

Drug Names( suffix or prefix)

A

DONE’ / ‘ ONE’

HYDROMORPHONE
CODEINE
OXYCODONE
FENTANYL
MORPHINE SULFATE (MOST COMMONLY USED OPIOD FOR CHRONIC PAIN - PO / NASAL / SUBCUT / IM / IV / SUPPOSITORY)

135
Q

OPIOIDS

Side Effects

A

RESPIRATORY DEPRESSION
SLOW GI (CONSTIPATION) - LONG TERM USE - WILL NOT BUILD TOLERANCE
DECREASED HR (BRADYCARDIA) / BP (HYPOTENSION) / RR (RESPIRATORY DEPRESSION) - SHORT TERM USE - CLIENT WILL BUILD TOLERANCE

NAUSEA
VOMITING
ITCHING

136
Q

OPIOIDS

Nclex Tips / Memory Tricks

A

SLOW WHEN IT COMES TO OPIODS - EVERYTHING IS SLOW
SLOW GI
SLOW RR
SLOW HR
SLOW BP

137
Q

OPIOIDS

Patient Education

A

FLUIDS / FIBERS / FRUITS FILL UP THE TOILET - AVOID CONSTIPATION
LAXATIVES / STOOL SOFTENERS

138
Q

OPIOIDS

Nursing Admin

A

ANTIDOTE - NALOXONE (REPEATED DOSES MAY BE NEEDED - EFFECTS OF OPIOIDS LAST LONGER THAN NALOXONE)

STOP MED IF
RR <12
UNAROUSABLE
FALLS ASLEEP MID SENTENCE

139
Q

OPIOIDS

Relevant Lab Values

A

need information

140
Q

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

Med Class

141
Q

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

Therapeutic Uses

A

MILD - MODERATE PAIN
MENSTRUAL CRAMPS
FEVER
OSTEOARTHRITIS / RHEUMATOID ARTHRITIS

142
Q

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

Drug Names( suffix or prefix)

A

PROFEN’ / ‘OLAC’

IBUPROFEN
FENOPROFEN
FLUBRIPROFEN
DICLOFENAC
CELECOXIB
KETOROLAC
NAPROXEN
INDOMETHACIN

143
Q

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

Side Effects

A

GI UPSET
NAUSEA / DIARRHEA / VOMITING

HEART
HTN / HF

KIDNEY CLOGGING (NEPHROTOXIC)

BLOOD CLOTS / STROKE

144
Q

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

Nclex Tips / Memory Tricks

A

BAN
B - BETA BLOCKERS
A - ASPIRIN
N - NSAIDS

BAN THESE MEDS FROM ASTHMA PATIENTS - ALL CAN CAUSE BRONCHOSPASMA IF ASTHMA

145
Q

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

Patient Education

A

REPORT GI BLEEDING ( BLACK TARRY STOOLS / COFFEE GROUND EMESIS / ABDOMINAL CRAMPING)

146
Q

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

Nursing Admin

A

BAN
B - BETA BLOCKERS
A - ASPIRIN
N - NSAIDS

BAN THESE MEDS FROM ASTHMA PATIENTS - ALL CAN CAUSE BRONCHOSPASMA IF ASTHMA

147
Q

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

Relevant Lab Values

A

need information

148
Q

ACETAMINOPHEN

Med Class

149
Q

ACETAMINOPHEN

Therapeutic Uses

A

MILD - MODERATE PAIN
ASPIRIN SUBSTITUTE FOR THOSE WHO ARE ALLERGIC TO ASPIRIN / OR HAVE BLEEDING TENDENCIES

FEVER / FLU LIKE SYMPTOMS

150
Q

ACETAMINOPHEN

Drug Names( suffix or prefix)

A

ACETAMINOPHEN

151
Q

ACETAMINOPHEN

Side Effects

A

HARD ON THE LIVER (HEPATOTOXIC)

LIVER DAMAGE
HEPATOXICITY
HEPATIVE FAILURE
JAUNDICE

152
Q

ACETAMINOPHEN

Nclex Tips / Memory Tricks

A

need information

153
Q

ACETAMINOPHEN

Patient Education

A

MALNOURISHED / CHRONIC ALCOHOL USE - INCREASED RISK FOR LIVER DAMAGE

MAX DOSE 1-2 G / DAY (IE 1,000-2,000 MG / DAY)

154
Q

ACETAMINOPHEN

Nursing Admin

A

ANTIDOTE: ACETYLCYSTEINE

155
Q

ACETAMINOPHEN

Relevant Lab Values

156
Q

ACETYLSALICYLIC ACID (ASA)

Med Class

A

MISSING CARD

157
Q

ACETYLSALICYLIC ACID (ASA)

Therapeutic Uses

A

MISSING CARD

158
Q

ACETYLSALICYLIC ACID (ASA)

Drug Names( suffix or prefix)

A

MISSING CARD

159
Q

ACETYLSALICYLIC ACID (ASA)

Side Effects

A

MISSING CARD

160
Q

ACETYLSALICYLIC ACID (ASA)

Nclex Tips / Memory Tricks

A

MISSING CARD

161
Q

ACETYLSALICYLIC ACID (ASA)

Patient Education

A

MISSING CARD

162
Q

ACETYLSALICYLIC ACID (ASA)

Nursing Admin

A

MISSING CARD

163
Q

ACETYLSALICYLIC ACID (ASA)

Relevant Lab Values

A

MISSING CARD

164
Q

MANNITOL

Med Class

A

OSMOTIC DIURETIC

165
Q

MANNITOL

Therapeutic Uses

A

INTRAOCULAR PRESSURE (IOP)
INTRACRANIAL PRESSURE (ICP)
CEREBRAL EDEMA
IRRIGATION SOLUTION ) PROSTATE PROCEDURES
PROMOTES DIURESIS (ACUTE RENAL FAILURE)

166
Q

MANNITOL

Drug Names( suffix or prefix)

167
Q

MANNITOL

Side Effects

A

HIGH RISK - FVO

MONITOR FOR S/S HF (ACUTE WEIGHT GAIN / CRACKLES / EDEMA)

168
Q

MANNITOL

Nclex Tips / Memory Tricks

A

need information

169
Q

MANNITOL

Patient Education

A

need information

170
Q

MANNITOL

Nursing Admin

A

MUST BE GIVEN IV

DO NOT GIVE IF
SEVERE RENAL DISEASE
DEHYDRATION
INTRACRANIAL BLEEDING
SEVERE PULMONARY EDEMA
CARDIAC FAILURE

171
Q

MANNITOL

Relevant Lab Values

A

need information

NUR 221 (16 decks)

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