Drugs

Question 1

Define Behavior

Answer 1

The way people act or perform

Question 2

Overt

Answer 2

Out in the open

Question 3

Covert

Answer 3

hidden and only the person understands

Question 4

How is behavior measured?

Answer 4

-against the norms and expectations of society
-religious and cultural factors

Question 5

ADLs

Answer 5

Activities of Daily Living

Question 6

4 Categories of Pathophysiology

Answer 6

-biologic or organic
-environmental
-injury or illness
-substance related

Question 7

Haloperidole (Brand Name)

Answer 7

Haldol

Question 8

Haloperidole (Class)

Answer 8

Tranquilizer, antipsychotic

Question 9

Haloperidole (MOA)

Answer 9

-Inhibits CNS catecholamine receptors
-strong antidopaminergic, weak anticholinergic

Question 10

Haloperidole (Indicaitons)

Answer 10

acute psychotic episodes

Question 11

Haloperidole (Contraindications)

Answer 11

-Parkinson Disease
-depressed mental status
-agitation secondary to shock and hypoxia
-hypersensitivity

Question 12

Haloperidole (Adverse Reactions/Side Effects)

Answer 12

seizures, sedations, confusion, restlessness, extrapyramidal reactions, dystonia, respiratory depression, hypotension, tachycardia, orthostatic hypotension, sudden cardiac death, constipations, dry mouth, nausea, vomiting, drooling, blurred vision

Question 13

Haloperidole (Dosage & Admin)

Answer 13

Adult: 2-5 mg IM (every 30-60 min until sedation achieved)
Pediatric: not recommended

Question 14

Haloperidole (Duration of Action)

Answer 14

Onset: 10 min
Peak Effect: 30 to 45 min
Duration: generally 12 to 24 hours

Question 15

Haloperidole (Special Considerations)

Answer 15

Pregnancy Category C
Treat hypotension secondary

Question 16

Ketamine (Brand Name)

Answer 16

Ketalar

Question 17

Ketamine (Class)

Answer 17

Sedative
Analgesic Dissociative Anesthetic

Question 18

Ketamine (MOA)

Answer 18

-blocks pain receptors and minimizes spinal cord activity
-affects the association pathways of the brain between the thalamus and limbic system

Question 19

Ketamine (Indications)

Answer 19

excited delirium, pain management, procedural sedation (RSI)

Question 20

Ketamine (Contraindications)

Answer 20

-hypersensitivity
-conditions where HTN is hazardous to Pt

Question 21

Ketamine (Adverse Reactions/Side Effects)

Answer 21

HTN, dysrhythmia, bronchodilation, respiratory depression

Question 22

Ketamine (Drug Interactions)

Answer 22

increases effects of opiates, barbiturates

Question 23

Ketamine (Dosage/Administration)

Answer 23

Adult/Pediatric: 1-2 mg/kg IV push over 1-2 min

Question 24

Ketamine (Duration of Action)

Answer 24

Onset: 30 sec
Peak Effect: Unknown
Duration: 5-10 min

Question 25

Ketamine (Special Considerations)

Answer 25

Pregnancy Category not assigned, Contraindicated pregnant/breastfeeding women
Excessive drooling
Emergence Reaction

Question 26

Midazolam (Brand Name)

Answer 26

Versed

Question 27

Midazolam (Class)

Answer 27

Benzodiazepine, short/intermediate acting; Schedule IV drug

Question 28

Midazolam (MOA)

Answer 28

sedative, anxiolytic, amnesic, and hypnotic effects

Question 29

Midazolam (Indications)

Answer 29

seizures, sedation for medical procedures (intubations, ventilated pts, cardioversion), chemical restraint

Question 30

Midazolam (Contraindications)

Answer 30

acute narrow-angle glaucoma, shock, coma, alcohol intoxication, OD, depressed vital signs

Question 31

Midazolam (Adverse Reactions/Side Effects)

Answer 31

headache, somnolence, respiratory depression, respiratory arrest, apnea, hypotension, cardiac arrest, nausea, vomiting, pain at injection site

Question 32

Midazolam (Drug Interactions)

Answer 32

CNS depressants

Question 33

Midazolam (Dosage/Administration)

Answer 33

Adult: (seizures) 0.2mg/kg IM/IN max dose 10mg; 0.1mg/kg IV, max dose 4mg