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NUR 114 > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

Clomipramine (Anafranil)

Treats? Class? SE?

A

Treats OCD
Tricyclic Anti-Depressant
SE: cardiac

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2
Q 
These drugs are all \_\_\_\_\_? (category)
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluvoxamine (Luvox)
Paroxetine (Paxil)
Fluoxetine (Prozac)
Sertraline (Zoloft)
A

Selective serotonin reuptake inhibitors (SSRIs)

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3
Q 
These drugs are all \_\_\_\_\_? (category)
Bupropion (Wellbutrin)
Nefazodone (Serzone)
Trazodone (Desyrel)
Buspirone (Buspar)
A

Atypical antidepressants

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4
Q 
These drugs are all \_\_\_\_\_? (category)
Mirtazapine (Remeron)
Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
A

Dual Action Reuptake Inhibitors
SEROTONIN & NOREPINEPHRINE
SNRIs (Serotonin & norepi reuptake inhibs)

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5
Q

These drugs are all _____? (category)
Atomoxetine (Strattera)
Reboxetine (Vestra)

A

Selective Norepinephrine Reuptake inhibitors

selective NRIs

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6
Q 
These drugs are all \_\_\_\_\_? (category)
Amitriptyline (Elavil
Maprotiline (Ludiomil)
Nortriptyline (Pamelor)
Protriptyline (Vivactil)

Clomipramine (Anafranil)
Desipramine (Norpramin)
Imipramine (Tofranil)
Trimipramine (Surmontil)

Amoxapine (Asendin)
Doxepin (Sinequan)

A

Tricyclic antidepressants (TCAs)

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7
Q 
These drugs are all \_\_\_\_\_? (category)
Isocarboxazid (Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
Selegiline (Eldepryl, EMSAM)
A

Monoamine oxidase inhibitors (MAOIs)

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8
Q

First-line mood stabilizing drugs (2)

A 
Lithium Carbonate (LiCO3) 
Divalproex (Depakote)
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9
Q

Olanzapine

  • Class?
  • Tx Mania or Depression?
A
  • Class? Mood stabilizer

- Mania or hypomania

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10
Q

Lithium Carbonate (LiCO3)

  • Tx?
  • How long B4 effects seen?
  • Dose
A
  • Acute Tx for mania and depressive episodes
    Prevention for recurrent mania and depressive episodes
  • 10-21 days
  • 600mg - 900mg PO BID or TID
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11
Q
  • Maintenance blood level of LiCO3?
  • Toxicity level?
  • Life threatening emergency level?
A
  • 0.4 - 1.3 mEq/L
    -No greater than 1.5 mEq/L
    1.5 - 2.0 early Toxicity
    2 - 2.5 severe toxicity
  • > 2.0 mEq/L
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12
Q

Proscar (Finasteride)
Tx what?
Side effects?

A

Tx BPH
Side effects: Breast cancer/Allergic reaction
Impotence, loss of interest in sex, or trouble having an orgasm;
abnormal ejaculation;
swelling in hands or feet;
swelling or tenderness in breasts;
dizziness

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13
Q

Drugs for Gallbladder:

  1. Pain (2)
  2. Anti-inflammatory
  3. Anticholinergic/antispasmodics
  4. (Not for which population?)
A
  1. Morphine and dilaudid
  2. Ketorolac(Toradol)
  3. Dicyclomine (Bentyl, Lomine)
  4. – not for older adults
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14
Q

celexa

class?

A

SSRI

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15
Q

lexapro

class?

A

SSRI

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16
Q

luvox

class?

A

SSRI

17
Q

paxil

class?

A

SSRI

18
Q

prozac

class?

A

SSRI

19
Q

zoloft

class?

A

SSRI

20
Q

SE of all antidepressants may include:
1.
2.

A

Suicidal ideation

worsening depression

21
Q

Simple SE of TCAs include:

A

anticholinergic (can’t see, can’t pee, can’t spit. can’t shit)
tachycardia
postural hypotension

22
Q

TCAs work by inhibiting reuptake of ___ & ____

A

norepinephrine & serotonin

23
Q

Toxic effects of TCAs include:

A 
CARDIOVASCULAR
dysrhythmia
tachycardia
MI 
heart block
Over dose is LETHAL
24
Q

Best time of day to take TCAs?

A

At night

25
Q

Simple SE of SSRIs include:

A 
agitation
Headache
Nausea
Sleeplessness OR daytime drowsiness
tremors 
dizziness
sexual dysfunction (decreased drive/ no orgasms :(
autonomic SE including:dry mouth, sweating, weight changes, nausea, loose BM.
26
Q 
The following are s/s of which drug side effect? They are caused by which class of drugs?
Interactions with what may cause this?
hyperactivity/restlessness, tachycardia, hyperpyrexia, elevated BP, AMS,  hostility, mood change, seizures, muscle spasms (Myoclonus), abdominal pain, diarrhea, cardiovascular shock and may be incompatible with life!
A

serotonin syndrome
SSRIs
MAOIs
Herbals such as St. John’s Wort

27
Q

SE of atypical antidepressants:

A

Nausea, headache, anxiety, dizziness

28
Q

SE of SNRIs

A

nausea
headache
sexual dysfunction
SIADH

29
Q

SE MAOIs

general + Most severe!

A 
HYPOTENSION
sedation, weakness, fatigue
insomnia
changes in cardiac rhythm
muscle cramps
anorgasmia/impotence
urinary hesitancy/constipation
weight gain
MOST SEVERE HYPERTENSIVE CRISIS
30
Q

These are what kinds of drugs? Used for what?

Cimetidine (Tagamet)
Famotidine (Pepcid)
Nizatidine (Axid)
Ranitidine (Zantac)

A
  • H2-receptor blockers

- Peptic Ulcers

31
Q

These are what kinds of drugs? Used for what?

Dexlansoprazole (Dexilant)
Esomeprazole (Nexium)
Lansoprazole (Prevacid)
Omeprazole (Prilosec)
Pantoprazole (Protonix)
Rabeprazole (Aciphex)
A
  • proton pump inhibitors (PPI)

- Peptic Ulcers

32
Q

Bismuth is also known as_______.

A

Pepto-Bismol

NUR 114 (3 decks)

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