Final Flashcards

1
Q

what s/s occur when a client ingests alcohol and takes Antabuse?

A

-sweating
-violent vomiting
-h/a
-SOB
-tachycardia
-vertigo
-confusion

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2
Q

which medication would help a client reduce cravings for alcohol?

A

naltrexone (ReVia)

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3
Q

how would a nurse treat overdose in a client taking lorazepam?

A

flumazenil (Romazicon) administered IV- onset 1-2 min, full effects in 6-10 min, repeat after 20 min PRN

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4
Q

what dietary restrictions are indicated with the use of lorazepam?

A

grapefruit juice

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5
Q

therapeutic level of lithium

A

0.6-1.2 (long-term))
1.0-1.5 (acute manic phase

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6
Q

how often should a lithium level be drawn?

A

every 1-3 months during therapy

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7
Q

what foods should be avoided when taking MAOI’s?

A

foods containing tyramine (amine that causes vasoconstriction and raises BP)

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8
Q

examples of food containing tyramine

A

-herring
-salami
-smoked fish
-cheese
-beer
-wine

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9
Q

what are the s/s of serotonin syndrome?

A

mild: htn, agitation, tachycardia, tremors, diarrhea
severe: muscle rigidity, diaphoresis, fever, seizures

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10
Q

why should patients with cardiac history avoid tricyclic antidepressant?

A

anticholinergic effects

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11
Q

early s/s of digoxin toxicity

A

-n/v
-anorexia

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12
Q

digoxin antidote

A

digoxin immune fab

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13
Q

later signs of digoxin toxicity

A

-cardiac arrhythmias
-halos

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14
Q

true facts about ACE inhibitors

A

-reduces peripheral edema
-increases cardiac output
-first line of treatment for HF
-reduces synthesis of angiotensin-II

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15
Q

side effects of ACE inhibitors

A

-persistent dry cough
-dizziness
-angioedema

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16
Q

patient group that experienced more adverse effects with ARBs

A

renal or hepatic disease

17
Q

contraindications to the administration of nitroglycerin

A

-use of an ED medication within the last 48 hours
-hypotension

18
Q

nitroglycerin MOA

A

smooth muscle relaxant acting of vasculature and bronchial smooth muscle

19
Q

nitroglycerin side effects

A

-hypotension
-headache (wear gloves)

20
Q

milrinone pharm class

A

phosphodiesterase type 3 inhibitor

21
Q

lab alteration associated with flecainide

A

increased ast/alt

22
Q

indication for eskalith

A

bipolar

23
Q

imipramine moa

A

inhibits reuptake of norepinephrine and serotonin

24
Q

wellbutrin is the same drug as ____ and should not be taken together

A

zyban

25
Q

benzodiazepines reversal agent

A

flumazenil