Med Quiz Mix Flashcards
Seizure HCP orders 6 mg phenobarbital STAT what is nurses best reaction
Question order
Too small usually dose is 30- 120mg
Child is prescribed CNS stimulate. Arrives at ICU for seizures after head injury. HCP orders phenytoin & lorazepam to be admin every time child has a seizure. What is the nurses priority….
Call HCP & question Phenytoin
Phenytoin & CNS Stimulants increase drug levels
Psychotic admitt3d to ED and receives 25 mg intramuscular Chlorpromazine. What is nurses priority assessment
Apical HR
Behavior & cognition
Postural BP
Pupillary reflexes
Behavior & cognition
Med was given to bring about positive changes in this area
Others not priority
Client gets drug induced Parkinson’s disease from treatment with Metoclopramide. Nurse should anticipate treatment with which medication that is also an antiviral.
Diphenhydramine
Amantadine
Ropinirole
Entacapone
Amantadine: increases release of dopamine to stop EPS with Parkinsons
Ropinirole is a dopaminergic antiparkonsons drugs
Entacapone is a adjunctive treatment for idiopathic Parkinsons with Levodopa-carbidopa for clients feeling “wearing off “ of drugs effects
Diphenhydramine treats Parkinsons in children.
Parkinsons client been prescribed Apomorpine to treat hypomobility. What should nurse teach
- IM q3day 1 - 1.5 mL
- PO 20mg q3Day
- IM q3day 2 - 6 mg
- IV 50mg q3days
- IM q3day 2 - 6 mg
Available in dosage pen
Levodopa prescribed for client with Parkinsons. What health teaching is provided.
ID Foods high in B⁶
Weekly blood work for first 6 weeks
Matching daily dose to severity of symptoms
Adverse SE will subside in about 4 weeks
ID Foods high in B⁶
Avoid B⁶ (Grains)
Speeds conversion of levodopa to dopamine
Parkinsons pt has severe Dysphagia. Which drug is available in parenteral form
Apomorphine
Ropinirole
Bromocriptine
Levodopa
Apomorphine: Available in parenteral
Only Available Orally
Ropinirole
Bromocriptine
Levodopa
Standard initial Dose of Trihexyphenidyl
1 - 2 mg daily
Titrated up to 6 - 10
Max 15
Trihexyphenidyl is adjunctive therapy to levodopa in treatment of Parkinsons but can be us3d alone to control drug induced EPS
6 yr old treated with methylphenidate
Priority assessment
Weight, Blood Count, Cardiac arrhythmias.
Newly prescribed phenothiazine. Which is important teaching.
- Might feel agitated & have trouble sleeping
- Diarrhea is common first few days
- Discoloration of urine to pink or reddish
- If dev a rash use moisturizer until it subsides.
- Discoloration of urine to pink or reddish
Other symptoms are the oppsite of what is expected
Manic phase of bipolar being sent home on an antimanic drug. Which will provide best longterm maintenance.
Haloperidol
Lamotrigine
Ziprasidone
Aripiprazole
Lamotrigine 3 - 14
Aripiprazole & Ziprasidone are used for acute manic & mixed episodes
Haldol isn’t for bipolar but schizophrenia
Which is a bigger factor in schizophrenia
Genetic Factor or Biochemical distuptions
Biochemical distuptions
Which are often inherited
Meds changed to clozapine
Which assessment should the nurse perform to ID life-threatening adverse SE early.
Observe for bleeding
Lung Ausculation
VS
I & O
VS
Neuroleptic malignant syndrome can be deadly SE of atypical nonphenothiazines.
Cause variation in all VS
Bipolar 1 & 2
During which phase (depressed / manic) is the pt. Most likely to be hospitalized in each…
1 = Manic
2 = Depressed
Which anticholinergic works best for TD….
Anticholinergic don’t work for TD
Bradyphenia =
Slowed thinking
Both Symptoms of TD
rare condition in which the neck muscles contract, causing the head to twist to one side.
a condition that causes a person to arch their back and throw their head backward, resulting in a severe abnormal posture
Opisthotonos
Torticollos
Torticollos
rare condition in which the neck muscles contract, causing the head to twist to one side.
Opisthotonos
a condition that causes a person to arch their back and throw their head backward, resulting in a severe abnormal posture
Valbenazine / Deutetrabenazine
AIMS screening
Used for …..
TD
Lack of filfran, Epicanthal folds, non symmetrical ears
Could mean this disease
Fetal alcohol spectrum disorder
What is CARE’s main responsibility…
Gatekeeper
Screening for Fetal Alcohol syndrome
What does RUCC stand for and do
Recovery United Community Center
Provide resources for people
RUCC
SMILE
Start making it livable for everyone
Resources
Divorce
RUCC
PATTS
Resources
Anger Management
RUCC
INDEPTH
Resources
Vaping/ Tabaco
RUCC Prime for life 420
Resources
Anti pot
RUCC
Paper people & Second Step
Resources
Stops small children from drugs
Second Step for older kids
RUCC
7 C’s
Motto for drug addict parents
Bipolar II
Never psychotic
T or F
F
Can be psychotic in Depression but Not in mania
Comorbid for Bipolar
Chronic fatigue
Asthma
Migrane
Chemical sensitive
Metabolic Syndrome
_______
Gastric Ulcers
Environmental risk factors for Bipolar…
ACES
Upper socioeconomic
High education
High Occupation level
Creative people
Pressured speech
Circumstantiality
Tangential / loose associations
Clang associations
Describe….
Bipolar bear
3 criteria for hospitalization in bipolar
Harm self/others
Psychosis
Catatonia
Tests before taking lithium
KFT
EKG
Thyroid
Preggers
This medication for bipolar
Drowsiness
OH
Liver function / Platelets
Bone Marrow Suppression
Toxicity in <18 yrs
Nystagmus, Dystonia, Respitory Depression
Not for Asians
Carbamazepine (Tegretol) 2nd line
Range 4 - 12
ECT when in bipolar (2)
Rapid cyclers
Severe mania
Psychological & environmental factors
Prenatal stressor
Poor Maternal nutrition, Hypoxia
Viral infections
Father >35
Born late winter / early spring
Schizophrenia
Which type of symptoms are more likely to appear early in the illness.
Positive
Negative develope slowly
False fixed belief that cannot be changed by logic
Delusion
