Neuro. Questions Flashcards

0
Q

Dont admin Bupropion hydrochloride (Wellbutrin) if pt has

A

Head trauma or tumor in CNS

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1
Q

Bupropion hydrochloride (Wellbutrin) treats?

A

Depression, prevents seasonal affective disorder (SAD), & smoking cessation adjunct.

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2
Q

Bupropion hydrochloride (Wellbutrin) may cause

A

Increased risk for seizures

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3
Q

fentanyl (sublimaze) is a?

A

Supplement to general anesthesia. Available for surgical premedication in a lozenges & IV

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4
Q

Incase respiratory & or circulatory depression occurs while pt is receiving fentanyl (sublimaze) you should have what on hand?

A

Have opioid antagonist naloxone (Narcan) on hand

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5
Q

buspirone is used for

A

Short-term treatment of certain anxiety disorders.

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6
Q

How do you Admin buspirone

A

Orally on a regular basis NOT PRN

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7
Q

When effects may occur while taking buspirone

A

Paradoxical effects (insomnia,anxiety,restlessness)

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8
Q

diazepam (Valium) alprazolam (Xanax) treats?

A

Anxiety & anxiety disorders & acute alcohol withdrawal sx.

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9
Q

What may occur while taking diazepam (Valium) alprazolam (Xanax) & how should it be discounted?

A

Tolerance and physical dependence in diaphoresis may occur. Be sure to tape her over 1 to 2 weeks to prevent or minimize withdraw symptoms

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10
Q

levodopa/carbidopa (sinemet) relieves?

A

Symptoms of PD & may take up to 6mos for full response to occur

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11
Q

Should not admin levodopa/carbidopa (sinemet) if pt has?

A

Narrow angle glaucoma

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12
Q

What is the therapeutic use for baclofen (Lioresal)

A

Relieves skeletal muscle spasm in the spinal cord injury, multiple sclerosis, and cerebral palsy.

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13
Q

How do you administer baclofen (Lioresal)

A

Administer orally or by intrathecal infusion. Given with food to prevent G.I. problems.

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14
Q

What are some side effects of baclofen (Lioresal)

A

Drowsiness and dizziness may occur early in therapy. Increase sedation will occur if used with alcohol or other CNS depressants

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15
Q

therapeutic use for zolpidem (Ambien)

A

short-term treatment for insomnia

16
Q

How do you administer zolpidem (Ambien)

A

Administer Oralee just before bedtime must get eight hours of sleep

17
Q

Side effects of zolpidem (Ambien)

A

Amnesia & memory impairment Monitor for the need to decrease dosage

18
Q

temazepam (Restoril) therapeutic use

A

Relieves insomnia especially when patients experience multiple awakenings during the night

19
Q

How and when do you administer temazepam (Restoril)

A

Oralee give 30 minutes before bedtime

20
Q

Side effects of temazepam (Restoril)

A

Some paradoxical reaction may occur especially in older adults such as confusion and Anxiety. Taper drug to prevent withdrawal

21
Q

Lithium therapeutic use is?

A

Treat acute mania and controls acute manic episodes in bipolar disorder

22
Q

What should the nurse monitor the patient for a while taking lithium

A

Thyroid function test yearly in Monitor for signs of hypothyroidism and Goiter. Monitor serum lithium levels, should be below 1.5 mEq/L initially and below 1.0 mEq/L long term. Instruct patient to recognize signs of toxicity & notify provider NSAIDs except aspirin increased risk for toxicity

23
Q

How to administer cholinergic agonist ophthalmic drops

A

Take care not to touch or drop the eyedropper when installing eyedrops for a patient apply clean gloves and instruct patient to wash hands before instilling eyedrops. do not apply with contact lenses

24
Q

Side effects of cholinergic agonist, ophthalmic drops

A

Stinging burning and I discomfort cardiac or respiratory effects and cholinergic agonist and cholinesterase inhibitors: systematic effects