Pharm: Nervous System Flashcards
Which life-threatening complication can cause a patient taking an SSRI to experience?
Serotonin syndrome
Which medication can be used to treat depression and as a smoking deterrent?
Bupropion
Acetominophen can be toxic to which organ?
The liver
Vaproic acid can cause which type of toxicity?
Hepatotoxicity
Sumatriptan is indicated for the treatment of which condition?
Vascular headaches (migraines and cluster headaches)
What is the antidote for opioid toxicity?
Naloxone
Which neurotransmitter do Parkinson’s medications aim to increase?
Dopamine
A patient reports taking Zolpidem at home. The nurse knows this medication is indicated to treat which condition?
Insomnia
Name three indications for the use of Benzodiazepines
Any three of the following:
Anxiety, active seizures, muscle spasms, alcohol withdrawal, induction/maintenance of anesthesia
After receiving Lorazepam, a patient’s respiratory rate is 8. What is the nurse’s priority action?
Administer the antidote, Flumazenil
What complication is a patient at risk for if they take a MAOI and eat a pepperoni pizza?
Hypertensive crisis
What dietary teaching should the nurse provide to a patient taking Phenelzine?
Avoid foods rich in Tyramine
The nurse recognizes which anxiolytic as being safe to take long-term with little risk for dependency.
Buspirone
Which herbal remedy must be avoided when taking SSRIs?
St. John’s wort
A patient taking Lithium is at risk for developing which thyroid disorder?
Hypothyroidism
At what plasma level is Lithium considered toxic?
> /= 1.5mEq/L
When beginning Lamotrigine therapy, the nurse educates a patient to report a rash, as this could indicate which potentially life-threatening condition?
Stevens-Johnson syndrome
A patient taking Haloperidol presents with dystonia, lip smacking, restlessness, and a shuffling gait. How does the nurse interpret these symptoms?
These are findings consistent with extrapyramidal symptoms
A patient taking Clozapine should have routine CBC monitoring due to the potential for developing which side effect?
Agranulocytosis
A patient taking Risperidone is at risk for developing which endocrine disorder?
Diabetes
Name two symptoms a patient will experience should they ingest alcohol while taking Disulfiram
Any two: Vomiting, sweating, palpitations, hypotension
Name two medications used for long term management of alcohol addition
Any two: Disulfiram, Naltrexone, Acamprosate
The nurse educates a patient beginning Carbidopa/Levodopa to expect what change to occur to their sweat and urine?
It may become dark in color
What is the therapeutic range of phenytoin?
10-20mcg/mL
What is the antidote for cholinergic medications?
Atropine
Which neurotransmitter does Donepezil increase?
Acetylcholine
What is the maximum daily dose of acetaminophen for otherwise healthy adults?
4g per day
At which time of day should a patient take Methylphenidate?
In the morning to avoid insomnia
Which analgesic is approved for use in a patient with peptic ulcer disease?
Acetaminophen - NSAIDs should be avoided
Why should aspirin not be given to children?
Reye’s syndrome
What black box warning is present on many mental health meds?
Risk for suicidal thoughts
Which lab value should the nurse monitor in a patient taking Carbamazepine?
CBC to monitor for blood dyscrasias
Name three anticholinergic side effects of Amitriptyline
Any three: Urinary retention, constipation, dry mouth, blurry vision, photophobia
Name four symptoms of serotonin syndrome
Any four: Agitation, hallucinations, fever, diaphoresis, tremors
