Pharm test 9 Flashcards
adverse effects of Effexor (Venlafaxine)
GI, hypertension, tachycardia, dizziness, sexual dysfunction, serotonin syndrome
behaviors to promote with anxiety outside of medication
-Valerian Root- herbal product that promotes relaxation
-Melatonin- deep restful sleep
antidote for Benzos
flumazenil
safety precautions for patients on sleep meds-Ambien (Zolpidem)
-give immediately before bed-rapid onset
-may cause sleep walking
Safety precautions for patients taking chlorpromazine
-withdraw over 2-3 weeks; for IM injection, administer only in upper outer quadrant of buttocks…patient must remain supine for 30-60 minutes then rise slowly
-Elderly patients with dementia are at increased risk of death
teaching for patients on lithium
do not eliminate salt, avoid caffeine, takes effect in 2 to 3 weeks, no alcohol, no NSAIDS, no diuretics, no anticholinergics
Teaching for patients on phenobarbital
- no ETOH or CNS depressants, decreased effects of oral contraceptives (OCP)
-schedule IV drug; teratogenic
-drowsiness, respiratory depression
Overdose: tachycardia, hypotension, shock
Withdrawal symptoms: anxiety, tremors, delirium, seizures
Adverse effects on patients on SSRIS (antidepressants)
-dizziness, drowsy, GI, sexual dysfunction, weight gain
-monitor mood; watch for serotonin syndrome GI distress, sleep disturbance high temperature
which foods are high in tyramine
-strong or aged cheese, cured meats, smoked or processed meats, pickled or fermented foods, soy beans, snowpeas, overripe or dried fruits, alcohol
Teaching for ADHD meds
take in a.m. after breakfast; administer last dose by 4:00 p.m., baseline EKG, monitor BP, pulse, weight; “free-period” may be prescribed to allow growth
which diet prevents seizures
keto
lithium trough level
0.4-1.0 mEq/L
which herbal remedy helps with stress reduction
St. Johns wort
Trough level for valproic acid phenytoin
50-100 mcg/L
serotonin syndrome symptoms
GI distress, sleep disturbances, high temperature
