Pharm test 9

Question 1

adverse effects of Effexor (Venlafaxine)

Answer 1

GI, hypertension, tachycardia, dizziness, sexual dysfunction, serotonin syndrome

Question 2

behaviors to promote with anxiety outside of medication

Answer 2

-Valerian Root- herbal product that promotes relaxation
-Melatonin- deep restful sleep

Question 3

antidote for Benzos

Answer 3

flumazenil

Question 4

safety precautions for patients on sleep meds-Ambien (Zolpidem)

Answer 4

-give immediately before bed-rapid onset
-may cause sleep walking

Question 5

Safety precautions for patients taking chlorpromazine

Answer 5

-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

Question 6

teaching for patients on lithium

Answer 6

do not eliminate salt, avoid caffeine, takes effect in 2 to 3 weeks, no alcohol, no NSAIDS, no diuretics, no anticholinergics

Question 7

Teaching for patients on phenobarbital

Answer 7

• 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

Question 8

Adverse effects on patients on SSRIS (antidepressants)

Answer 8

-dizziness, drowsy, GI, sexual dysfunction, weight gain
-monitor mood; watch for serotonin syndrome GI distress, sleep disturbance high temperature

Question 9

which foods are high in tyramine

Answer 9

-strong or aged cheese, cured meats, smoked or processed meats, pickled or fermented foods, soy beans, snowpeas, overripe or dried fruits, alcohol

Question 10

Teaching for ADHD meds

Answer 10

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

Question 11

which diet prevents seizures

Answer 11

keto

Question 12

lithium trough level

Answer 12

0.4-1.0 mEq/L

Question 13

which herbal remedy helps with stress reduction

Answer 13

St. Johns wort

Question 14

Trough level for valproic acid phenytoin

Answer 14

50-100 mcg/L

Question 15

serotonin syndrome symptoms

Answer 15

GI distress, sleep disturbances, high temperature

Question 16

safety interventions for pts on Haldol

Answer 16

do not abruptly discontinue medication, change positions slowly

Question 17

What pts on benzos should avoid (especially when they first start taking them)

Answer 17

don’t operate heavy machinery (causes extreme drowsiness)