Tutoring for Exam 2

Question 1

the two classifications of local anesthetics

Answer 1

amides

esters

Question 2

spelling difference in amides and esthers?

Answer 2

Amides have an “I” before the caine, esters don’t

Question 3

which category of local anesthetic is more likely to cause allergic reactions?

Answer 3

Esters

Question 4

why are local anesthetics given with a vasoconstrictor?

Answer 4

it prolongs the effects and reduces toxicity

Question 5

which vasoconstrictor is usually used with local anesthetics?

Answer 5

epinephrine

Question 6

is cocaine a ester or amide?

Answer 6

an esther

Question 7

Steps of the Analgesic Ladder

Answer 7

• Step 1 non-opioid
• Step 2 opioid for mild to moderate pain
• Step 3 opioid for moderate to severe to pain

Question 8

the only anesthetic drug without the side effects

Answer 8

Nitrous oxide

Question 9

Barbituates all have “what” in the name?

Answer 9

Barb

Question 10

Benzo’s end in…?

Answer 10

pam or lam

Question 11

what is ketamine typically given for?

Answer 11

long term procedures

Question 12

What will nurses try to keep the pain level under

Answer 12

below a 3

Question 13

what is cross tolerance

Answer 13

when you have a tolerance to one drug you will probably have tolerance to another

Question 14

what is stronger than morphine?

Answer 14

fentanyl

Question 15

adverse effects of opioids?

Answer 15

constipation

respiratory sedation

Question 16

what does miosis mean?

Answer 16

pinpoint pupils

Question 17

what is a major adverse effect of symatryptam?

Answer 17

chest compression

Question 18

how can ergotamine be administered?

Answer 18

po, sl, rectal, inhaled

Question 19

which parkinson’s drug is associated with gambling?

Answer 19

pramipexole

Question 20

elevated homocysteine levels are seen in what disease?

Answer 20

Alzheimers

Question 21

Risk factors of Alzheimers

Answer 21

family history 
increasing age
females 
head trauma
sedentary lifestyle

Question 22

memantine and cholinesterase inhibitors are use for what?

Answer 22

alzheimers

Question 23

treatment for malignant hypothermia

Answer 23

dantrolene

Question 24

what is dantrolene an antidote for?

Answer 24

anesthetics

Question 25

quickest acting SSRI?

Answer 25

sertaline

Question 26

antidote for benzos

Answer 26

flumazenil

Question 27

antidote for MAOI’s

Answer 27

nifedipine, phetolamine

Question 28

only anti-seizure used on babies?

Answer 28

phenobarbital

Question 29

what are the major symptoms of serotonin syndrome?

Answer 29

Mental confusion

Fever

Question 30

major adverse effects of Fluoxetine?

Answer 30

• Serotonin syndrome
• hyponatremia
• bruxism

Question 31

what is bruxism?

Answer 31

excessive teeth grinding

Question 32

All of the SSRIS (6)

Answer 32

Fluoxetine 
Citalopram  
Sertaline
Paroxetine
Fluvoxamine 
Escitalopram 
"Financial councellors supervise potential fraud  exchanges" 
- all end in "ine" or "pram"

Question 33

general adverse effects for SSRI’s

Answer 33

• decreased libido
• rash
• insomnia
• GI issues
• hyponatremia

Question 34

which SSRI is for OCD?

Answer 34

fluoxetine

Question 35

Which SSRI is the most anticholinergic and used for treating PTSD?

Answer 35

paroxetine