week 3 pharm

Question 1

SSRI’S

Answer 1

first line of long- term treatment for *depression, anxiety, OCD, PTSD, bulimia, & panic disorder

*2-3 WEEKS FOR FULL EFFECT

*citalopram
*escitalopram
*fluoxetine
*paroxetine
*sertraline

Question 2

side effects of SSRI’S

Answer 2

*CITALOPRAM
*ESCITALOPRAM
*FLUOXETINE
*PAROXETINE
*SERTRALINE

sexual dysfunction
weight gain

Question 3

adverse effects of SSRI’s

Answer 3

nausea / headache
anxiety
agitation
reduced appetite
insomnia
hyponatremia

Question 4

when caring for a patient on tricyclic antidepressants..

Answer 4

AMITRIPTYLINE

*watch for ORTHOSTATIC HYPOTENSION
*increase fluid & fiber
*sugar less gum

Question 5

MAOI’s foods to avoid

Answer 5

• phenelzine*

avoid TYRAMINE
no :
-cheese
-avocado
-beer/wine
-smoked meats
- liver
-fish

Question 6

patients taking phenelzine are at risk for…

Answer 6

hypertensive crisis
*MAOI’s

Question 7

adverse effects of buproprione

Answer 7

nausea/headache
dry mouth
insomnia
restlessness
constipation
gi distress
increase heart rate

Question 8

SNRI’S

Answer 8

*VENLAFAXINE
*DESVENLAFAXINE
*DULOXETINE
*LEVOMILNACIPRAN

treats MDD & anxiety — long term

Question 9

Venlafaxine, Desvelafaxine, duloxetine, & levomilnacipran adverse effects

Answer 9

SNRI’S
* serotonin syndrome
* hyponatremia (especially w older adults on diuretics)

sexual dysfunction
insomnia
nausea
weight gain
diaphoresis

Question 10

adverse effects of ST John’s wort

Answer 10

*abdominal pain
*photosensitivity
*nightmares
skin rash
gi distress
increased heart rate

serotonin syndrome

Question 11

serotonin syndrome symptoms

Answer 11

*increased temperature
*abdominal pain
restlessness
sweating
shivering
hyperreflexia

Question 12

SSRI’s are contraindicated in

Answer 12

*citalopram, escitalopram, fluoxetine, paroxetine, sertraline

Ulcers
GI bleeds

Question 13

Trazodone

Answer 13

adjunct for sleep & depression
suicide risk

Question 14

adverse effect of Trazodone

Answer 14

priapism = painful erection
suicide risk

Question 15

tricyclic antipdepressants

Answer 15

*Amitriptyline
*Doxepin
*Imipramine
*Notriptyline

highly cardio-toxic antidepressant
easy to overdose

Question 16

side effects and amitriptyline

Answer 16

*TCA - amitryptline, doxepin, imipramine, & nortriptyline

**constipation
* urinary retention
dry mouth
blurred vision
photophobia
tachycardia
sexual dysfunction

Question 17

adverse effects of TCA’s

Answer 17

amitryptyline, doxepin, imipramine, & nortryptyline,

*consitpation
*urinary retention
*orthostatic hypotension
* MI
*dysrhythmias
*heart block

Question 18

paitents on TCA’s are

Answer 18

*amitryptyline, doxepin, imipramine, & nortryptyline

a high fall risk

*orthostatic hypotension

Question 19

TCA’s are contraindicated in

Answer 19

*amitryptyline
MI
narrow angle glaucoma
BPH
seizures

Question 20

MAOI’s

Answer 20

Phenelzine
Isocarboxazid
Tranylcypromine
Selegiline

*last medication to try for antidepressant

Question 21

adverse effects of MAOi’s

Answer 21

*phenelzine

hypertensive crisis
n/v
confusion
diaphoresis
anxiety
blurry vision

Question 22

foods to avoid on MAOI’s

Answer 22

*charcuterie board
dairy
avocado
deli meats beers
protein supplements
yeast
tyramine

Question 23

MAOI”s are contraindicated in

Answer 23

cardiovascular diseases
liver diseases
headaches
surgeries

Question 24

Bupropion

Answer 24

treats DEPRESSION & smoking cessation & weight loss

*seizures**

those who cant tolerate SSRI’s

Question 25

Bupropion adverse effects

Answer 25

appetite suppression
seizures (contraindicated)

Question 26

ketamine

Answer 26

controlled substance that targets suicidal ideation & used on aggressive patients & treatment resistant patients

IV & nasal spray

Question 27

side effects of ketamine

Answer 27

dissociation
increased BP & hR

Question 28

patients taking busiprone are at risk for

Answer 28

*serotonin syndrome
*falls = orthostatic hypotension

Question 29

diphenhydramine & hyroxyzine

Answer 29

antihistamines used as antidepressants for clients with substance abuse disorders

**sedating & PRN ONLY

Question 30

antidote for benzodiazepenes

Answer 30

flumazenile

Question 31

busiprone interacts w

Answer 31

***ANXIETY
erythromycin
ketoconazole
grapefruit juice
st john’s wort