Week 5 Quiz Flashcards
1
Q
Dilantin
A
phenytoin
2
Q
Phenytoin
A
Dilantin
3
Q
Phenytoin Dilantin Use
A
Controls seizure activity by an
unknown mechanism.
4
Q
Phenytoin Dilantin Interventions
A
- Drowsiness
- Don’t stop abruptly-can cause seizure
- Oral adverse effects.
5
Q
Phenytoin Dilantin Class
A
anticonvulsant, anticoagulant
6
Q
Phenytoin Dilantin Hints
A
- therapeutic serum level 10 to 20 μg
- urine harmless pinkish/red/brown
- take at same time every day
- take with food/milk (GI upset)
- anorexia, nausea, and vomiting
- morbilliform (measles- like) rash- stop med go to MD
7
Q
Tegretol
A
Carbamazepine
8
Q
Carbamazepine
A
Tegretol
9
Q
Carbamazepine Tegretol Use
A
Controls seizure activity by an
unknown mechanism.
Prevents and decreases incidence of acute mania
10
Q
Carbamazepine Tegretol Interventions
A
- Drowsiness
- Don’t stop abruptly-can cause seizure
- Oral adverse effects.
11
Q
Carbamazepine Tegretol Class
A
anticonvulsant, mood stabilizer
12
Q
phenytoin Dilantin Hints
A
- Primrose oil lowers seizure threshold
- Therapeutic serum level 5-12
- Mania in BPD
- Drowsiness
- Sunburn
13
Q
Lamictal
A
Lamictal
14
Q
Lamictal
A
Lamotrigine
15
Q
Lamotrigine Lamictal Use
A
Prevents and decreases incidence of acute mania
16
Q
Lamotrigine Lamictal Interventions
A
- Drowsiness
- Don’t stop abruptly-can cause seizure
- Oral adverse effects.
17
Q
Lamotrigine Lamictal Class
A
mood stabilizer
18
Q
Lamotrigine Lamictal Hints
A
- Breastfeeding ok
19
Q
Levetiracetam
A
Keppra
20
Q
Keppra
A
Levetiracetam
21
Q
Levetiracetam Keppra Class
A
Anticonvulsant
22
Q
Succinimides
A
ethosuximide/Zarontin
23
Q
ethosuximide/Zarontin
A
Succinimides
24
Q
Succinimides ethosuximide Zarontin Class
A
Anticonvulsant
25
Succinimides ethosuximide Zarontin Hints
1. therapeutic serum level 40-100
26
gabapentin
Neurotin
27
Neurotin
gabapentin
28
amitriptyline
Elavil
29
Elavil
amitriptyline
30
amitriptyline Elavil Use
Treats depression, panic, and
| anxiety.
31
amitriptyline Elavil Interventions
1. dry mouth, blurred vision, urinary
retention, and hypertension
2. Avoid alcohol and depressants
3. pregnancy class C
32
amitriptyline Elavil Class
TCA
33
amitriptyline Elavil Hints
1. Prevents migrane
2. significant anticholinergic actions
3. intensify symptoms of AD
4. dont d/c abruptly
5. Taper- rebound dysphoria, irritability, sleepiness
6. drowsiness
7. weight gain, anorexia
34
phenelzine
Nardil
35
Nardil
phenelzine
36
phenelzine Nardil Use
Treats various forms of atypical depression and sometimes
| useful in Parkinson’s disease
37
phenelzine Nardil Interventions
avoid OTC drugs with tyramine
38
phenelzine Nardil Class
MAOI
39
phenelzine Nardil Hints
1. no tyramine-containing foods- cause life threatening HTN
| 2. processed meat, yeast, beer, red wine, chocolate
40
fluoxetine
Prozac
41
Prozac
fluoxetine
42
fluoxetine Prozac Use
Treats various forms of endogenous depression.
43
fluoxetine Prozac Interventions
1. Restrict amt of med given to client
2. Take PM
3. Drowsiness
44
fluoxetine Prozac Class
SSRI
45
fluoxetine Prozac Hints
1. depression of AD
2. elevated temperature- Serotonin syndrome (stop SSRI, can lead to death)
3. Taper-withdrawal symptoms
46
Zoloft
sertraline
47
sertraline
Zoloft
48
sertraline Zoloft Use
Treats various forms of endogenous depression.
49
sertraline Zoloft Interventions
1. depression of AD
2. elevated temperature- Serotonin syndrome (stop SSRI, can lead to death)
3. Taper-withdrawal symptoms
50
sertraline Zoloft Class
SSRI
51
sertraline Zoloft Hints
1. Not for acute panic attack
52
Effexor
venlafaxine
53
venlafaxine
Effexor
54
venlafaxine Effexor Class
SNRI
55
duloxetine
Cymbalta
56
Cymbalta
duloxetine
57
duloxetine Cymbalta Use
antidepressant
58
duloxetine Cymbalta Interventions
1. Restrict amt of med given to client
2. Take PM
3. Drowsiness
59
duloxetine Cymbalta Class
SNRI
60
duloxetine Cymbalta Hints
1. NOT broken, crushed, chewed, or dissolved
2. With St. John’s wort can cause serotonin syndrome (fever/death)
3. drowsiness
4. Photosensitivity
5. Sunscreen
61
bupropion
Wellutrin Zyban
62
Wellutrin Zyban
bupropion
63
bupropion Wellutrin Zyban Use
antidepressant
64
bupropion Wellutrin Zyban Class
Atypical Antidepressants
65
bupropion Wellutrin Zyban Hints
1. assist clients to quit smoking
2. suppress the appetite
3. suppress uptake of norepi and serotonin.
66
mirtazapine
Remeron
67
Remeron
mirtazapine
68
mirtazapine Remeron Class
Atypical Antidepressants
69
chlorpromazine
Thorazine
70
Thorazine
chlorpromazine
71
chlorpromazine Thorazine Use
Typical antipsychotic
72
chlorpromazine Thorazine Class
first-generation antipsychotic
73
chlorpromazine Thorazine Hints
1. Menstrual irregularity
2. tardive dyskinesia- adverse effect after mo/yrs (stop med, start benzo)
3. Symptoms on TD-worm-like movements of the tongue/lips
74
aripiprazole
Abilify
75
Abilify
aripiprazole
76
aripiprazole Abilify Use
dopamine system stabilizer
77
aripiprazole Abilify Class
Atypical antipsychotic
78
aripiprazole Abilify Hints
1. affects the receptor sites for dopamine
| 2. does not increase the secretion of dopamine
79
Amantadine Symmetrel
Symmetrel
80
Symmetrel
Amantadine
81
Amantadine Symmetrel Use
anti-Parkinson’s drug
82
Amantadine Symmetrel Class
Dopaminergic
83
Carbidopa-levodopa
Sinemet
84
Sinemet
Carbidopa-levodopa
85
Carbidopa-levodopa Sinemet Use
Parkinson’s
86
Carbidopa-levodopa Sinemet Use
Parkinson’s
87
Carbidopa-levodopa Sinemet Class
anti-Parkinson’s drug
88
Carbidopa-levodopa Sinemet Hints
1. combination med
2. designed to delay the breakdown of levodopa (dopamine) in the periphery
3. The expense of the med is not
the reason for the combo
4. Comes in only one strength comb
**this is a disadvantage
89
lorazepam
Ativan
90
Ativan
lorazepam
91
lorazepam Ativan Use
Treats generalized anxiety
| disorder and panic disorder
92
lorazepam Ativan Interventions
1. No grapefruit juice
2. drowsiness
3. dizziness
4. short-term therapy
5. do not cure underlying problems
6. potential addictive behavior
93
lorazepam Ativan Class
benzodiazepine
94
lorazepam Ativan Hints
1. sedative hypnotic
2. antiemetic (chemo)
3. taper
4. Preg class D
5. avoid alcohol and depressants
95
clonazepam
Klonopin
96
Klonopin
clonazepam
97
clonazepam Klonopin Use
anxiety
98
clonazepam Klonopin Class
benzodiazepine
99
clonazepam Klonopin Hints
therapeutic serum level 20-80
100
alprazolam
Xanax
101
Xanax
alprazolam
102
alprazolam Xanax Use
anxiety attack
103
alprazolam Xanax Class
Benzodiazepine
104
alprazolam Xanax Hints
1. drowsiness
2. potential for dependency
3. 1 to 10 anxiety scale before administering
* * to follow up about effectiveness
4. 15-30 min to treat the physiological S&S
5. Orthostatic hypotension-common and ok
6. overdose-encourage/induce vomiting
7. Available as oral med only- different med needed for post op (NPO)
8. taper
9. Nausea, vomiting, agitation, tachycardia, diaphoresis, tremors, and marked insomnia
105
diazepam
Valium
106
Valium
diazepam
107
diazepam Valium Use
Treats generalized anxiety
| disorder and panic disorder
108
diazepam Valium Interventions
1. No grapefruit juice
2. drowsiness
3. dizziness
4. short-term therapy
5. do not cure underlying problems
6. potential addictive behavior
109
diazepam Valium Class
Benzodiazepine
110
diazepam Valium Hints
1. oil- based and should not be diluted
2. should not be administered in an existing IV
3. administering in existing saline lock ok
4. administer over 2 to 3 minutes
5. administer in IV port closest to the client’s hand so the medication can get to the client’s bloodstream faster
6. administered as IVP, not IV piggyback (IVPB)
7. effective within 1 to 5 minutes
8. may affect antidiabetic medication
9. depress respirations
10. administered during a seizure
11. Taper
12. sedative–hypnotic
13. drug of choice for the potential
convulsions that are associated with nerveagent toxicity
