NURS 5461 UPDATED COMPREHENSIVE
QUESTIONS AND ANSWERS SURE A+
✔✔Fluoxetine (Prozac) - ✔✔SSRI - AVOID IN OLDER ADULTS - long half life and too
energizing
✔✔What neurotransmitter is lost in Alzheimer's - ✔✔Acetylcholine
✔✔Diagnosis for levy body / parkinson dementia - ✔✔must include visual hallucinations
and or parkinsons signs
✔✔Memantine - ✔✔Used for sever Alzheimer's and in combination with a
cholinesterase inhibitor
✔✔Citalopram (Celexa) - ✔✔SSRI. Effective in treating agitation and psychosis - no
more than 20mg due to prolonged QT .
✔✔Treatment for mania in dementia - ✔✔Divalproex Sodium (Depakot) - Keep an eye
on the liver
✔✔Cholinesterase inhibitors - ✔✔Donepezil
Rivastigmine
Galantamine
✔✔delirium is cause by - ✔✔Caused by cholinergic deficiency / anticholinergic
deficiency
✔✔Treatment for delirium - ✔✔Haloperidol (Haldo) - unless the pt has parkinsons Or
levy body dementia (Give seroquel)
, ✔✔antipsychotic drugs - ✔✔Make parkinson symptoms worse due to their ability to
block dopamine. Give parkinsons pts an atypical antipsychotic such as Quetiapine
(seroquel) is they have delirium
✔✔Preferred med for bipolar depression - ✔✔Mood stabilizers - LAMOTRIGINE
✔✔Sertraline (Zoloft) - ✔✔SSRI good for treating geriatric depression
✔✔Essential tremor - ✔✔Is bilateral. ETOH will stop the tremor - present when the
limbs are active - treat with beta blocker
✔✔Chorea - ✔✔Hyperkinetic movement - dysfunction of the striatum - treat with
dopamine receptor blockers such as rispiridone or haldol - can be caused by
Huntingtons - treat HD with tretrabenazine / Deutertrabanzine
✔✔Multiple system atrophy - ✔✔Most disabling symptom is orthostatic hypotension
✔✔Dystonia - ✔✔Hyperkinetic disorder that causes prolonged muscle contraction - treat
with anticholinergics or muscle relaxants (baclofen) - injecting Botox can provide
temporary relief
✔✔Progressive Supranuclear Palsy - ✔✔- Loss of voluntary eye movements
(preservation of reflexive)
- Bradykinesia
- Rigidity
- Axial dystonia
- Pseudobulbar palsy
- Dementia
- Occurs later middle life
✔✔TRAP - ✔✔Tremor
Rigidity
Akinesia/bradykinesia
Postural instability
✔✔Parkinson's w hallucinations treatment - ✔✔Quetiapine (Seroquel) or Clozapine
✔✔MAO-B inhibitor drugs - ✔✔Selegiline
Rasagiline
used for mild to moderate parkinsons - can use with levodopa
✔✔1st line treatment for HTN in African americans - ✔✔CCB or Thiazide
QUESTIONS AND ANSWERS SURE A+
✔✔Fluoxetine (Prozac) - ✔✔SSRI - AVOID IN OLDER ADULTS - long half life and too
energizing
✔✔What neurotransmitter is lost in Alzheimer's - ✔✔Acetylcholine
✔✔Diagnosis for levy body / parkinson dementia - ✔✔must include visual hallucinations
and or parkinsons signs
✔✔Memantine - ✔✔Used for sever Alzheimer's and in combination with a
cholinesterase inhibitor
✔✔Citalopram (Celexa) - ✔✔SSRI. Effective in treating agitation and psychosis - no
more than 20mg due to prolonged QT .
✔✔Treatment for mania in dementia - ✔✔Divalproex Sodium (Depakot) - Keep an eye
on the liver
✔✔Cholinesterase inhibitors - ✔✔Donepezil
Rivastigmine
Galantamine
✔✔delirium is cause by - ✔✔Caused by cholinergic deficiency / anticholinergic
deficiency
✔✔Treatment for delirium - ✔✔Haloperidol (Haldo) - unless the pt has parkinsons Or
levy body dementia (Give seroquel)
, ✔✔antipsychotic drugs - ✔✔Make parkinson symptoms worse due to their ability to
block dopamine. Give parkinsons pts an atypical antipsychotic such as Quetiapine
(seroquel) is they have delirium
✔✔Preferred med for bipolar depression - ✔✔Mood stabilizers - LAMOTRIGINE
✔✔Sertraline (Zoloft) - ✔✔SSRI good for treating geriatric depression
✔✔Essential tremor - ✔✔Is bilateral. ETOH will stop the tremor - present when the
limbs are active - treat with beta blocker
✔✔Chorea - ✔✔Hyperkinetic movement - dysfunction of the striatum - treat with
dopamine receptor blockers such as rispiridone or haldol - can be caused by
Huntingtons - treat HD with tretrabenazine / Deutertrabanzine
✔✔Multiple system atrophy - ✔✔Most disabling symptom is orthostatic hypotension
✔✔Dystonia - ✔✔Hyperkinetic disorder that causes prolonged muscle contraction - treat
with anticholinergics or muscle relaxants (baclofen) - injecting Botox can provide
temporary relief
✔✔Progressive Supranuclear Palsy - ✔✔- Loss of voluntary eye movements
(preservation of reflexive)
- Bradykinesia
- Rigidity
- Axial dystonia
- Pseudobulbar palsy
- Dementia
- Occurs later middle life
✔✔TRAP - ✔✔Tremor
Rigidity
Akinesia/bradykinesia
Postural instability
✔✔Parkinson's w hallucinations treatment - ✔✔Quetiapine (Seroquel) or Clozapine
✔✔MAO-B inhibitor drugs - ✔✔Selegiline
Rasagiline
used for mild to moderate parkinsons - can use with levodopa
✔✔1st line treatment for HTN in African americans - ✔✔CCB or Thiazide
