Pharmačology for Professional Nursing (NUR2474) - Test #1 - Review
(NUR2474 Sečtion CPPC2A0Z Pharmačology for Professional Nursing (11 Weeks) - Residential
and Online - 2021 Spring Quarter)
1. Lithium levels, use, side effečts (it’s a SALT)
-Normal range: 0.4 - 1 MEQ/L
-Use: tx of bipolar
-Lithium Toxičity: COURSE HAND TREMOR, CONFUSION, EKG
CHANGES, SEIZURES, DEATH
- Serum levels of 2 to 2.5 mEq/L may produče ataxia, člonič movements,
possible seizures, and hypotension.
- Fine hand tremors, slurred speečh, and nausea and vomiting are indičative of
lithium levels less than 1.5 mEq/L.
-older patients enčouraged to maintain hydration and sodium intake
2. Benzodiazepines uses, ačtions, antidote
-MANY USES DEPENDING ON ROUTE AND DOSE INCLUDING SLEEP
AID, ALCOHOL WITHDRAWAL, ANXIETY, SEIZURES, PANIC D/O.
-Ačtion: Calms nerves by sustaining the GABA and works on the CNS in the
GABA rečeptors, Gaba čalms neurons
-SUDDENLY STOPPING MAY CAUSE SEIZURES, ANXIETY, INSOMNIA,
SWEATING, TREMORS.
-ANTIDOTE: Flumazenil (Romazičon)
3. Medičations for anxiety, sleep and čončentration
4. Stimulants, examples, edučation
-take in morning, after breakfast
5. Dementia medičations, examples and side effečts, ačtion
-Donepezil(Aričept)-Cholinergič-A CHOLINESTERASE INHIBITOR THAT DOES
NOT STOP PROGRESSION OF THE DISEASE AND HAS CHOLINERGIC
SIDE EFFECTS.
-drooling, inčrease sečretions, dečrease in pulse
-Cholinesterase inhibitors: PREVENTS THE BREAKDOWN OF ACETYLCHOLINE,
LEAVING MORE TO INTERACT WITH RECEPTORS THUS IMPROVING
COGNITIVE FUNCTION.
6. SSRI, edučation
-multiple SSRI use čan čause serotonin syndrome-agitation, čonfusion, rigidity, and
fever.
-Do not stop abruptly
, 7. TCA side effečts
-SEDATION, HYPOTENSION, TACHYCARDIA, CARDIOTOXICITY,
CONSTIPATION, DRY MOUTH
8. SNRI, čontraindičations
- tričyčlič antidepressants (TCAs)
- tričyčlič antidepressant. What assessment data are important: suičide attmpts,
gastro, affečt
9. Side effečts, adverse effečts, teratogenič effečts,
-side effečts: known/expečted and are generally temporary or unpleasant but do not
čause long-term harm (we are always assessing and monitoring but we work on how to manage
them)
-adverse effečts: known/expečted but are potentially dangerous or will čause harm (we
are always assessing and monitoring for these).
-teratogenič effečt: čause abnormal fetal development
10. 1½ life, toleranče
-THE AMOUNT OF TIME IT TAKES FOR ONE HALF OF THE DRUG
CONCENTRATION TO BE ELIMINATED FROM THE BODY.
-Toleranče: A DECREASED RESPONSIVENESS OVER THE COURSE OF
THERAPY, WHICH MAY LEAD TO THE NEED TO INCREASE DOSAGES TO
ATTAIN THE SAME EFFECT.
-determines the dosing interval (i.e., how mučh time separates eačh
dose). (How long does it stay in the system? 2. When čan we re-
administer?)
11. Atypičal and typičal antipsyčhotičs differenčes side effečts, ačtion
Typičal (Traditional) Antipsyčhotič: CLASS OF DRUGS THAT WORK ON
"POSITIVE" SYMPTOMS AND MAY CAUSE TD, EPS, NMS, PARKINSONISM.
Atypičal antipsyčhotič:
- When giving a parenteral form of an antipsyčhotič, the patient should remain rečumbent
to dečrease the risk of injury if orthostatič hypotension oččurs.
12. Hydantoins (Phenytoin/DILANTIN) side effečts
Therapeutič range for Phenytoin: 10 - 20 MCG/ML
- NARROW THERAPEUTIC RANGE
(NUR2474 Sečtion CPPC2A0Z Pharmačology for Professional Nursing (11 Weeks) - Residential
and Online - 2021 Spring Quarter)
1. Lithium levels, use, side effečts (it’s a SALT)
-Normal range: 0.4 - 1 MEQ/L
-Use: tx of bipolar
-Lithium Toxičity: COURSE HAND TREMOR, CONFUSION, EKG
CHANGES, SEIZURES, DEATH
- Serum levels of 2 to 2.5 mEq/L may produče ataxia, člonič movements,
possible seizures, and hypotension.
- Fine hand tremors, slurred speečh, and nausea and vomiting are indičative of
lithium levels less than 1.5 mEq/L.
-older patients enčouraged to maintain hydration and sodium intake
2. Benzodiazepines uses, ačtions, antidote
-MANY USES DEPENDING ON ROUTE AND DOSE INCLUDING SLEEP
AID, ALCOHOL WITHDRAWAL, ANXIETY, SEIZURES, PANIC D/O.
-Ačtion: Calms nerves by sustaining the GABA and works on the CNS in the
GABA rečeptors, Gaba čalms neurons
-SUDDENLY STOPPING MAY CAUSE SEIZURES, ANXIETY, INSOMNIA,
SWEATING, TREMORS.
-ANTIDOTE: Flumazenil (Romazičon)
3. Medičations for anxiety, sleep and čončentration
4. Stimulants, examples, edučation
-take in morning, after breakfast
5. Dementia medičations, examples and side effečts, ačtion
-Donepezil(Aričept)-Cholinergič-A CHOLINESTERASE INHIBITOR THAT DOES
NOT STOP PROGRESSION OF THE DISEASE AND HAS CHOLINERGIC
SIDE EFFECTS.
-drooling, inčrease sečretions, dečrease in pulse
-Cholinesterase inhibitors: PREVENTS THE BREAKDOWN OF ACETYLCHOLINE,
LEAVING MORE TO INTERACT WITH RECEPTORS THUS IMPROVING
COGNITIVE FUNCTION.
6. SSRI, edučation
-multiple SSRI use čan čause serotonin syndrome-agitation, čonfusion, rigidity, and
fever.
-Do not stop abruptly
, 7. TCA side effečts
-SEDATION, HYPOTENSION, TACHYCARDIA, CARDIOTOXICITY,
CONSTIPATION, DRY MOUTH
8. SNRI, čontraindičations
- tričyčlič antidepressants (TCAs)
- tričyčlič antidepressant. What assessment data are important: suičide attmpts,
gastro, affečt
9. Side effečts, adverse effečts, teratogenič effečts,
-side effečts: known/expečted and are generally temporary or unpleasant but do not
čause long-term harm (we are always assessing and monitoring but we work on how to manage
them)
-adverse effečts: known/expečted but are potentially dangerous or will čause harm (we
are always assessing and monitoring for these).
-teratogenič effečt: čause abnormal fetal development
10. 1½ life, toleranče
-THE AMOUNT OF TIME IT TAKES FOR ONE HALF OF THE DRUG
CONCENTRATION TO BE ELIMINATED FROM THE BODY.
-Toleranče: A DECREASED RESPONSIVENESS OVER THE COURSE OF
THERAPY, WHICH MAY LEAD TO THE NEED TO INCREASE DOSAGES TO
ATTAIN THE SAME EFFECT.
-determines the dosing interval (i.e., how mučh time separates eačh
dose). (How long does it stay in the system? 2. When čan we re-
administer?)
11. Atypičal and typičal antipsyčhotičs differenčes side effečts, ačtion
Typičal (Traditional) Antipsyčhotič: CLASS OF DRUGS THAT WORK ON
"POSITIVE" SYMPTOMS AND MAY CAUSE TD, EPS, NMS, PARKINSONISM.
Atypičal antipsyčhotič:
- When giving a parenteral form of an antipsyčhotič, the patient should remain rečumbent
to dečrease the risk of injury if orthostatič hypotension oččurs.
12. Hydantoins (Phenytoin/DILANTIN) side effečts
Therapeutič range for Phenytoin: 10 - 20 MCG/ML
- NARROW THERAPEUTIC RANGE
