UTA 3365 Exam 4 With Complete Solution

Benzodiazepines - ANSWER Indications: -insomnia, anxiety, seizures, muscle spasms, anesthesia, status epilepticus Adverse Effects: -drowsiness, dizziness, cognitive impairment, lethargy, amnesia, confusion, "hang-over" interactions: -CNS depressants -valerian and kava kava -grapefruit -pam, -lam - ANSWER suffixes for benzodiazepines 3-4 weeks - ANSWER how long are benzodiazepines typically prescribed? non-benzodiazepines - ANSWER MOA: -CNS depression indication: -insomnia adverse effects: -drowsiness, dizziness, amnesia, agitation, tolerance, dependance, hangover effect, binge eatingzolpidem - ANSWER non-benzodiazepine, typically used for sleep barbiturate - ANSWER MOA: used to treat insomnia, anesthesia, and seizure disorders adverse effects: drowsiness, dizziness, "hang over", REM sleep deprivation, hypotension, respiratory depression interactions: kava kava and valerian secobarbitol - ANSWER barbiturate butobarbital - ANSWER barbiturate short term to intermediate- acting benzodiazepines - ANSWER what type of sedative should be used for older adult patients? Centrally acting muscle relaxants - ANSWER MOA: relaxes muscles through CNS depression Indications: muscle spasms contraindications: narrow angle glaucoma, severe renal impairment adverse effects: anticholinergic effects, drowsiness, dizziness, hallucinations, orthostatic hypotension cyclobenzaprine - ANSWER centrally acting muscle relaxant dantrolene - ANSWER direct acting muscle relaxantamphetamine - ANSWER MOA: used to treat ADHD contraindications: cardiac abnormalities, hyperthyroidism, hypertension adverse effects: tachycardia, palpitations, hypertension, sleeplessness, dry mouth, weight loss, constipation interactions: MAOIs - severe hypertension (220/180) methylphenidate - ANSWER amphetamine-like drug sumatripan - ANSWER MOA: treats migraines contraindications: cardiovascular disease, previous MI, stroke, uncontrolled hypertension adverse effects: dizziness, tingling, numbness, warm sensations, muscle cramps, ` phenytoin - ANSWER MOA: prevents tonic-clonic seizures adverse effects: gingival hyperplasia, nystagmus, headache, diplopia, dizziness, thrombocytopenia interactions:CNS depressants, Warfarin, oral contraceptives 10 to 20 mcg/ml - ANSWER therapeutic range for phenytoin 50 - ANSWER phenytoin dosage: IV push _____ ml/min with normal saline Phenobarbital - ANSWER long a