A. T Exam 2 Pharm NURS 615 Maryville Exam Questions and Answers

A. T Exam 2 Pharm NURS 615 Maryville




trycyclic anti. depressants - Answer-toxic cardiac issues



Carbamazepine: seizures - Answer-i. CBC Q 3-4 month

ii. Auto induces metabolism

iii. Dermatologic reactions

iv. Stevens Johnson

v. Toxic epidermal necrosis

vi. Aplastic anemia

vii. agranulocytosis



Teach for seizures - Answer-i. Prevent

ii. Safety

iii. Quality of life

iv. Don't abruptly stop

,Topiramate: seizures - Answer-i. Kidney stones

ii. Weight loss

iii. Monitor sweating and temp with exercise

iv. Low sodium bicarb=hyperchloremic metabolic acidosis



Pregnant - Answer-i. Valproate=XX (Seizures) no use 1st trimester AKA Depakote

ii. Keppra better (Seizures)

iii. PCN and Cephalosporins good (INFECTION)



Tricyclic antidepressants symptoms - Answer-i. Anticholinergic: this class has the most

1. dry mouth

2. sedation

3. constipation

4. increased appetite

5. blurred vision

6. tinnitus

7. euphoria

8. mania



Tricyclic precautions - Answer-ii. Antiarrhythmic: stop VF, decrease contraction, increase blood flow

iii. Toxic= myocardial irritation

iv. CAUTION with heart history



Tricyclic medications - Answer-i. Elavil

ii. Asendin

, iii. Anafranil

iv. Adapine

v. Sinequan

vi. Tofranil

vii. Pamelor

viii. Vivactil



Nadal/ phenelzine - Answer-is a MOIA drug inhibit monoamine oxidase



Nardal - Answer-i. Treat: atypical depression and Parkinson's

ii. Caution: tyramine rich foods=fermented

iii. Causes hypertensive crisis

iv. Do not take: Imitrex/ sumatriptan

v. 2 weeks to clear system

vi. Last line medication when all others have failed



MOIA drugs - Answer-i. Marplan

ii. Nadal

iii. parnate



hypertensive crisis - Answer-i. Headache

ii. Heart palpitations

iii. Stiff or sore neck

iv. Chest tightness

v. Tachycardia