PHARMACOLOGY ARCHER NCLEX CRASH COURSE
how are antidepressants categorized - ANSWER-(SSRI) SELECTIVE SEROTONIN REPUTAKE INHIBITOR
{serotonin}
-fluoxetine
-sertraline
-escitalopram
-citalopram
(TCAs) TRICYLIC DEPRESSANTS {norepinephrine and serotonin}
-amitriptyline
-nortriptyline
-protriptyline
(MAOIs) MONOAMINE OXIDE INHIBITORS {all neurotransmitters = dopamine, norepinephrine,
epinephrine, and serotonin}
-Tranylcypromine
-isocarboxazid
-phenelzine
-selegiline
how do you administer heparin? - ANSWER-sub q or IV
if the patient has multiple IV lines, why would you use the IV line closest to the heart to administer
adenosine? - ANSWER-adenosine needs to be administered RAPID PUSH though an IV to reach the heart
within 2 seconds. Choosing the IV line that is closest to the heart ensures a faster route.
Lorazapam (Ativan) therapeutic class, indication, action, and nursing considerations - ANSWER-
THERAPEUTIC CLASS: anti-anxiety agent
INDICATION: anxiety, sedation, and seizures
(lorazepam [ativan] is the first line of treatment for seizures lasting for than 5 minutes)
PHARMACOLOGY ARCHER NCLEX CRASH COURSE
, PHARMACOLOGY ARCHER NCLEX CRASH COURSE
ACTION: general CNS depression
NURSING CONSIDERATIONS: avoid alcohol, monitor respiratory depression, antidote- flumazenil
what are anticonvulsants for? - ANSWER-anticonvulsants are for epilepsy or seizure
what are important nursing considerations when administering heparin? - ANSWER-note that the
biggest side effect to monitor for is BLEEDING
-hematuria: pinktinged urine
-hematemesis: bloody vomitus
-bruising (ex. the patient bruises after taking pulse)
-downtrending H&H (hemoglobin and hematocrit)
what are popular anti - coagulants? - ANSWER-Heparin
warfarin
enoxaparin (low-molecular weight heparin)
clopidogrel (plavix)
What are some nursing considerations for MAOIs (MONOAMINE OXIDE INHIBITORS)? - ANSWER-AVOID
FOODS THAT ARE HIGH IN TYRAMINE
-aged cheeses
-wine
-pickled meats
(TYRAMINE INTERACTS WITH MAOIs)
SIDE EFFECT -HYPERTENSIVE CRISIS
pt's bp goes up so high to the point where they are at risk for stroke
PHARMACOLOGY ARCHER NCLEX CRASH COURSE
how are antidepressants categorized - ANSWER-(SSRI) SELECTIVE SEROTONIN REPUTAKE INHIBITOR
{serotonin}
-fluoxetine
-sertraline
-escitalopram
-citalopram
(TCAs) TRICYLIC DEPRESSANTS {norepinephrine and serotonin}
-amitriptyline
-nortriptyline
-protriptyline
(MAOIs) MONOAMINE OXIDE INHIBITORS {all neurotransmitters = dopamine, norepinephrine,
epinephrine, and serotonin}
-Tranylcypromine
-isocarboxazid
-phenelzine
-selegiline
how do you administer heparin? - ANSWER-sub q or IV
if the patient has multiple IV lines, why would you use the IV line closest to the heart to administer
adenosine? - ANSWER-adenosine needs to be administered RAPID PUSH though an IV to reach the heart
within 2 seconds. Choosing the IV line that is closest to the heart ensures a faster route.
Lorazapam (Ativan) therapeutic class, indication, action, and nursing considerations - ANSWER-
THERAPEUTIC CLASS: anti-anxiety agent
INDICATION: anxiety, sedation, and seizures
(lorazepam [ativan] is the first line of treatment for seizures lasting for than 5 minutes)
PHARMACOLOGY ARCHER NCLEX CRASH COURSE
, PHARMACOLOGY ARCHER NCLEX CRASH COURSE
ACTION: general CNS depression
NURSING CONSIDERATIONS: avoid alcohol, monitor respiratory depression, antidote- flumazenil
what are anticonvulsants for? - ANSWER-anticonvulsants are for epilepsy or seizure
what are important nursing considerations when administering heparin? - ANSWER-note that the
biggest side effect to monitor for is BLEEDING
-hematuria: pinktinged urine
-hematemesis: bloody vomitus
-bruising (ex. the patient bruises after taking pulse)
-downtrending H&H (hemoglobin and hematocrit)
what are popular anti - coagulants? - ANSWER-Heparin
warfarin
enoxaparin (low-molecular weight heparin)
clopidogrel (plavix)
What are some nursing considerations for MAOIs (MONOAMINE OXIDE INHIBITORS)? - ANSWER-AVOID
FOODS THAT ARE HIGH IN TYRAMINE
-aged cheeses
-wine
-pickled meats
(TYRAMINE INTERACTS WITH MAOIs)
SIDE EFFECT -HYPERTENSIVE CRISIS
pt's bp goes up so high to the point where they are at risk for stroke
PHARMACOLOGY ARCHER NCLEX CRASH COURSE
