NR 326 CMS Exam (questions and answers completed)
olanzapine uses and teaching - --antipsychotic medication that is used to treat psychotic
conditions such as schizophrenia and bipolar disorder (manic depression) in adults and children
at least 13 years old
-report agitation, dizziness, sedation, sleep disruption, agranulocytosis
-lithium toxicity - --notify the provider of toxicity.
-Diarrhea, N/V, thirst, muscle weakness, hand tremors, slurred speech, lethargy, tinnitus,
ataxia, seizures, hypotension, respiratory complications.
- Instruct pt. to hold medication and notify the provider.
-Monitor Na+ and drink 1.5-3 liters of H20 daily
o Early - less than 1.5
o Advanced - 1.5-2
o Severe- 2 - 2.5
o Greater than 2.5 - coma and death, initiate dialysis.
o Avoid in hepatic, renal, or cardiac patients and schizophrenia
-atomoxetine s/s and teaching - -- appetite and growth suppression, GI effects (n/v, upper
abdominal pain, suicidal ideations in children and adolescents, hepatotoxicity(flu like
symptoms), headache, insomnia, irritability. Take medication with food.
-methylphenidate uses and side effects - -- sold under the trade name Ritalin among others, is
a stimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and
narcolepsy
- insomnia, restlessness, weight loss, growth suppression, cardiovascular effects, hallucinations,
paranoia, withdrawal reaction, hives, CNS depression, bleeding.
-fluoxetine uses, teaching and adverse effects - --SSRI
-It can treat depression, obsessive-compulsive disorder (OCD), bulimia nervosa, and panic
disorder
-do not stop taking suddenly, can take 1-3 weeks to take effect and up to 2 months for
maximum response
-Avoid hazardous activity until you know how you will respond
- AE's: n/v, headache, agitation, insomnia, anxiety, sexual dysfunction
- Follow a healthy diet, weight gain can occur, monitor for SI.
-Paroxetine uses and teaching - --SSRI
-used to treat depression, panic attacks, obsessive-compulsive disorder (OCD), anxiety
disorders, and post-traumatic stress disorder
-avoid with grapefruit juice and high fat foods decrease absorption
-Dextroamphetamine (adderall) teaching - -- administer immediately during or after meals
olanzapine uses and teaching - --antipsychotic medication that is used to treat psychotic
conditions such as schizophrenia and bipolar disorder (manic depression) in adults and children
at least 13 years old
-report agitation, dizziness, sedation, sleep disruption, agranulocytosis
-lithium toxicity - --notify the provider of toxicity.
-Diarrhea, N/V, thirst, muscle weakness, hand tremors, slurred speech, lethargy, tinnitus,
ataxia, seizures, hypotension, respiratory complications.
- Instruct pt. to hold medication and notify the provider.
-Monitor Na+ and drink 1.5-3 liters of H20 daily
o Early - less than 1.5
o Advanced - 1.5-2
o Severe- 2 - 2.5
o Greater than 2.5 - coma and death, initiate dialysis.
o Avoid in hepatic, renal, or cardiac patients and schizophrenia
-atomoxetine s/s and teaching - -- appetite and growth suppression, GI effects (n/v, upper
abdominal pain, suicidal ideations in children and adolescents, hepatotoxicity(flu like
symptoms), headache, insomnia, irritability. Take medication with food.
-methylphenidate uses and side effects - -- sold under the trade name Ritalin among others, is
a stimulant medication used to treat attention deficit hyperactivity disorder (ADHD) and
narcolepsy
- insomnia, restlessness, weight loss, growth suppression, cardiovascular effects, hallucinations,
paranoia, withdrawal reaction, hives, CNS depression, bleeding.
-fluoxetine uses, teaching and adverse effects - --SSRI
-It can treat depression, obsessive-compulsive disorder (OCD), bulimia nervosa, and panic
disorder
-do not stop taking suddenly, can take 1-3 weeks to take effect and up to 2 months for
maximum response
-Avoid hazardous activity until you know how you will respond
- AE's: n/v, headache, agitation, insomnia, anxiety, sexual dysfunction
- Follow a healthy diet, weight gain can occur, monitor for SI.
-Paroxetine uses and teaching - --SSRI
-used to treat depression, panic attacks, obsessive-compulsive disorder (OCD), anxiety
disorders, and post-traumatic stress disorder
-avoid with grapefruit juice and high fat foods decrease absorption
-Dextroamphetamine (adderall) teaching - -- administer immediately during or after meals
