NUR 210 Principles of Pharmacology Exam 3
Practice Questions and Answers / Galen NUR 210
Exam 3 Practice Exam Latest (new!)
selectivity - ...ANSWER...✓✓ A "selective" drug binds to a
primary and predictable site, creating one desired effect.
A "non-selective" drug can bind to many different and
unpredictable receptor sites with potential side effects.
stage 1: the interim between consciousness and sleep -
...ANSWER...✓✓ when sleep is interrupted, what stage
does the sleep cycle restart?
NREM sleep - ...ANSWER...✓✓ encompasses all sleep
stages except for REM sleep
insomnia - ...ANSWER...✓✓ the inability to fall asleep
- affects 10-30% of Americans
- more common in female patients
- tx: sedative hypnotics
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action of benzodiazepines - ...ANSWER...✓✓ this class of
medication is used to treat sleep disorders (insomnia)
and anxiety
- interacts with neurotransmitter GABA to reduce neuron
excitability
action of non benzodiazepines - ...ANSWER...✓✓ this
class of medications inhibits neurotransmitters and
causes CNS depression
- the duration of action is 6-8 hours
- treats insomnia short term ( less than 10 days)
- older adults are given smaller doses
depression
tolerance
dependence
hypotension - ...ANSWER...✓✓ adverse reactions of
benzodiazepine drugs
contraindications - ...ANSWER...✓✓ If a patient has
respiratory depression or an allergy they should not take
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benzodiazepines. Respiratory depression and a
benzodiazepine allergy are considered____________?
non pharmalogical measures first
avoid other CNS depressants, OTC sleep aids, and benzos
take at bedtime (sedative)
do not drive while medicated (sedative)
report feelings of hangover (not enough sleep) -
...ANSWER...✓✓ what teaching is needed for patient's
who take non benzodiazepine medications such as
Ambien?
general anesthesia - ...ANSWER...✓✓ involves the total
loss of body sensation and consciousness induced by
anesthetic agents administered primarily by inhalation or
intravenous injection
local anesthesia - ...ANSWER...✓✓ causes the loss of
sensation in a limited area by injecting an anesthetic
solution near that area
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regional anesthesia - ...ANSWER...✓✓ Temporary
interruption of nerve conduction, is produced by injecting
an anesthetic solution near the nerves to be blocked
- such as an epidural
balanced anesthesia - ...ANSWER...✓✓ use of several
different types of drugs to achieve the quickest, most
effective anesthesia with the fewest adverse effects
- involves using less general anesthesia
- premedication with an opioid analgesic or benzo
(versed/midazolam)
- with an anticholinergic (to prevent aspiration and dry
secretions)
- a short acting barbituate
- an inhaled gas
- muscle relaxant
Midazolam (Versed) - ...ANSWER...✓✓ Class:
Benzodiazepine
Indications: the induction and maintenance of anesthesia
or conscious sedation for minor surgery or procedures
- patients are sedated and relaxed but responsive to
commands