Pharmacology Psychiatric Mental Health Nurse Practitioner Exam Questions And Answers Verified 100% Correct

Pharmacology Psychiatric Mental Health Nurse Practitioner Exam Questions And Answers Verified 100% Correct What are the 4 targets of psychotropic drugs? - ANSWER -Transporters, G coupled protein receptor, ion channels, enzymes What is tachyphylaxis? - ANSWER -Neurotransmitter depletion What drugs are involved in induced psychotic disorders? - ANSWER -Dopamine agonists Chloroquine Corticosteroids Fluoroquinolones Stimulants What are the side effects of Cogentin? - ANSWER -Dry mouth Mydriasis Blurred vision Constipation Urinary retention Tachycardia Delirium Confusion What is the effect of 5-HT2A receptor antagonist? - ANSWER -Less EPS, improvement negative symptoms, less hyperprolactinemia What are the pharmacological treatments for tardive dyskinesia? - ANSWER Vitamin B6, Gingko biloba, tetrabenazine, clonzepam What antipsychotics increases the risk of akathisia? - ANSWER -Latuda, Abilify What antipsychotics increases the risk of EPS and hyperprolactinemia? - ANSWER -Risperidone, paliperidone What is the treatment for hyperprolactinemia? - ANSWER -D2 partial agonist, dopamine agonist What is the mechanism of action for weight gain? What serotonin receptor is involved in weight gain? - ANSWER -H1 antagonism 5-HT2c What are the adverse events of antagonism of 5-HT2c? - ANSWER -Orthostatic hypotension, weight gain, hyperglycemia What are the adverse events of antagonism of alpha1? - ANSWER -Orthostatic hypotension, dizziness, reflex tachycardia, urinary incontinence What are the adverse events of antagonism of muscarinic receptors? - ANSWER Anticholinergic effect What are the adverse events of antagonism of H1? - ANSWER -Orthostatic hypotension, weight gain, increased appetite, sedation What are the treatments of dry mouth? - ANSWER -Good hydration Chewing sugar-free gum Sucking on piece of ice Biotene Sialor What antipsychotics increases Qtc? What are the safest? - ANSWER -Ziprasidone, haldol, olanzapine, risperidone Abilify/latuda What is the follow-up for weight/height/waist in antipsychotics? - ANSWER Baseline q1-2-3-6-12 months, q year What is the follow-up for BP in antipsychotics? - ANSWER -Baseline q 3-6-12 months, q year What is the follow-up for glucose in antipsychotics? - ANSWER -Baseline q 1-3-6-12 months, qyear, PRN What is the follow-up for HbA1c in antipsychotics? - ANSWER -Baseline q12 month, q1 year, PRN What is the follow-up for cholesterol and triglycerides in antipsychotics? - ANSWER -Baseline q3-12 months, qyear What is the follow-up for drugs/ECG /pregnancy test in antipsychotics? - ANSWER -Baseline PRN What is the follow-up for prolactin in antipsychotics? - ANSWER -Baseline q12 month, q1 year, PRN What is the follow-up for liver function test in antipsychotics? - ANSWER Baseline q 3-12 months, q year PRN What is the follow-up for TSH in antipsychotics? - ANSWER -Baseline PRN What are the side effects of cholinergic rebound? - ANSWER -Hallucinations Insomnia Irritability Agitation Altered mental state/cognition Urinary/fecal incontinence Diaphoresis/rhinitis