Complete Questions And Correct Detailed Answers
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LOC - ALERT
patient is responsive
opens eyes spontaneously
answers questions appropriately
CLOZAPINE (CLOZARIL)
atypical antipsychotic
CLOZAPINE (CLOZARIL) - ADVERSE EFFECT
Agranulocytosis (low WBCs)
CLOZAPINE (CLOZARIL) - NURSING CONSIDERATIONS
monitor clients closely for signs of infection
this Rx causes low WBC
RISPERIDONE (RISPERDAL)
atypical antipsychotic medication
RISPERIDONE (RISPERDAL) - INDICATIONS
schizophrenia
controls positive and negative symptoms
- anergia
- anhedonia
- social withdrawal
RISPERIDONE (RISPERDAL) - SIDE EFFECTS
,diabetes
weight gain
increased cholesterol
sedation
orthostatic hypotension
anticholinergic effects
menorrhagia
decreased libido
RISPERIDONE (RISPERDAL) - NURSING CONSIDERATIONS
can be administered via IM injection every two weeks for non-compliant patients
avoid alcohol
OLANZAPINE (ZYPREXA)
2nd generation antipsychotic
OLANZAPINE (ZYPREXA) - INDICATIONS
schizophrenia
bipolar disorder
treatment resistant depression
- used in combination with fluoxetine
OLANZAPINE (ZYPREXA) - ADVERSE EFFECTS
sedation/drowsiness
orthostatic hypotension
anticholinergic effects
METHYLPHENIDATE (RITALIN)
CNS stimulant medication
METHYLPHENIDATE (RITALIN) - INDICATIONS
,ADHD
conduct disorders
METHYLPHENIDATE (RITALIN) - SIDE EFFECTS
insomnia
dysrhythmias
decreased appetite
weight loss
METHYLPHENIDATE (RITALIN) - NURSING CONSIDERATIONS
do not give this Rx at night
give Rx immediately before/after meals
monitor child's weight during therapy
MEDICATIONS FOR ALCOHOL WITHDRAWAL
Benzodiazepines
- chlordiazepoxide
- diazepam
- lorazepam
Carbamazepine
Clonidine
Beta Blockers
- propranolol
- atenolol
BENZODIAZEPINES FOR ALCOHOL WITHDRAWAL
used to stabilize vital signs
decreases risk of seizures
decreases withdrawal manifestations
CARBAMAZEPINE FOR ALCOHOL WITHDRAWAL
decreases risk of seizures
, CLONIDINE FOR ALCOHOL WITHDRAWAL
decreases autonomic responses
↓ BP
↓ HR
BETA BLOCKERS FOR ALCOHOL WITHDRAWAL
decreases autonomic responses
↓ BP
↓ HR
decreases craving
MEDICATIONS TO PROMOTE ABSTINENCE FROM ALCOHOL
disulfiram (Antabuse)
naltrexone (Vivitrol)
acamprosate (Campral)
DISULFIRAM (ANTABUSE)
if patient ingests alcohol, they will experience unpleasant side effects
- nausea
- vomiting
- sweating
- palpitations
- hypotension
NALTREXONE (VIVITROL)
suppresses craving for alcohol
available as monthly IM injection
ACAMPROSATE (CAMPRAL)
decreases abstinence symptoms
- anxiety
- restlessness
METHADONE (DOLOPHINE)
Rx used for opioid withdrawal
used for withdrawal and long-term maintenance
BUPRENOPHINE