NURS 303 – Neurological Meds: Questions With
Comprehensive Solutions
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Terms in this set (295)
What are the 2 prototype -diazepam
benzodiazepine meds to treat -alprazolam
anxiety?
Sedative effects from 7-10
benzodiazepines tend to diminish
within how many days?
What is the safety alert for benzos? stopping benzos abruptly can cause withdrawal
manifestations such as insomnia, anxiety, tremors,
diaphoresis, panic, hypertension, paranoia, muscle
twitching and hallucinations
Because stopping benzos abruptly to decrease the dosage gradually
can cause withdrawal symptoms, what
should the nurse educate the client
on?
What is an important nursing anticipate risk for falls and support client with
intervention for benzos? ambulation
How long should the nurse educate taper dosage over 1-2 weeks
the client to taper off benzos?
What IV drug can be given to reverse IV flumazenil
sedation in a client overdosing on
benzos?
,If IV diazepam is ordered, what are administer IV diazepam slowly and have emergency
some medication administration resuscitation equipment nearby
guidelines should the nurse be aware
of?
What may occur if benzodiazepines amnesia
are taken at high doses or combined
with alcohol?
TRUE OR FALSE: FALSE
benzodiazepines are nit teratogenic
and can be taken during pregnancy
What schedule drug are IV (4)
benzodiazepines?
What is a client condition that is clients with glaucoma
contraindicated for benzodiazepines?
What can decrease the effect of smoking
benzodiazepines?
How do non-benzos differ from NON benzos does NOT increase the effects of CNS
benzos? depressants such as alcohol and they have NO
misuse potential
What is the prototype for non- buspirone
benzodiazepines?
What frequency does the non-benzo orally on a regular basis for anxiety, NOT PRN
med, buspirone need to be taken?
What substances can increase the -erythromycin
blood levels of the non-benzo, -ketoconazole
buspirone? -grapefruit jucie
,What type of antidepressants were tricyclic antidepressants
one of the oldest and first types of
antidepressant?
What is the prototype for Tricyclic amitriptyline
Antidepressants?
How long does amitriptyline take for several weeks
clients to feel the full therapeutic
effect?
amitriptyline treats what? major depression
What is an adverse drug effect of the increase the risk of suicide
tricyclic antidepressant: amitriptyline
in children and adolescents?
An overdose of a tricyclic cardiotoxicity-tachycardia, heart block, ventricular
antidepressant such as amitriptyline, fibrillation
can cause what?
When should amitriptyline be take the medication at bedtime to prevent daytime
taken/administered? drowsiness
Tricyclic antidepressants such as children under 12, or clients who had a recent heart
amitriptyline, is contraindicated for attack or those with cardiac dysrhythmias
what type of clients?
What is the prototype for Serotonin fluoxetine
Selective Reuptake Inhibitors (SSRIs)?
What conditions does SSRIs -major depression
(fluoxetine) treat? -panic disorder
-OCD
-premenstrual dysphoric disorder
SSRIs (fluoxetine) increase secretion anti-diuretic hormone (ADH)
of what hormone?
, What electrolyte excretion is sodium
increased due to SSRIs (fluoxetine)
increased secretion of ADH
hormone?
Too much SSRIs (fluoxetine) can lead serotonin syndrome
to what?
Serotonin syndrome can develop if MAOIs or St. John's wort
the dose of an SSRI (fluoxtetine) is
taken at the same time as what other
substances?
What are the manifestations of -mental confusion
serotonin syndrome? -difficulty concentrating
-fever
-agitation
-anxiety
-hallucinations
-incoordination
-hyperreflexia
-tremors
Clients taking diuretics and SSRIs hyponatremia
(fluoxetine) are at an increased risk for
what?
Untreated hyponatremia from SSRIs seizures, coma, increased intracranial pressure from
(fluoxetine) can result in what? swelling of the brain
SSRIs (fluoxetine) may decrease what glucose control
in clients who have diabetes mellitus?
children under what age should NOT under 7
take fluoxetine?
What does the drug class SNRIs stand Serotonin/Norepinephrine Reuptake inhibitors
for?
Comprehensive Solutions
Save
Terms in this set (295)
What are the 2 prototype -diazepam
benzodiazepine meds to treat -alprazolam
anxiety?
Sedative effects from 7-10
benzodiazepines tend to diminish
within how many days?
What is the safety alert for benzos? stopping benzos abruptly can cause withdrawal
manifestations such as insomnia, anxiety, tremors,
diaphoresis, panic, hypertension, paranoia, muscle
twitching and hallucinations
Because stopping benzos abruptly to decrease the dosage gradually
can cause withdrawal symptoms, what
should the nurse educate the client
on?
What is an important nursing anticipate risk for falls and support client with
intervention for benzos? ambulation
How long should the nurse educate taper dosage over 1-2 weeks
the client to taper off benzos?
What IV drug can be given to reverse IV flumazenil
sedation in a client overdosing on
benzos?
,If IV diazepam is ordered, what are administer IV diazepam slowly and have emergency
some medication administration resuscitation equipment nearby
guidelines should the nurse be aware
of?
What may occur if benzodiazepines amnesia
are taken at high doses or combined
with alcohol?
TRUE OR FALSE: FALSE
benzodiazepines are nit teratogenic
and can be taken during pregnancy
What schedule drug are IV (4)
benzodiazepines?
What is a client condition that is clients with glaucoma
contraindicated for benzodiazepines?
What can decrease the effect of smoking
benzodiazepines?
How do non-benzos differ from NON benzos does NOT increase the effects of CNS
benzos? depressants such as alcohol and they have NO
misuse potential
What is the prototype for non- buspirone
benzodiazepines?
What frequency does the non-benzo orally on a regular basis for anxiety, NOT PRN
med, buspirone need to be taken?
What substances can increase the -erythromycin
blood levels of the non-benzo, -ketoconazole
buspirone? -grapefruit jucie
,What type of antidepressants were tricyclic antidepressants
one of the oldest and first types of
antidepressant?
What is the prototype for Tricyclic amitriptyline
Antidepressants?
How long does amitriptyline take for several weeks
clients to feel the full therapeutic
effect?
amitriptyline treats what? major depression
What is an adverse drug effect of the increase the risk of suicide
tricyclic antidepressant: amitriptyline
in children and adolescents?
An overdose of a tricyclic cardiotoxicity-tachycardia, heart block, ventricular
antidepressant such as amitriptyline, fibrillation
can cause what?
When should amitriptyline be take the medication at bedtime to prevent daytime
taken/administered? drowsiness
Tricyclic antidepressants such as children under 12, or clients who had a recent heart
amitriptyline, is contraindicated for attack or those with cardiac dysrhythmias
what type of clients?
What is the prototype for Serotonin fluoxetine
Selective Reuptake Inhibitors (SSRIs)?
What conditions does SSRIs -major depression
(fluoxetine) treat? -panic disorder
-OCD
-premenstrual dysphoric disorder
SSRIs (fluoxetine) increase secretion anti-diuretic hormone (ADH)
of what hormone?
, What electrolyte excretion is sodium
increased due to SSRIs (fluoxetine)
increased secretion of ADH
hormone?
Too much SSRIs (fluoxetine) can lead serotonin syndrome
to what?
Serotonin syndrome can develop if MAOIs or St. John's wort
the dose of an SSRI (fluoxtetine) is
taken at the same time as what other
substances?
What are the manifestations of -mental confusion
serotonin syndrome? -difficulty concentrating
-fever
-agitation
-anxiety
-hallucinations
-incoordination
-hyperreflexia
-tremors
Clients taking diuretics and SSRIs hyponatremia
(fluoxetine) are at an increased risk for
what?
Untreated hyponatremia from SSRIs seizures, coma, increased intracranial pressure from
(fluoxetine) can result in what? swelling of the brain
SSRIs (fluoxetine) may decrease what glucose control
in clients who have diabetes mellitus?
children under what age should NOT under 7
take fluoxetine?
What does the drug class SNRIs stand Serotonin/Norepinephrine Reuptake inhibitors
for?