Maryville NURS 615 Pharm Exam 2 Practice Questions and Answers 100% Pass

Maryville NURS 615 Pharm Exam 2 Practice Questions and Answers 100% Pass What are the side effects of tricyclic antidepressants? - ANSWER -Anticholinergic type effects like dry mouth, sedation, constipation, increased appetite, blurred vision, tinnitus, euphoria, mania How long does it take for SSRIs to take effect - ANSWER -2-6 weeks SSRIs may cause what onset of action symptoms? - ANSWER -Nausea, but this will usually resolve in a week. What is one thing you should not do with SSRIs? - ANSWER -Drink alcohol What should happen when going off an SSRI? - ANSWER -Wean slowly, do not stop abruptly What medications would a patient with depression and anxiety respond well to? - ANSWER -Buspar and an SSRI combined Celexa (Citalopram) Lexapro (Escitalopram) Why should you combine an SSRI with Buspar? - ANSWER -Buspar augments the SSRI and is a good combo for anxiety and depression What is a first line drug for mild to moderate generalized anxiety disorder? - ANSWER -Buspirone How fast does Celexa start to demonstrate effects? - ANSWER -Improved appetitie and concentration in 1-2 weeks. What is a major drug to treat bipolar disease? - ANSWER -Lithium Blood levels need to be monitored with Lithium because why? - ANSWER Lithium has a narrow therapeutic range so it is important to recognize toxicity What are symptoms of lithium toxicity? - ANSWER -Drowsiness and Nausea What dietary teaching needs to be done with patients taking lithium? - ANSWER -Salt intake needs to be consistent What are the side effects of SSRIs (selective seratonin reuptake inhibitor)? - ANSWER -N/V, dizziness, light headedness, dry mouth, increased sweating, weight changes, agitation, sexual side effects. What are the side effects of SNRIs (serotonin norepinephrine reuptake inhibitor) - ANSWER -Headache, somnolence, dizziness, insomnia, nervousness, dry mouth, constipation, abnormal ejaculation, anorexia/weight loss, elevated BP What are the side effects of MAOIs? - ANSWER -Insomnia, anxiety, agitation, dizziness, headache, restlessness, hypotension, dry mouth, blurred vision, constipation What Benzo has the greatest likelihood of dependence? - ANSWER -Xanax /alprazolam What receptors do Benzos act on? - ANSWER -Enhances the neurotransmitter GABA (gamma-aminobutyric acid) receptors What result do Benzos have on the body? - ANSWER -sedative hypnotic anxiolytic anticonvulsant muscle relaxer What are long acting Benzos prescribed for? - ANSWER -Treatment of anxiety What are short acting Benzos prescribed for? - ANSWER -Treatment of insomnia What would be a good medication to prescribe for panic disorder? - ANSWER Diazepam (Valium) What is a anorexiant medication to treat obesity? - ANSWER -Phentermine What is a precaution with Phentermine? - ANSWER -Anorexiants may cause tolerance and should only be used for 6 months What medications or herbals should be avoided with Phentermine? Why? - ANSWER -SSRIs and St. Johns Wort...the combination may cause serotonin syndrome Phentermine releases what two chemicals? - ANSWER -Epinephrine and norepinephrine Epi and norepi causes what to break down? - ANSWER -Fat cells to break down stored fat What are Signs and symptoms of seratonin syndrome? - ANSWER -Headache, agitation, mental confusion, hallucinations, coma What are autonomic effects that you can get from seratonin syndrome? - ANSWER -Shivering, sweating, hyperthermia, vasoconstriction, tachycardia, nausea, diarrhea What factors place a patient at risk for developing antimicrobial resistant organisms? - ANSWER -Inappropriate use of antibiotics Children less than 2 years of age Adults older than 65 yrs of age Patients who do not finish their antibiotic regimen What are appropriate antibiotics to prescribe to pregnant women and children? - ANSWER -PCN or Cephalosporins (Amoxicillin, or Augmentin)