NURS 660 SUM 2023 ALL SETS EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS

Risperidone Side Effects correct answer: diabetes and dyslipidemia, dose-dependent EPS, dose-dependent -activating-insomnia, anxiety, sedation, Nausea, dose-dependent sexual dysfunction, rare - TD, Risperidone Drug interactions correct answer: increase hypertensive agents, antagonize levodopa and dopamine agonists., Clozapine clearance of risperidone elevated plasma levels, Coadministration decrease risperidone, fluoxetine and paroxetine may increase risperidone Thioridazine Side Effects correct answer: Neuroleptic-induced deficit syndrome, Akathisia, Priapism, EPS, TD, parkinsonism, galactorrhea, amenorrhea, anticholinergic sympts sexual dysfunction, Thioridazine Drug interactions correct answer: May decrease levodopa, dopamine agonists, increase antihypertensive drugs. QTc prolongation SSRIs, SNRIs can raise thioridazine to dangerous levels. Beta blocker inhibit raise thioridazine to dangerous levels. Taking a neuroleptic and lithium have developedmsyndrome similar to neuroleptic malignant syndrome. Quetiapine Side Effects correct answer: Dose dependent weight gain, diabetes and dyslipidemia, anticholinergic symptoms, risk of TD Quetiapine Drug Interactions correct answer: May increase effect of anti-hypertensive agents, increased INR with warfarin Haloperidol Side Effects correct answer: Neuroleptic-induced deficit syndrome, akathisia, movement disorders, hyperprolactemia anticholinergic symptoms, hyp/hyper BP weight gain Haloperidol Drug Interactions correct answer: increase levodopa, dopamine agonists, enhance antihypertensives. coadmin w/anticholinergic agent-glaucoma, reduces effects of anticoagulants haldol and lithium- possible encephalopathic syndrome like neuroleptic malignant syndrome.. Olanzapine Side effects correct answer: DM II and dyslipidemia, anticholinergic symptoms, peripheral edema, MSK pain, abnormal gait, ecchymosis, rare TD, rare rash- sunlight. Olanzapine Drug interactions correct answer: enhance hypertensive agents, antagonize levodopa, dopamine agonists. cigarette smoke, carbamazepine-decrease level Clozapine correct answer: Orthostasis, Sialorrhea (excessive salivation), constipation, sedation, tachycardia, weight gain, dyslipidemia and hyperglycemia, benign fever clozapine correct answer: cigarette smoke) reduces plasma level, clozapine correct answer: Taper off slowly over a period of 4 weeks