Maryville NURS 615 Pharm 2 exam with all the correct answers (100% Verified 2020/2021 exam)

Maryville NURS 615 Pharm 2 exam with all the correct answers (100% Verified 2020/2021 exam) Document Content and Description Below Maryville NURS 615 Pharm 2 exam with all the correct answers (100% Verified 2020/2021 exam) Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? Correct AnswerCarbamazepine auto-induces metabolism, leading to lower levels despite good compliance What are the black box warnings for Carbamazepine? Correct Answer- Dermatologic reactions 1. Steven's Johnson 2. Toxic epidermal necrolysis What lab test should be ordered for patients on Carbamazepine? Correct Answer- CBC every 3-4 months because it can cause decreased WBC, decreased platelets, and trouble with RBC What kind of teaching needs to be done with families of patients who have seizure disorders? Correct Answer- Prevention is important, patient safety is important, Do NOT abruptly stop taking medication. Ethosuximide (Zarontin), an anti-seizure medication can cause what? Correct Answer- Blood dyscrasias Patients taking Topiramate need to be monitored for what electrolyte imbalance? Correct AnswerDecreased sodium bicarb leading to hyperchloremic metabolic acidosis Topiramate treats seizures and what is one common side effect? Correct Answer- Normal side effect is weight loss, especially in higher dose patients A child on Topiramate that wants to play sports should monitor what? Correct Answer- Don't get overheated. Topiramate may affect his ability to sweat in the heat. What should a pregnant patient be told about taking Valproate (Depakote)? Correct Answer- It is a known teratogen and category X medication. It should not be used in the first trimester, it may be restarted in second trimester.What patient population should tricyclic antidepressants be used cautiously in? Correct Answer- Heart Disease patients Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? Correct AnswerHe should not use serotonergic drugs like Imitrex. Also, this class of medication interacts with yogurt, sour cream, soy sauce, etc. Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated foods? Correct Answer- Hypertensive crisis What are the side effects of tricyclic antidepressants? Correct 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 Correct Answer- 2-6 weeks SSRIs may cause what onset of action symptoms? Correct Answer- Nausea, but this will usually resolve in a week. What is one thing you should not do with SSRIs? Correct Answer- Drink alcohol What should happen when going off an SSRI? Correct Answer- Wean slowly, do not stop abruptly What medications would a patient with depression and anxiety respond well to? Correct AnswerBuspar and an SSRI combined Celexa (Citalopram) Lexapro (Escitalopram) Why should you combine an SSRI with Buspar? Correct 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? Correct Answer- BuspironeHow fast does Celexa start to demonstrate effects? Correct Answer- Improved appetitie and concentration in 1-2 weeks. What is a major drug to treat bipolar disease? Correct Answer- Lithium Blood levels need to be monitored with Lithium because why? Correct Answer- Lithium has a narrow therapeutic range so it is important to recognize toxicity What are symptoms of lithium toxicity? Correct Answer- Drowsiness and Nausea What dietary teaching needs to be done with patients taking lithium? Correct Answer- Salt intake needs to be consistent What are the side effects of SSRIs (selective seratonin reuptake inhibitor)? Correct 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) Correct AnswerHeadache, somnolence, dizziness, insomnia, nervousness, dry mouth, constipation, abnormal ejaculation, anorexia/weight loss, elevated BP What are the side effects of MAOIs? Correct Answer- Insomnia, anxiety, agitation, dizziness, headache, restlessness, hypotension, dry mouth, blurred vision, constipation What Benzo has the greatest likelihood of dependence? Correct Answer- Xanax /alprazolam What receptors do Benzos act on? Correct Answer- Enhances the neurotransmitter GABA (gammaaminobutyric acid) receptors What result do Benzos have on the body? Correct Answer- seda