Final Exam: NR546/ NR 546 Psychopharmacology for the Psychiatric- Mental Health Nurse Practitioner Final Exam Review | Complete Guide Questions and Verified Answers| 2023/ 2024!! |Chamberlain

Final Exam: NR546/ NR 546 Psychopharmacology for the Psychiatric- Mental Health Nurse Practitioner Final Exam Review | Complete Guide Questions and Verified Answers| 2023/ 2024!! |Chamberlain QUESTION Paroxetine warning Answer: this antidepressant has the highest risk of discontinuation syndrome d/t serotonin transporter inhibition and anticholinergic rebound. If treatment course has lasted 8 weeks, discontinue over 1-2 weeks. QUESTION serotonin syndrome Answer: With any drug that increases 5HT (e.g., MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability, flushing, diarrhea, seizures. QUESTION serotonin syndrome treatment Answer: Cyproheptadine (5HT-2 receptor antagonist) QUESTION Paroxetine is contraindicated in Answer: antidepressant with risk of congenital defects including atrial septal defects QUESTION SNRI's Answer: breastfeeding infants should be monitored for irritability when mom is taking this type of antidepressant QUESTION citalopram and escitalopram Answer: antidepressant should be dosed at 1/2 because of risk for QT prolongation in older adults QUESTION history of falls/fracture Answer: older adults should not take paroxetine if they have a history of QUESTION TCA's Answer: older adults should avoid these antidepressants if they are prescribed other CNS depressants. QUESTION Children and young adults Answer: antidepressants increase the risk of suicide in this age group QUESTION Best tolerated SSRI Answer: Escitalopram (Lexapro) QUESTION medication classes used for BPD Answer: mood stabilizers, anticonvulsants, and atypical antipsychotics. QUESTION Lithium MOA Answer: this medication alters cation transport in the nerve and muscle QUESTION Lithium indications Answer: medication used to treat euphoric mania, rapid cycling, and for maintenance therapy. QUESTION Lithium adverse effects Answer: GI effects, polyuria, and tremor. QUESTION Lithium PEARLS Answer: Monitor plasma levels. Reduce dose by 50% in clients with renal failure. Use caution with concurrent diuretics. Can be used to protect against suicide. Levels can be increased by NSAIDs and ACE inhibitors. Levels can be decreased by caffeine and mania. QUESTION