Pharmacology
Archer Review Crash Course
Welcome!
●If you have a question please enter it in the chat! I will do my best to answer questions as we go, but if I miss one will always circle back to you!
●We will be taking two 10 minute breaks during the class
●Handouts & powerpoint slides are located in the ‘Handouts’ section of your GoToWebinar control panel. You can download and print them from here!
●Within one week of course completion you will receive an email with your
OnDemand streaming link so that you may re-watch this course. You have access for 1 month! Ativan
Therapeutic class: antianxiety agent Indication: anxiety, sedation, seizures Action: general CNS depression Nursing Considerations:
Avoid alcohol
Monitor for respiratory depression
Antidote - flumazenilAntianxiety Agents
●Short acting
○Midazolam (Versed)
○Diazepam (Valium)
●Intermediate - Long acting
○Clonazepam (Klonopin)
○Alprazolam (Xanax)
○Lorazepam (Ativan) Answer: B
A is incorrect. Oxycodone is an opioid pain medication prescribed for severe pain. It is not indicated in an acute anxiety attack.
B is correct. Midazolam is a benzodiazepine used for acute anxiety attacks. Midazolam is preferred in this setting because of its rapid onset, about 2-5 minutes after IV administration, and short duration, only 3-8 hours. Midazolam would be the most useful choice for the patient experiencing an acute anxiety
attack before or during a procedure.
C is incorrect. Clonazepam is a long-acting benzodiazepine used for panic disorders, PTSD, and GAD. For this patient with an acute anxiety attack prior to a procedure, a long-acting benzodiazepine is not indicated.
D is incorrect. Haloperidol is an antipsychotic used to address severe agitation and aggression associated with psychiatric disorders such as schizophrenia. It would not be useful for the patient experiencing a pre-procedural acute anxiety attack.NCLEX Question
The nurse is caring for a patient who is experiencing severe, acute
anxiety prior to a scheduled endoscopy procedure. Which of the following medications is the healthcare provider most likely to order?
A.Oxycodone
B.Midazolam
C.Clonazepam
D.Haloperidol Adenosine
Therapeutic class: Antiarrhythmic Indication: SVT
Action: Slows conduction through the AV node, interrupts re-entry pathways through AV node, restoring normal sinus rhythm
Nursing Considerations:
There will be a period of asystole after administration
Warn the patient - it will feel like someone kicked them in the chest!
Warn the family - they will flatline on the monitor!
Rapid push - or it will not work.
Use with extreme caution in asthmatics.Antiarrhythmics
●Amiodarone
●Adenosine
●Procainamide
Archer Review Crash Course
Welcome!
●If you have a question please enter it in the chat! I will do my best to answer questions as we go, but if I miss one will always circle back to you!
●We will be taking two 10 minute breaks during the class
●Handouts & powerpoint slides are located in the ‘Handouts’ section of your GoToWebinar control panel. You can download and print them from here!
●Within one week of course completion you will receive an email with your
OnDemand streaming link so that you may re-watch this course. You have access for 1 month! Ativan
Therapeutic class: antianxiety agent Indication: anxiety, sedation, seizures Action: general CNS depression Nursing Considerations:
Avoid alcohol
Monitor for respiratory depression
Antidote - flumazenilAntianxiety Agents
●Short acting
○Midazolam (Versed)
○Diazepam (Valium)
●Intermediate - Long acting
○Clonazepam (Klonopin)
○Alprazolam (Xanax)
○Lorazepam (Ativan) Answer: B
A is incorrect. Oxycodone is an opioid pain medication prescribed for severe pain. It is not indicated in an acute anxiety attack.
B is correct. Midazolam is a benzodiazepine used for acute anxiety attacks. Midazolam is preferred in this setting because of its rapid onset, about 2-5 minutes after IV administration, and short duration, only 3-8 hours. Midazolam would be the most useful choice for the patient experiencing an acute anxiety
attack before or during a procedure.
C is incorrect. Clonazepam is a long-acting benzodiazepine used for panic disorders, PTSD, and GAD. For this patient with an acute anxiety attack prior to a procedure, a long-acting benzodiazepine is not indicated.
D is incorrect. Haloperidol is an antipsychotic used to address severe agitation and aggression associated with psychiatric disorders such as schizophrenia. It would not be useful for the patient experiencing a pre-procedural acute anxiety attack.NCLEX Question
The nurse is caring for a patient who is experiencing severe, acute
anxiety prior to a scheduled endoscopy procedure. Which of the following medications is the healthcare provider most likely to order?
A.Oxycodone
B.Midazolam
C.Clonazepam
D.Haloperidol Adenosine
Therapeutic class: Antiarrhythmic Indication: SVT
Action: Slows conduction through the AV node, interrupts re-entry pathways through AV node, restoring normal sinus rhythm
Nursing Considerations:
There will be a period of asystole after administration
Warn the patient - it will feel like someone kicked them in the chest!
Warn the family - they will flatline on the monitor!
Rapid push - or it will not work.
Use with extreme caution in asthmatics.Antiarrhythmics
●Amiodarone
●Adenosine
●Procainamide
