NU 643 FINAL EXAM STUDY GUIDE LATEST
UPDATED RATED A.
d/o most likely to cause aggression and violence
✔✔substance use
Hypoalbuminemia
✔✔One consequence of hypoalbuminemia is that drugs that are usually
protein bound are free in the plasma, allowing for higher drug levels,
more rapid hepatic metabolism, or both.
antipsychotic with greater risk of EPS
✔✔Risperdal and Clozaril
monitoring with psychostimulants
✔✔growth, height, weight,
Atomoxetine (Strattera)
✔✔for substance use or naive patient or those with allergy
when to initiate buprenorphine
✔✔COWS greater than 12
Alpha 1 blockers side effects
✔✔Dizziness, syncope (fainting), headache, priaprism (painful erection
longer than 6 hours), retinal detachment
,muscarinic blockade
✔✔urinary retention
blurred vision
constipation
dry mouth
histamine blockade
✔✔weight gain and sedation
SSRI discontinuation syndrome
✔✔Series of electric shocks or brain zaps as well as other random signs
that can occur with temporary stopping of SSRIs. Try to minimize risk by
tapering.
Memantine (Namenda)
✔✔NMDA receptor antagonist, does not affect memory, reduces glutamate
activity
Benzodiazepines withdrawal
✔✔Sleep disturbance, depression, rebound anxiety, seizure
Guanfacine
✔✔Intune, discontinuation causes rebound hypertension
Naltrexone MOA
✔✔opioid receptor antagonist
, Acamprosate MOA
✔✔NMDA receptor antagonist
bupropion use
✔✔depression and smoking cessation, seasonal affective
off label as augmenting agent for sexual dysfunction, adhd, bipolar
antipsychotic with highest risk for QTC prolongation
✔✔geodon (zispiradone)
antidepressants and children
✔✔8-17 fluoxetine
12-17 escitalopram
psychotherapy recommended
Lamictal Black Box Warning
✔✔SJS
side effects of psychostimulants
✔✔- Lead to decreased appetite
- Increased heart rate
- Sleeping difficulties
- Some may have an increase in motor tics
UPDATED RATED A.
d/o most likely to cause aggression and violence
✔✔substance use
Hypoalbuminemia
✔✔One consequence of hypoalbuminemia is that drugs that are usually
protein bound are free in the plasma, allowing for higher drug levels,
more rapid hepatic metabolism, or both.
antipsychotic with greater risk of EPS
✔✔Risperdal and Clozaril
monitoring with psychostimulants
✔✔growth, height, weight,
Atomoxetine (Strattera)
✔✔for substance use or naive patient or those with allergy
when to initiate buprenorphine
✔✔COWS greater than 12
Alpha 1 blockers side effects
✔✔Dizziness, syncope (fainting), headache, priaprism (painful erection
longer than 6 hours), retinal detachment
,muscarinic blockade
✔✔urinary retention
blurred vision
constipation
dry mouth
histamine blockade
✔✔weight gain and sedation
SSRI discontinuation syndrome
✔✔Series of electric shocks or brain zaps as well as other random signs
that can occur with temporary stopping of SSRIs. Try to minimize risk by
tapering.
Memantine (Namenda)
✔✔NMDA receptor antagonist, does not affect memory, reduces glutamate
activity
Benzodiazepines withdrawal
✔✔Sleep disturbance, depression, rebound anxiety, seizure
Guanfacine
✔✔Intune, discontinuation causes rebound hypertension
Naltrexone MOA
✔✔opioid receptor antagonist
, Acamprosate MOA
✔✔NMDA receptor antagonist
bupropion use
✔✔depression and smoking cessation, seasonal affective
off label as augmenting agent for sexual dysfunction, adhd, bipolar
antipsychotic with highest risk for QTC prolongation
✔✔geodon (zispiradone)
antidepressants and children
✔✔8-17 fluoxetine
12-17 escitalopram
psychotherapy recommended
Lamictal Black Box Warning
✔✔SJS
side effects of psychostimulants
✔✔- Lead to decreased appetite
- Increased heart rate
- Sleeping difficulties
- Some may have an increase in motor tics
