NR 547 Week 5 Exam Questions And Answers Newest Solution

NR 547



NR 547 Week 5 Exam Questions And
Answers Newest Solution

Prescribing pearls: paroxetine (Paxil) - ANS ✔✔ - also treats social anxiety and insomnia



Prescribing pearls: fluvoxamine (Luvox) - ANS ✔✔ - treats anxious depression smokers require increased
dose



Prescribing pearls: citalopram (Celexa) - ANS ✔✔ - mild antihistamine effects



Prescribing pearls: escitalopram (Lexapro) - ANS ✔✔ - no known drug interactions



Prescribing pearls: fluoxetine (Prozac) - ANS ✔✔ - longest half-life



Prescribing pearls: sertraline (Zoloft) - ANS ✔✔ - also treats social anxiety and hypersomnolence



Prescribing pearls: bupropion (Wellbutrin) - ANS ✔✔ - NDRI may improve energy, alertness, and
motivation; not first line treatment for anxiety; contraindicated in clients with a history of seizures



Prescribing pearls: duloxetine (Cymbalta) - ANS ✔✔ - effective for atypical pain at higher doses;
appropriate for clients who present with somatic symptoms of depression; effective for atypical pain,
such as fibromyalgia and diabetic neuropathy



Prescribing pearls: venlafaxine (Effexor) - ANS ✔✔ - treats both depression and anxiety disorders, ensure
trial of higher dose before switching to a different medication


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Prescribing pearls: desvenlafaxine (Pristiq) - ANS ✔✔ - effective for perimenopausal vasomotor
symptoms



Medications for depression - ANS ✔✔ - ssris

Snris

Sdris

Tcas

Maois



Ssris - ANS ✔✔ - -Action: inhibit 5-HT reuptake

-Examples: citalopram, escitalopram, fluoxetine, paroxetine, sertraline

-Adverse effects:

• nausea

• agitation

• diarrhea

• headache

• weight gain

• sexual side effects



Snris - ANS ✔✔ - -inhibit 5-HT reuptake

-inhibit NE reuptake (↑ energy, focus)

-increase DA in prefrontal cortex (↑ cognition)

-Examples: desvenlafaxine, duloxetine, levomilnacipran, venlafaxine

-Adverse effects:

• elevated blood pressure



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• nausea

• sweating

• tremors

• anxiety

• insomnia

• constipation

• anorexia

• sexual dysfunction



Sdris - ANS ✔✔ - -inhibit DA reuptake (↑alertness, motivation)

-inhibit NE reuptake (↑energy)

-Adverse effects:

• agitation

• headache

• dry mouth

• constipation

• weight loss



Tcas - ANS ✔✔ - -Action: inhibits the reuptake of serotonin and norepinephrine; blocks norepinephrine,
histamine, and acetylcholine receptors

-Examples: amitriptyline, clomipramine, desipramine, doxepin

-Common Side Effects:

• dry mouth

• constipation

• blurred vision

• urinary retention



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