NUR 356 exam 1 Guide
What are some drugs in the antipsychotic category? - answer chlorpromazine,
haloperidol, olanzapine, quetiapine, risperidone, lurasidone hydrochloride, aripiprazole
what is the indicated use of antipsychotic drugs? - answer Treatment of acute and
chronic psychosis by blockage of dopamine receptors and alpha-adrenergic (usually
treats schizophrenia)
What are some common side effects of antipsychotic drugs? - answer dizziness,
drowsiness, trouble sleeping, weight gain, NEUROLEPTIC MALIGNANT SYNDROME
what are some nursing considerations that are important to know about antipsychotic
drugs? - answer- EPS (extra pyramidal symptoms) is common with use of typical
antipsychotic drugs and can be assisted with use of medications such as
benzodiazepines, beta-adrenergic antagonists, and beta-adrenergic agonists
- may decrease seizure threshold
- Use cautiously with patients having cardiac disease, respiratory insufficiency and
diabetes, prostatic hypertrophy, intestinal obstruction
- avoid exposure to high temperatures
- NEUROLEPTIC MALIGNANT SYNDROME
What type of drug causes NEUROLEPTIC MALIGNANT SYNDROME? -
answerantipsychotics; CAN HAPPEN AFTER JUST ONE SINGLE DOSE
What are the two mood stabilizers to remember? - answerlithium and lamotrigine
What should lithium levels be? - answer0.6-1.2 for maintenance, up to 1.5 for acute
mania
What are some side effects of lithium? - answerNausea, diarrhea, abdominal pain, hand
tremors, polyuria, mild thirst, weight gain, renal toxicity, goiter, hypothyroidism (long
term use)
What is the main concern (and symptoms) when a patient is taking high amounts of
lithium? - answerlithium toxicity: Mental confusion, poor coordination, ongoing GI
distress, jerky movements, blurred vision, seizures, severe hypotension, stupor leading
to coma, respiratory complications
What are some important nursing considerations when a patient is taking lithium? -
answer- salt can interfere with the efficacy of lithium, so it should be consumed in
moderation and fluids should be consistent
, - contraindicated for renal, or cardiac disease patients, use cautiously with thyroid,
seizures, or diabetes
- avoid NSAIDs and meds that have anticholinergic effects
- is teratogenic
What is the indicated use for lamotrigine? - answerUsed to treat and prevent relapse of
manic and depressive episodes. Particularly useful for clients who have mixed mania
and rapid-cycling bipolar disorders.
what are some side effects of lamotrigine? - answerdouble or blurred vision, dizziness,
headache, n/v, stevens-johnson syndrome (serious skin condition)
What are some nursing considerations for lamotrigine? - answeravoid performing
activities that require visual concentration or visual acuity, withhold meds if rash occurs
What are neurocognitive agents? - answermeds that treat conditions such as dementia
and Alzheimer's disease
what are two neurocognitive agents? - answerdonepezil and memantine
What are some common side effects of memantine? - answerdizziness, fatigue,
headache, sedation, increased confusion, hypertension, rash, diarrhea, weight gain,
urinary frequency, anemia
what are some common side effects of donepezil? - answerheadache, abnormal
dreams, depression, dizziness, drowsiness, fatigue, insomnia, syncope, sedation
(unusual), atrial fibrillation, hypertension, hypotension, and vasodilation, ecchymoses,
n/v/d, weight or appetite changes, frequent urination, hot flashes, arthritis, muscle
cramps
What are the two ADHD meds we should know? - answerMethylphenidate and Adderall
What neurotransmitter is affected by ADHD meds? - answerdopamine
What happens when there too much or too little dopamine available? - answer- too
much= schizophrenia
- too little= parkinson's
What are the common ADHD med side effects? - answerCan affect growth, loss of
appetite, mood changes, sweating, dry mouth, nausea, vomiting, headache, dizziness,
restlessness, constipation and cramps, tachycardia
What are some priority concerns for ADHD meds? - answerHeart problems such as
chest pains, trouble breathing, psychosis, hallucinations, new behavioral problems,
aggression, hostility, circulation problems such as numbness, feeling cold, paleness or
What are some drugs in the antipsychotic category? - answer chlorpromazine,
haloperidol, olanzapine, quetiapine, risperidone, lurasidone hydrochloride, aripiprazole
what is the indicated use of antipsychotic drugs? - answer Treatment of acute and
chronic psychosis by blockage of dopamine receptors and alpha-adrenergic (usually
treats schizophrenia)
What are some common side effects of antipsychotic drugs? - answer dizziness,
drowsiness, trouble sleeping, weight gain, NEUROLEPTIC MALIGNANT SYNDROME
what are some nursing considerations that are important to know about antipsychotic
drugs? - answer- EPS (extra pyramidal symptoms) is common with use of typical
antipsychotic drugs and can be assisted with use of medications such as
benzodiazepines, beta-adrenergic antagonists, and beta-adrenergic agonists
- may decrease seizure threshold
- Use cautiously with patients having cardiac disease, respiratory insufficiency and
diabetes, prostatic hypertrophy, intestinal obstruction
- avoid exposure to high temperatures
- NEUROLEPTIC MALIGNANT SYNDROME
What type of drug causes NEUROLEPTIC MALIGNANT SYNDROME? -
answerantipsychotics; CAN HAPPEN AFTER JUST ONE SINGLE DOSE
What are the two mood stabilizers to remember? - answerlithium and lamotrigine
What should lithium levels be? - answer0.6-1.2 for maintenance, up to 1.5 for acute
mania
What are some side effects of lithium? - answerNausea, diarrhea, abdominal pain, hand
tremors, polyuria, mild thirst, weight gain, renal toxicity, goiter, hypothyroidism (long
term use)
What is the main concern (and symptoms) when a patient is taking high amounts of
lithium? - answerlithium toxicity: Mental confusion, poor coordination, ongoing GI
distress, jerky movements, blurred vision, seizures, severe hypotension, stupor leading
to coma, respiratory complications
What are some important nursing considerations when a patient is taking lithium? -
answer- salt can interfere with the efficacy of lithium, so it should be consumed in
moderation and fluids should be consistent
, - contraindicated for renal, or cardiac disease patients, use cautiously with thyroid,
seizures, or diabetes
- avoid NSAIDs and meds that have anticholinergic effects
- is teratogenic
What is the indicated use for lamotrigine? - answerUsed to treat and prevent relapse of
manic and depressive episodes. Particularly useful for clients who have mixed mania
and rapid-cycling bipolar disorders.
what are some side effects of lamotrigine? - answerdouble or blurred vision, dizziness,
headache, n/v, stevens-johnson syndrome (serious skin condition)
What are some nursing considerations for lamotrigine? - answeravoid performing
activities that require visual concentration or visual acuity, withhold meds if rash occurs
What are neurocognitive agents? - answermeds that treat conditions such as dementia
and Alzheimer's disease
what are two neurocognitive agents? - answerdonepezil and memantine
What are some common side effects of memantine? - answerdizziness, fatigue,
headache, sedation, increased confusion, hypertension, rash, diarrhea, weight gain,
urinary frequency, anemia
what are some common side effects of donepezil? - answerheadache, abnormal
dreams, depression, dizziness, drowsiness, fatigue, insomnia, syncope, sedation
(unusual), atrial fibrillation, hypertension, hypotension, and vasodilation, ecchymoses,
n/v/d, weight or appetite changes, frequent urination, hot flashes, arthritis, muscle
cramps
What are the two ADHD meds we should know? - answerMethylphenidate and Adderall
What neurotransmitter is affected by ADHD meds? - answerdopamine
What happens when there too much or too little dopamine available? - answer- too
much= schizophrenia
- too little= parkinson's
What are the common ADHD med side effects? - answerCan affect growth, loss of
appetite, mood changes, sweating, dry mouth, nausea, vomiting, headache, dizziness,
restlessness, constipation and cramps, tachycardia
What are some priority concerns for ADHD meds? - answerHeart problems such as
chest pains, trouble breathing, psychosis, hallucinations, new behavioral problems,
aggression, hostility, circulation problems such as numbness, feeling cold, paleness or
