NSG552 EXAMINATION 2026 VERIFIED
SOLUTION COMPENDIUM
◉Bupropion(Wellbutrin). Answer: Increases the risk for withdrawal
seizures in ETOH
◉Alcohol Intoxication/withdrawal treatments. Answer:
Benzos(lorazepam, diazepam, chlordiazepoxide-librium)= to keep
patient and lightly sedated
MOA: enhances the effects of GABA
◉Tegretol, Valproic acid or Gabapentin. Answer: Use in mild alcohol
withdrawal
◉thiamine, folic acid, multivitamin in alcohol withdrawal. Answer:
for nutritional deficiencies
Thiamine-to prevent or treat Wernicke's encephalopathy=B1 and
folate deficiency
Fluid and electrolyte
◉Varenicline (Chantix). Answer: Smoking Cessation Aid
,mimics action of nicotine
The most effective tobacco cessation
Reduces rewarding aspects
prevents withdrawal symptoms
◉Bupropion(Zyban, Wellbutrin). Answer: Inhibits reuptake of
dopamine and norepinephrine
Helps reduce craving and withdrawal symptoms
◉5A's of smoking cessation. Answer: 1. Ask
2. Advise
3. Assess
4. Assist
5. Arrange
◉nictotine replacement therapy. Answer: Available in various forms
Nicotine patch-watch for vivid dreams or sleep disruptions
◉Gabapentin. Answer: Has been considered as a treatment for
insomnia in patients with substance use disorder
Also helps with anxiety(No sedative effects, not metabolized by the
liver, does not lower seizure threshold, no blood monitoring
, ◉Methylphenidate. Answer: Can be used in low doses as a adjunct to
antidepressants for elderly patients with severe depression and/or
psychomotor retardation
◉Geriatric psychopharmacology. Answer: If TCA is
indicated=consider Nortriptyline(fewer anticholinergic side effects
Consider Remeron=MDD w/symptoms of insomnia and decreased
appetite
◉delirium. Answer: Medical Emergency
Reversible
40% mortality rates
Commonly experienced by elderly patients in the ICU and post-op
Develops over hours to days=Acute
Subtypes: Hyperactive(agitated, restless, hyperalert,
Hypoactive(lethargy, slowed, apathetic)
Mixed(cycles b/n hyperactive and hypoactive)
Causes: DELIRIUM(Drugs, Electrolyte imbalance, low 02 levels,
Infection, reduced sensory input, intracranial(strokes), Urinary
retention, Myocardial)
Treatments: 1:1 sitter
Agitation and psychotic symptoms
SOLUTION COMPENDIUM
◉Bupropion(Wellbutrin). Answer: Increases the risk for withdrawal
seizures in ETOH
◉Alcohol Intoxication/withdrawal treatments. Answer:
Benzos(lorazepam, diazepam, chlordiazepoxide-librium)= to keep
patient and lightly sedated
MOA: enhances the effects of GABA
◉Tegretol, Valproic acid or Gabapentin. Answer: Use in mild alcohol
withdrawal
◉thiamine, folic acid, multivitamin in alcohol withdrawal. Answer:
for nutritional deficiencies
Thiamine-to prevent or treat Wernicke's encephalopathy=B1 and
folate deficiency
Fluid and electrolyte
◉Varenicline (Chantix). Answer: Smoking Cessation Aid
,mimics action of nicotine
The most effective tobacco cessation
Reduces rewarding aspects
prevents withdrawal symptoms
◉Bupropion(Zyban, Wellbutrin). Answer: Inhibits reuptake of
dopamine and norepinephrine
Helps reduce craving and withdrawal symptoms
◉5A's of smoking cessation. Answer: 1. Ask
2. Advise
3. Assess
4. Assist
5. Arrange
◉nictotine replacement therapy. Answer: Available in various forms
Nicotine patch-watch for vivid dreams or sleep disruptions
◉Gabapentin. Answer: Has been considered as a treatment for
insomnia in patients with substance use disorder
Also helps with anxiety(No sedative effects, not metabolized by the
liver, does not lower seizure threshold, no blood monitoring
, ◉Methylphenidate. Answer: Can be used in low doses as a adjunct to
antidepressants for elderly patients with severe depression and/or
psychomotor retardation
◉Geriatric psychopharmacology. Answer: If TCA is
indicated=consider Nortriptyline(fewer anticholinergic side effects
Consider Remeron=MDD w/symptoms of insomnia and decreased
appetite
◉delirium. Answer: Medical Emergency
Reversible
40% mortality rates
Commonly experienced by elderly patients in the ICU and post-op
Develops over hours to days=Acute
Subtypes: Hyperactive(agitated, restless, hyperalert,
Hypoactive(lethargy, slowed, apathetic)
Mixed(cycles b/n hyperactive and hypoactive)
Causes: DELIRIUM(Drugs, Electrolyte imbalance, low 02 levels,
Infection, reduced sensory input, intracranial(strokes), Urinary
retention, Myocardial)
Treatments: 1:1 sitter
Agitation and psychotic symptoms
