NUR 2474 PHARM COMPREHENSIVE QUESTIONS
AND ANSWERS SET A+
✔✔how does alprazolam work to reduce anxiety? - ✔✔it inhibits GABA in the CNS,
depressing the CNS.
✔✔what are the side effects of alprazolam use? - ✔✔a. CNS depression, anterograde
amnesia (patient cannot remember much), sleep driving (not safe), paradoxical effects
(still anxious, stays up, rowdy), respiratory depression.
✔✔what drugs does alprazolam interact with? - ✔✔CNS depressant medications
(additive effects), ETOH
✔✔what are various treatments and drugs used to treat anxiety patients? - ✔✔benzo's
(pam/lam), atypical anxiolytic buspirone, SSRIs paroxetine/fluoxetine, TCAs, MAOIs,
trazodone.
✔✔explain what a sedative hypnotic does - ✔✔cause the patient to have sedation,
sleepiness, CNS depression, anterograde amnesia (patient cannot remember much),
sleep driving (not safe),respiratory depression
✔✔what things should we teach the patient using a drug to treat anxiety? - ✔✔drug
should be tapered only by the HCP, not patient
no ETOH use
what withdrawal effects may look like
✔✔what does anxiety medication PO withdraw look like? - ✔✔drowsiness, lethargy,
confusion
✔✔what does anxiety medication IV withdraw look like? - ✔✔hypotension, respiratory
arrest, cardiac arrest.
, ✔✔explain what methylphenidate does - ✔✔increases attention and focus in children
(NOTHING DEALING W/ BEHAVIORS)
✔✔other effects of methylphenidate use in children - ✔✔decreased appetite
insomnia if given late in the day
✔✔what things should we always do when giving methylphenidate to a child with
ADHD? - ✔✔ALWAYS: give the drug in the morning, after breakfast, and give the last
dose before 4pm, or else the child will not sleep at night
✔✔which 3 drugs are controlled substances and highly abused? - ✔✔amphetamines,
barbiturates, methylphenidate
✔✔what is the purpose of drug treatment with Alzheimer Disease patients? - ✔✔there is
treatment to help slow down the progression of the disease, but to not cure it
✔✔how does donepezil works? - ✔✔it slow the progression of Alzheimers disease by
causing reversible inhibition of cholinesterase and the cholinergic receptors.
✔✔what should we do when discontinuing an antidepressant (or any medication)? -
✔✔if antidepressant is stopped cold turkey, withdrawal syndrome can occur.
we must gradually taper the drug slowly and have the HCP taper it.
do not let patient taper drug by themselves.
✔✔what are signs and symptoms of withdrawal syndrome? - ✔✔HA, Nausea, visual
disturbances, sweating, dizziness, tremors
✔✔what is the relationship between sertraline and nursing infants? - ✔✔when this drug
is used with a patient who is pregnant or nursing infants, the infant can have neonatal
abstinence syndrome occur
✔✔what should we educate pregnant or nursing moms about when using sertraline? -
✔✔We must educate the patient on potentially using other medications during this time
period, as it can cause potential birth defects and the baby to become sick.
✔✔explain the relationship between fluoxetine and alcohol abuse - ✔✔when this drug is
used with alcohol abuse, it can interact with the medication and make the patient very
sick..
✔✔what should we teach the patient regarding alcohol use - ✔✔the patient must avoid
alcohol while taking most medications
✔✔what is the first line medication used to stop a seizure? - ✔✔diazepam (benzo) by
IM
AND ANSWERS SET A+
✔✔how does alprazolam work to reduce anxiety? - ✔✔it inhibits GABA in the CNS,
depressing the CNS.
✔✔what are the side effects of alprazolam use? - ✔✔a. CNS depression, anterograde
amnesia (patient cannot remember much), sleep driving (not safe), paradoxical effects
(still anxious, stays up, rowdy), respiratory depression.
✔✔what drugs does alprazolam interact with? - ✔✔CNS depressant medications
(additive effects), ETOH
✔✔what are various treatments and drugs used to treat anxiety patients? - ✔✔benzo's
(pam/lam), atypical anxiolytic buspirone, SSRIs paroxetine/fluoxetine, TCAs, MAOIs,
trazodone.
✔✔explain what a sedative hypnotic does - ✔✔cause the patient to have sedation,
sleepiness, CNS depression, anterograde amnesia (patient cannot remember much),
sleep driving (not safe),respiratory depression
✔✔what things should we teach the patient using a drug to treat anxiety? - ✔✔drug
should be tapered only by the HCP, not patient
no ETOH use
what withdrawal effects may look like
✔✔what does anxiety medication PO withdraw look like? - ✔✔drowsiness, lethargy,
confusion
✔✔what does anxiety medication IV withdraw look like? - ✔✔hypotension, respiratory
arrest, cardiac arrest.
, ✔✔explain what methylphenidate does - ✔✔increases attention and focus in children
(NOTHING DEALING W/ BEHAVIORS)
✔✔other effects of methylphenidate use in children - ✔✔decreased appetite
insomnia if given late in the day
✔✔what things should we always do when giving methylphenidate to a child with
ADHD? - ✔✔ALWAYS: give the drug in the morning, after breakfast, and give the last
dose before 4pm, or else the child will not sleep at night
✔✔which 3 drugs are controlled substances and highly abused? - ✔✔amphetamines,
barbiturates, methylphenidate
✔✔what is the purpose of drug treatment with Alzheimer Disease patients? - ✔✔there is
treatment to help slow down the progression of the disease, but to not cure it
✔✔how does donepezil works? - ✔✔it slow the progression of Alzheimers disease by
causing reversible inhibition of cholinesterase and the cholinergic receptors.
✔✔what should we do when discontinuing an antidepressant (or any medication)? -
✔✔if antidepressant is stopped cold turkey, withdrawal syndrome can occur.
we must gradually taper the drug slowly and have the HCP taper it.
do not let patient taper drug by themselves.
✔✔what are signs and symptoms of withdrawal syndrome? - ✔✔HA, Nausea, visual
disturbances, sweating, dizziness, tremors
✔✔what is the relationship between sertraline and nursing infants? - ✔✔when this drug
is used with a patient who is pregnant or nursing infants, the infant can have neonatal
abstinence syndrome occur
✔✔what should we educate pregnant or nursing moms about when using sertraline? -
✔✔We must educate the patient on potentially using other medications during this time
period, as it can cause potential birth defects and the baby to become sick.
✔✔explain the relationship between fluoxetine and alcohol abuse - ✔✔when this drug is
used with alcohol abuse, it can interact with the medication and make the patient very
sick..
✔✔what should we teach the patient regarding alcohol use - ✔✔the patient must avoid
alcohol while taking most medications
✔✔what is the first line medication used to stop a seizure? - ✔✔diazepam (benzo) by
IM
