Pharm ATI Nervous System Part 1 (Exam 4) Practice Questions with Answers
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Course
ATI Neurological System Part I
Institution
ATI Neurological System Part I
Which of the following information should a health care professional include when talking to a patient about taking baclofen (Lioresal)?
A) Avoid driving until the drug's effects are evident.
B) Stop taking the drug immediately if headache occurs.
C) Take the drug as needed for spasticity.
D) T...
Pharm ATI Nervous System Part 1 (Exam 4) Practice Questions with Answers Which of the following information should a health care professional include when talking to a patient about taking baclofen (Lioresal)? A) Avoid driving until the drug's effects are evident. B) Stop taking the drug immediately if headache occurs. C) Take the drug as needed for spasticity. D) Take the drug with antacids to reduce gastric effects. ✅A) Avoid driving until the drug's effects are evident. Baclofen (Lioresal) ✅Centrally acting muscle relaxant Should be taken daily at regular doses Patients should start with low dose & titrate up as tolerated Take medication with food to help prevent nausea Take antacids 1hr before or 2 hour after other drugs Causes CNS depression Patients taking the drug should avoid alcohol and other CNS depressants and should not drive a vehicle until they know how the drug will affect them. Abrupt withdrawal of baclofen (Lioresal) can cause what symptoms? ✅Fever Hypotension Seizures A health care professional is reviewing the medical record of a patient who has a newly diagnosed seizure disorder. The patient is to begin taking both valproic acid (Depakote) and phenytoin (Dilantin). The health care professional should recognize that wh ich of the following can occur as a result of a drug interaction between valproic acid and phenytoin? A) Hyperammonemia B) Phenytoin toxicity C) Hypertension D) Peptic ulcer disease ✅B) Phenytoin toxicity Valproic acid can cause an increase in phenytoin blood levels, causing phenytoin toxicity. The primary care provider should monitor serum phenytoin levels and reduce the dosage if levels begin to exceed the therapeutic range. Hyperammonemia is unlikely from a drug interaction between valproic acid and phenytoin. Taking valproic acid with topiramate (Topamax), however, can increase the risk of excess ammonia in the blood. Peptic ulcer disease is unlikely from a drug interaction between valproic acid and phenytoin. Taking cimetidine (Tagamet) with phenytoin, however, can increase phenytoin levels. SE of phenytoin - hypotension Anesthetists often administer midazolam (Versed) during induction of anesthesia because of which of the following pharmacological actions? A) Produces analgesia B) Induces muscle paralysis C) Dries secretions D) Causes amnesia ✅D) Causes amnesia Midazolam, a benzodiazepine, is appropriate during induction because of its antianxiety and amnesiac properties. Adverse effects of midazolam (Versed) ✅Headache Atropine ✅Drug that dries secretions Pancuronium ✅neuromuscular blocking agent Can cause muscle paralysis A health care professional is talking to a patient about the adverse effects of interferon beta-1a (Avonex). To help minimize these effects, she should tell the patient to A) premedicate with acetaminophen (Tylenol). B) take the drug with food. C) increase his fluid intake. D) take the drug in the morning. ✅A) premedicate with acetaminophen (Tylenol). Interferon beta drugs can cause fever, chills, headaches, and muscle aches. Acetaminophen or a nonsteroidal anti -inflammatory drug can help minimize these symptoms. increasing fluids does not help relieve adverse reactions Evening administration of interferon beta drugs promotes tolerance of adverse reactions Interferon Beta drugs are administered ✅Parenteral (IM and SQ)
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