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EXAM 2- NUR 2060 Pharmacology Questions with correct Answers, 100% verified , Graded A+ latest update 2024 with complete solution
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EXAM 2- NUR 2060 Pharmacology Questions with correct Answers, 100% verified , Graded A+ latest update 2024 with complete solution

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  • July 24, 2024
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EXAM
2-
NUR
2060
Pharmacology
Axonal
conduction
vs.
Synaptic
transmission:
which
is
highly
selective?
-
ANS-synaptic
transmission
Axonal
conduction
vs.
Synaptic
transmission:
which
is
not
selective?
-
ANS-axonal
conduction
Describe
bipolar
disorder
-
ANS-cyclic
disorder
with
recurrent
fluctuations
in
mood
with
episodes
of
mania
and
then
depression
Describe
the
drug
baclofen
(Lioresal)
-
ANS--relieves
spasticity
-reduces
spasms
-do
not
abruptly
stop;
may
cause
hallucinations,
coma,
and
death
Discuss
the
drug
atomexetine
(Straterra)
-
ANS--NON
stimulant
ADHD
drug
-takes
1-3
weeks
for
maximal
response
-decreases
NE
re-uptake
-ADR's:
decreased
appetite,
mood
swings,
somnolence,
disrupted
sleep
patterns,
liver
toxicity
risk
Discuss
the
drug
bupropion
(Wellbutrin,
Zyban)
-
ANS--miscellanceous
antidepressant
-often
taken
if
pt
is
unable
to
take
SSRI
or
don't
respond
to
SSRI's
-for
smoking
cessation
Discuss
the
drug
buspirone
(BuSpar)
-
ANS--for
general
anxiety
disorder
(GAD)
-mild
ADR's
**grapefruit
and
some
antibiotics
increase
levels
of
buspirone
Discuss
the
drug
carbamazepine
(Tegretol)
-
ANS--Anti-epileptic
drug
*first
line
for
tonic-clonic
sz
-also
for
partial
sz
-suppresses
neuronal
discharge
-ADR's:
minimal
CNS
symptoms,
rare
but
serious
anemias
-monitor
CBC
and
have
patient
report
flu-like
symptoms
-preg.
category
D
*interaction
with
grapefruit
juice
(decreases
metabolism
of
sz
med)
Discuss
the
drug
chlorpromazine
(Thorazine)
-
ANS--antipsychotic
drug
-
low
potency
-ADR's:
sedation,
orthostatic
hypotension,
anticholinergic
effects
-low
EPS
risk
but
equal
risk
of
TD Discuss
the
drug
clozapine
(Clozaril)
-
ANS--antipsychotic
drug
-blocks
dopamine
and
serotonin
*only
used
in
Schizophrenia
-low
EPS
with
no
TD
*decrease
WBC
(this
makes
drug
less
desirable)
-have
pt.
report
signs
of
infection
-other
ADR's:
SZ,
diabetes,
weight
gain,
myocarditis
Discuss
the
drug
diazepam
(Valium)
-
ANS--Anti-epileptic
drug
-benzodiazepine
anticonvulsant
-used
to
stop
acute
status
epilepticus
Discuss
the
drug
duloxetine
(Cymbalta)?
-
ANS--SNRI
-for
depression,
diabetic
peripheral
neuropathy
-fibromyalgia
Discuss
the
drug
ethosuximide
(Zarontin)
-
ANS--Anti-epileptic
drug
*drug
of
choice
for
absent
sz*
-more
effective
drug
-suppresses
neurons
in
thalamus
-ADR's:
drowsiness,
N/V
Discuss
the
drug
fluoxetine
(Prozac).
-
ANS--SSRI
*suicide
risk
exists
with
SSRI's
Discuss
the
drug
gabapentin
(Neurotin)
-
ANS--Anti-epileptic
drug
-for
absent
sz
(and
others),
heretic
neuralgia
(nerve
pain
from
shingles)
&
neuropathy
-ADR's:
confusion,
depression,
&
drowsiness
-wide
therapeutic
range
Discuss
the
drug
haloperidol
(Haldol)
-
ANS--antipsychotic
drug
-high
potency
-for:
psychosis,
Tourette's
&
severe
behavioral
problems
in
kids
-increased
incidence
of
EPS
*preferred
initial
therapy
-incidence
of
TD
Discuss
the
drug
methylphenidate
(Ritalin,
Concerta)
-
ANS--CNS
stimulant
Discuss
the
drug
olanzapine
(Zyprexa)
-
ANS--antipsychotic
drug
-for
Schizophrenia
and
Bipolar
-ADR's:
EPS,
TD,
NMS,
SZ
Discuss
the
drug
phenobarbital
(Luminal)
-
ANS--Anti-epileptic
drug -"classic"
use
for
generalized
and
partial
sz
-promotes
sleep
and
sedation
-ADR's:
neurotoxicity,
drowsiness,
depression,
inattention,
and
confusion
-monitor
serum
levels
-limited
use
now
Discuss
the
drug
phenytoin
(Dilantin).
-
ANS--Anti-epileptic
drug
-inhibits
Na
entry
-for
all
sz
except
absent
-CNS
depressant
-preg.
category
D
*gingival
hyperplasia
*narrow
therapeutic
range
-ADR's:
nystagmus
(eye
quivering),
ataxia
(unsteady
gait),
lethargy,
&
sedation
-stimulates
metabolism
of
warfarin,
oral
contraceptives,
&glucocorticoids
(decreased
half
life)
*avoid
alcohol
Discuss
the
drug
pregabalin
(Lyrica)
-
ANS--Anti-epileptic
drug
-for
absent
sz
(and
others)
-thought
to
enhance
GABA
release
-for
neuropathic
pain,
partial
sz
adjunct,
&
fibromyalgia
-ADR's:
weight
gain,
swelling
of
hands
and
feet,
trouble
concentrating,
dry
mouth
-discontinue
gradually;
abrupt
stop
may
cause
insomnia,
nausea,
headache,
and
diarrhea
Discuss
the
drug
ramelteon
(Rozeram)
-
ANS--for
insomnia
-binds
selectively
to
melatonin
receptors
-causes
sleep
initiation
*long
term
use
is
approved
-the
only
insomnia
drug
that
is
not
a
controlled
substance
Discuss
the
drug
risperidone
(Risperdal)
-
ANS--antipsychotic
drug
-for
psychotic
disorders
-ADR's:
EPS,
NMS,
aggressive
behavior,
insomnia,
sedation,
increased
dreams,
HA,
decreased
libido
Discuss
the
drug
valproic
acid
(Depakene,
Depakote
ER,
Depacon,
Divalproex,Epival
)
-
ANS--anti-epileptic
and
mood
stabilizer
-blocks
Na
and
Ca
channels
therefore
increases
GABA
influence
-works
faster
and
has
a
higher
therapeutic
index
-used
for
ALL
sz
(also
for
bipolar
and
migraines)
-ADR's:
nausea
(take
with
food),
hepatotoxicity
(rare)
and
pancreatitis
(rare)
-preg.
category
D
Discuss
the
drug
venlafaxine
(Effexor)
-
ANS--SNRI

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