ExamI1:INUR2474/INURI2474I(NewI2024/I
2025IUpdate)IPharmacologyI|ICompleteI
ReviewIwithIQuestionsIandIVerifiedI
Answers|IAIGradeI|I100%ICorrect-
IRasmussen
QUESTION
whatIisItheIactionIofIbenzodiazepines?
Answer:
IEnhanceItheIinhibitoryIeffectsIofIGABAIonItheICNS.IReliefIfromIanxietyIhappensIrapidlyIfol
lowingItheIadministration.IShort-termIuseIisIrecommended,IcanIbeIhighlyIaddictive
QUESTION
whatIisItheItherapeuticIuseIofIbenzodiazepine?
Answer:
ITrauma,ISeizureIDisorders,IMuscleISpasms,IAnesthesia
QUESTION
whatIprecautionsIshouldIyouItakeIwithIbenzodiazepine?
Answer:
I-PregnancyIClass
DI(avoidIifIpregnantIorIbreastfeeding)
-ClassI4IDrugI(UseIwithIcautionIwithIolderIadults{LiverIDisease})
-DoINOTItakeIifIyouIhave:IGlaucoma,IRespirationIDepression,IorISleepIApnea.
-DoINOTItakeIwithIgrapefruitIjuice{metabolism}IorIfattyIfoods{effectsIabsorbtion}
QUESTION
whatIareItheIsideIeffects/adverseIeffectsIofIbenzodiazepine?
,Answer:
I-Drowsiness
-Hypotension
-PeridoxylI(pushIback)
-Tolerance/DependencyI(gaitIwayIeffect)
-*SeizuresIifIsuddenlyIwithdrawn*
QUESTION
whatIisItheIrecommendedIdosageIforIbenzodiazepine?
Answer:
ItypicalIisI1-3mgI’IMAXIforIwomenIis:I5mgIMAXIforImenIis:I10mg
QUESTION
NursingIinterventionsIforIbenzodiazepines?
Answer:
I-AdministerIwithImealsIorIsnacks’IcanIcauseIGIIupset.
-AdministerIaroundIbedtime’IcausesIsedationIinIpatients
-AdviseIpatientItoIswallow,INOTIchewIorIcrush
QUESTION
whatIdoISSRIIAntidepressantsI(SelectiveISerotoninIReuptakeIInhibitors)
do?
Answer:
IBlockItheIreceptor,IsoIthereIisImoreIserotoninIinItheIblood
QUESTION
PatientsIwhoIareIputIonItheseISSRIIantidepressantImedicationsIneedItoIbeIcloselyImonitoredIf
orIsuicidalIideationsIwhenIstartingIandIstopping?
Answer:
,I-Parox-Ietine
-Fluoxetine
-Citalopram
-Escitalopram
-Sertraline
QUESTION
whatIisItheIsafestISSRIImedicationIforIpregnantIwomen?
Answer:
ISertralineIbe-IcauseIitsIFasterIactingIthanItheIotherImedications
QUESTION
whatIisItheIactionIofISSRIs?
Answer:
IallowImoreIserotoninItoIstayIatItheIjunctionIofItheIneurons.IItIdoesInotIblockItheIuptakeIofId
opamineIorInorepinephrine.IHasIaIlongIhalf-
life(4IweeksIisInecessaryItoIproduceItherapeuticIlevels)
I
QUESTION
whatIisItheItherapeuticIuseIofISSRIImedications?
Answer:
ILiftsImood
Ex:IOCD,IPTSD,IGeneralIAnxiety(GA),IDepression
QUESTION
whatIareItheIprecautionsIwhenIdealingIwithIparoxetine?
Answer:
I-PregnancyIClass
DI(avoidIifIpregnantIorIbreastfeeding)
, -*ContradictionsItoIclientsIwhoIalsoItakeItricyclics(TCA)I&IMAOIs*
-AvoidIalcohol
-UseIcautiouslyIifIpatientIhas:Iliver,IkidneyIdysfunction,IseizureIdisorders,IorIHxIof
GIIbleeds.
QUESTION
whatIareItheIsideIeffects/adverseIeffectsIofISSRIImedications?
Answer:
I-*Serotonin
Syndrome*
-fever,Iflushing,Isweats
-RapidIchangesIinIBP
-PoorIcoordinationI(punchIdrunk)
-Hyperreflexia(spasticImovement/twitching),IRigidity,ITremors
-Agitation,IRestlessness,IInabilityItoIfocus
-HallucinationsI&IConfusion
-HoldIRxIifItoxicIlevelsIareIexpected
-HeadacheI&IHighIBP
-INausea
-ILethargic/Fatigue
-ISuicidalIThoughts
QUESTION
whatImedicationsIincreaseItheIriskIofIserotoninIsyndrome?
Answer:
ITriptans,ITri-Icyclics,IFentanyl,ITramadol,ILithium,IBuspar,IandISt.IJohnsIwort
QUESTION
nursingIinterventionsIforISSRIImedications?
Answer:
I-AdministerIwithImealsIorIsnacks’IcanIcauseIGIIupsetI(nausea).
-MonitorIandIreportImanifestationsIofIdepressionIandIthoughtsIofIsuicide.
