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Exam (elaborations)

2024 PHARMACOLOGY MODULE 10 EXAM WITH CORRECT ANSWERS

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  • Course
  • Nursing pharmacology
  • Institution
  • Nursing Pharmacology

2024 PHARMACOLOGY MODULE 10 EXAM WITH CORRECT ANSWERS

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  • September 25, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing pharmacology
  • Nursing pharmacology
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Elitaa
2024 PHARMACOLOGY MODULE 10
EXAM WITH CORRECT ANSWERS



haloperidol indications - CORRECT-ANSWERSacute/chronic psychoses,
dementia, schizophrenia, tourettes

haloperidol MOA - CORRECT-ANSWERSblock dopamine receptors + high D2
affinity

haloperidol contraindications - CORRECT-ANSWERSglaucoma, sedation,
severe liver/kidney/cardiovascular disease, blood dyscarias

haloperidol interactions - CORRECT-ANSWERS- cns dep + alcohol - increased
sedation
- anticholinergics - increased toxicity
- phenobarbital, carbamazine, caffeine - decreased effects
- tramadol - increased seizures

haloperidol adverse effects - CORRECT-ANSWERSsedation, anticholinergic,
eps, nms, seizures

haloperidol nursing considerations - CORRECT-ANSWERSgive for acute
events dealing w agitation

anticholinergic s/s - CORRECT-ANSWERSdry mouth, blurred vision,
photosensitivity, constipation, urinary retention

clozapine - CORRECT-ANSWERS- severely ill schizophrenia pt intolerant of
typical
- blocks dopamine but mostly D4

aripiprazole - CORRECT-ANSWERSblocks serotonin + dopamine D4
- AE - weight gain

olanzapine - CORRECT-ANSWERSno agranulocytosis, less likely eps

risperidone - CORRECT-ANSWERSno agranulocytosis, low eps incidence
- AE - eps, insomnia, akathisia

ziprasidone - CORRECT-ANSWERScaution in cardiac pt

, - prolongs QT interval, monitor EKG

atypical antipsychotics nursing considerations - CORRECT-ANSWERSmonitor
weekly WBC count, stop if <3000

antipsychotics general nursing considerations - CORRECT-ANSWERS- assess
weight, vitals, renal function, glaucoma, cardiac history
- give orally w food/milk to minimize GI upset
- give IM into deep muscle with large gauge needle (>21)
- admin within 15min of prep
- drug may take 3-6weeks to be effective
- avoid alcohol + cns depressants

deconate administration - CORRECT-ANSWERSz tract injection (airlock)
- draw up 0.2-0.5mL air before giving injection to lock meds into tissue
- air is the last thing to go in


non pharmacologic anxiety interventions - CORRECT-ANSWERSdeep
breathing, guided imagery, music, psychotherapy, support groups

-lam, -pam nursing considerations - CORRECT-ANSWERS- asses vitals (drugs
lower BP + HR), renal function
- bed alarm
- mostly taken PRN
- assess suicidal thoughts

buspirone indication - CORRECT-ANSWERSanxiety

buspirone MOA - CORRECT-ANSWERSbinds to serotonin + dopamine
receptors

buspirone interactions - CORRECT-ANSWERSgrapefruit juice - toxicity

busprione adverse effects - CORRECT-ANSWERSdrowsiness, dizziness,
headache, nausea, nervousness, excitement

buspirone nursing considerations - CORRECT-ANSWERS- take on a scheduled
basis
- may take 1-2 weeks to become fully effective

lithium indications - CORRECT-ANSWERSmanic episodes in bipolar psychosis

lithium MOA - CORRECT-ANSWERSalters ion transport in nerve and muscle
cells and increases receptor sensitivity to serotonin

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