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Exam 2: NURS 660/ NURS660 (Latest 2024/ 2025 Update) Psychopharmacology and Advanced Mental Health Guide | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville $10.99
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Exam 2: NURS 660/ NURS660 (Latest 2024/ 2025 Update) Psychopharmacology and Advanced Mental Health Guide | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville
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Exam 2: NURS 660/ NURS660 (Latest 2024/ 2025 Update) Psychopharmacology and Advanced Mental Health Guide | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville Q: Citalopram (Celexa) Answer: -SSRI -neurotransmitters involved: serotonin and histamine 1 -Unique mild antihistamine...

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  • October 2, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • exam 2
  • nurs 660nurs660nurs 660 nurs660 exam
  • nurs 660nurs660nurs 660 nurs660 exam 1
  • nurs 660nurs660nurs 660 nurs660 exam 2
  • nurs 660nurs660nurs 660 nurs660 exam 3
  • nurs 660nurs660nurs 660 nurs660 exam 4

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  • NURS 660/ NURS660
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ExamI2:INURSI660/INURS660I(LatestI2024
/I2025IUpdate)IPsychopharmacologyIandI
AdvancedIMentalIHealthIGuideI|IQsI&IAs|I
100%ICorrect|IGradeIAI(VerifiedIAnswers)-
IMaryville

Q:ICitalopramI(Celexa)

Answer:
-SSRI
-neurotransmittersIinvolved:IserotoninIandIhistamineI1
-UniqueImildIantihistamineIpropertiesImayIcontributeItoIsedationIandIfatigueIinIsomeIpatients
-
SE:IhyponatremiaI(rare),IhigherIdosesI(>40mg)IassociatedIwithIQTcIprolongationI(FDAIBlack
IBoxIwarning),IinIadultsI>60I20mgIisImaxIdose
-Interactions:Idon'tIstartIMAOIIforI5-7IdaysIafterId/cingIcitalopram.I
-
PrescribingItip:IequivalentIdoseIofIlexaproIisI½ItheIdoseIofIcelexaI(e.g.I40mgIofIcelexa=20mg
IofIlexapro)




Q:IEscitolopramI(Lexapro)

Answer:
-SSRII
-NeurotransmittersIinvolved:Iserotonin
-
INoIknownIimportantIsecondaryIpharmacologicIproperties,IitsIsideIeffectsIareIpresumablyIallI
mediatedIbyIitsIserotoninIreuptakeIblockade
-NoIdoseIrestrictions,IbestItoleratedISSRI,I
-
PregnancyIrisk:IcontrolledIstudiesIonIearlyIpregnInotItestedIbutIsoIfarInotIdeemedIharmfulIfor
IfetusIhoweverIwillIincreaseIriskIofIbleeding;ImayIbeIriskIofIfetalIseptalIheartIdefectsIandIpul

,monaryIHTN;IlateIpregIassocIwIgestationalIHTN,Ipre-
eclampsia,InewbornIcomplicationsIreqIprolongedIhospitalization




Q:IFluoxetineI(Prozac)

Answer:
-SSRII
(MDDI(8+Iyrs),IGAD,IBiPolarI(inIcomboIwithIolanzapine)
-LongIhalfIlifeI(2Iweeks),IgreatIforInoncompliantIpts
-MOA:IboostsISEINeurotransmissionIbyIblockingIreuptake,IdesensitizesI5-HT1AIautoreceptors
5HTC2CIreceptorsIwhichIcanIincreaseINEIandIDA
-
Fluoxetine'sIuniqueI5HT2CIantagonistIpropertiesIcouldIcontributeItoIagitation,Ianxiety,IandIun
desirableIactivation,IespeciallyIearlyIinIdosing
FlattenedIaffect,Iapathy,IcognitiveIslowingId/tIdiminishedIDAIrelease
-Suicidality,IespeciallyIinIchildren




Q:IFluoxetineIDrug-drugIiInteractions

Answer:
-VeryIpotentI2D6Iinhibitor
-IncreasesITCAIlevelsI(IincreaseIriskIofIcardiotoxicity)
-
FatalIserotoninIsyndromeIifIcombinedIwithIMAOIs;ImustIdoInotIuseIWITHIMAOIsIforIatIleas
tI14IdaysIAFTERIMAOIIisIstopped
-DoInotISTARTIanIMAOIIforI5IWEEKSIafterIstoppingIfluoxetine
-
RiskIofIbleedingIwithIwarfarin,INSAIDS2D6IinhibitionIwillIinterfereIwithIanalgesicIactionIofI
codeine,IandIwillIincreaseIlevelsIofIbetaIblockersIandIatomoxetine
-2D6IinhibitionIwillIincreaseIthioridazineIandIcauseIdangerousIarrhythmias
-WillIreduceIclearanceIofIdiazepamIorItrazodone
-
ViaI3A4IinhibitionIwillIincreaseIalprazolam,Ibuspirone,Itriazolam,IstatinsI(butInotIpravastatinI
orIflustatin)-->rhabdomyolysis.
-CanIincreaseIQTcIandIcauseIdangerousIarrhythmias

, Q:IFluvoxamineI(Luvox)

Answer:
-SSRI
-OCDIandIsocialIanxiety
-
MOA:IBoostsIserotoninIneurotransmissionIbyIblockingIreuptakeIandIdesensitizingISEIreceptor
s,IespeciallyI5-HT1AIreceptors.
-InhibitsICPYI1A2IandI3A4
-DecreasesImetabolismIforIcaffeine
-
Fluvoxamine'sIsigmaI1IagonistIpropertiesImayIcontributeItoIsedation,Ianxiolytic,IandIfatigueIi
nIsomeIpatients-beneficialIforIpsychoticIdepression
-d/tIincreasedISEIatIreceptorsIotherIthanIthoseIdesired:Iinsomnia,IandIinIgutI--
>diarrhea;IemotionalIflattening,IcognitiveIslowing;IsexIdysfctnIbothImenIandIwomenIlessIthan
IotherISSRIs,IdecreasedIappetite,INausea,Idiarrhea,Iconstipation,IdryImouth;Iagitation,Itremors.
-
CNSIsedationIisImostICOMMONISOISPLITIDOSEITOITWICE/DAYIWITHILARGESTIDOS
EIATIBEDTIME.
-
IncreasingISEImayIdiminishIdopamineIandIleadItoIemotionalIflattening,Iapathy,IandIcognitiveI
slowing.
-food-
drugIinteractions:IsmokeIfromItobacco,IgrilledIfood,IgrapefruitIjuice,ImaybeIpomegranateIjuice
-LiverIpanelItoIstart




Q:IParoxetineI(Paxil)

Answer:
SSRI
-MDD,IpanicIdisorder,IGAD,IPTSD,IhotIflashes-excellent
-
MOA:IParoxetineIhasImildIanticholinergicIactions,ImayIhaveImildInorepinephrineIreuptakeIblo
ckingIactions-whichImayIcontributeItoIfurtherIantidepressantIactions

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