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NUR 133 ( LATEST 2024 / 2025 ) EXAM 8 | GRADED A+ QUESTIONS AND ANSWERS (SOLVED)
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NUR 133 ( LATEST 2024 / 2025 ) EXAM 8 | GRADED A+ QUESTIONS AND ANSWERS (SOLVED)
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NUR 133 Exam 81. antipsychotics
Answer
causes brain damage, so student nurses cannot give
-lowers dopamine, lowering excitatory effect in the frontal lobe
-hallucinations come through the five senses caused by high levels of dopamine
- delusions (false beliefs) can be benign or harmful
2. neurological side effects of antipsychotics
Answer
extrapyramidal sx
1. acute dystonia = hours to day, spasm of tongue, neck, face, back
2. Parkinsonism = 5-30 days, tremor, shuffling gait, drooling, stooped posture, instability
3. akathisia= 5-60 days, compulsive, repetitive movements, agitation (restless)
3. anticholinergics
Answer
diphenhydramine & benztropine; used with antipsychotics
inhibit acetylcholine to rebalance dopamine
4. Neuroleptic Malignant Syndrome
,Answer
Adverse reaction to antipsychotics with se- vere "lead pipe" rigidty, FEVER, and mental status
changes
unstable bp, changes in LOC, increased temp, delirium, sweating, high creatine and leukocytes
5. tardive dyskinesia
Answer
- irreversible - involuntary movements of the tongue, face and extremities,
may happen after prolonged use of antipsychotics
think parkinsons
6. anticholinergic effects
Answer
drys everything out dry mouth, constipation, urinary retention
7. labs to memorize for antipsychotic drugs
Answer
metabolic syndroms (antipsychotics decreases metabolism and increases appetite --> weight
gain, diabetes, cardiovas- cular problems (orthostatic hypertension, tired, lowers libido,
gynecomastia
low WBC
high cholesterol high blood glucose liver toxicity
long qt interval
, 8. antidepressants
Answer
-resistance due to negative stigma for depression medications
-decreased serotonin causes depressed, hippocampus dimmed (cannot make decisions,
decreased memory, cannot function)
-longer you are stressed, the longer you may need serotonin to regain balance
- can make mania worse
9. types of antidepressants
Answer
- SSRIs
anxiety, trouble, restlessness, nausea, diarrhea, appetite issues, small amounts of weight gain,
decreased libido; side effects 5-7 days
- TCAs
sedation (tired, should take at night), weight gain, orthostatic hypotension, anticholinergic
effects
- MAOIs
sedation (tired, should take at night), weight gain, orthostatic hypotension, anticholinergic effects
hypertensive crisis (foods with containing tyramine--> aged meats, beans, wine, cheese,
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