Exam (elaborations)
NRNP 6675 FINAL EXAM LAST EXAM TEST 2024/2025 GRADED A+ COMPLETE QUESTIONS AND VERIFIED ANSWERS
- Course
- Institution
NRNP 6675 FINAL EXAM LAST EXAM TEST 2024/2025 GRADED A+ COMPLETE QUESTIONS AND VERIFIED ANSWERS
[Show more]
Content preview
NRNP 6675 FINAL EXAM LAST EXAM EVERRRRR (minus boards)Study online at https://quizlet.com/_d3fvek
1. The 1/2 life of lithium is about? 24 hours
2. Fluoxetine is the SSRI with the ______ WD lowest due to long half life
risk?
3. What antipsychotics are good for pts who Antipsychotics with long
miss doses of their meds? half-lives:
1. Cariprazine(Vrylar): (2-4
days-active metabolites up
to 3 weeks)
2. Abilify (3 days)
3. Brexipiprazole (4 days)
4. Pimozide (4-5 days)
5. Pimavanserin (2 days, ac-
tive metabolites 8 days)
4. Disulfiram's alcohol interactions persist for LONG Half life--2-3 days
up to how long after the medication is
stopped? persist up to 2 weeks follow-
ing stopping
5. What is the only TCA with a long half life? Protriptyline (Vivactil)
6. Most psychotropics have a medium range 24 hours
1/2 life of approx?
7. what does "steady state" mean in relation to steady state means that you
1/2 life? are eliminating the drug at
the same overall rate that
you are ingesting it
8. Lithium reaches its 'steady state' when? 5 half lives
example:
Day 1: Start pt on Lithium
600 mg daily
Day 2: (24 hours later) the
amount left in his body is
300 mg (day 2 min) because
24 hours has passed--one
, NRNP 6675 FINAL EXAM LAST EXAM EVERRRRR (minus boards)
Study online at https://quizlet.com/_d3fvek
1/2 life--therefore the pt has
excreted 1/2 of the initial
amount.
THEN the pt takes his 2nd
dose of 600 mg on DAY 2-re-
sulting in a max dose of 900
(300 mg left in body + 600
mg of 2nd dose).
DAY 3: starts off with 450 mg
(1/2 of the 900 mg in pt's sys-
tem) and after taking the day
3 600 mg dose, the pt now
has a total of 1050 mg.
9. Due to the steady state of Lithium, when do 5 half lives
we draw a blood level?
if you check any earlier, the
trough level will underesti-
mate the actual level the pt
is on after achieving steady
state
10. Fluoxetine has a half life of about? 2 weeks 1/2 life
take 2.5 months to achieve
steady state
11. Most psychotropic medications operate in "when you double the dose,
this fashion: the serum dose doubles."
*minus three SRIs and
three anticonvulsants (Flu-
oxetine, fluvoxamine, paxil,
gabapentin, valproate and
carbamazepine)
12. _________induces it's own metabolism, A. Carbamazepine (Tegre-
hastening excretion and shortening it's half tol)
life
*this effect begins to "rev
, NRNP 6675 FINAL EXAM LAST EXAM EVERRRRR (minus boards)
Study online at https://quizlet.com/_d3fvek
up" after 2-4 weeks--which
is why a carbamazepine lev-
el is so important on obtain-
ing 1-2 months after starting
Tegretol.
13. Carbamazepine (Tegretol) level should be 1-2 months due to Tegre-
checked how soon after starting to take this tol inducing it's own metab-
med? olism, hastening excretion
and shortening it's half life.
14. _____ has trouble getting a "serum" level A. Valproate Acid (De-
because it binds to proteins that render it pakote)
therapeutically inactive?
-this is particularly true at
the lower levels (eg. <50
mcg/mL), so you can ex-
pect dose changes to make
a more dramatic difference
when the pt's depakote level
is in the higher range
15. _______'s serum level is the opposite of Val- Gabapentin
proic Acid: it rises quickly at first and then
slows down? *gabapentin saturates the
transporters that absorb it in
the small intestine, causing
its levels to rise at a snails
pace when the dosage goes
above a certain saturation
point (around 900 mg/day).
-from there, the sat-
uration trickles down;
@ 900 mg/day--60%
is absorbed. @ 1200
mg/day--50 % is absorbed.
@3000 mg/day--30% of the
gabapentin is absorbed.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TUTORliz. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now