NSG 552 Psychopharmacology Exam 1 -
Modules 1-3 Questions With Answers 100%
Correct
EPS Involuntary movements that occur as a side effect to certina medications. AKA drug
induced movement disorder. May include tardive dyskinesia, dystonic reactions, parkinsons-like
symptoms, akathesia, NMD,...
Upregulation Refers to the activiation of the nervous system. Is the process by which a
cell increases its response to a subtance or signal from outside the cell to carry out a specific
response
, NSG 552 Psychopharmacology Exam 1 -
Modules 1-3 Questions With Answers 100%
Correct
downregulation Refers to state of calm/relation within nervous system. Characterized by a
decreased response by a cell to a molecule or neurotransmitter.
Receptor Profiles FGA - Primarily D2 antagonism. Also antagonize M2, H1, and a1
Binding When a neurotransmitter binds to a receptor on a receiving cell, it causes ion
channels to open or close.
Affinity The property of a drug that describes its ability to bind to a receptor
Constant
Unique for each drug-receptor pair as it is dependent on each of their structures
CYP450 - membrane-bound hemoproteins that play a pivotal role in the detoxification of
xenobiotics, cellular metabolism, and homeostatis
, NSG 552 Psychopharmacology Exam 1 -
Modules 1-3 Questions With Answers 100%
Correct
-Inhibitition or induction of CYP enzymes is a major mechanism underlying drug-drug
interactions
- A CYP450 inhibitor prevents or reduces work by CYP450 enzymes = decreased drug
metabolism and increased risk for toxicity
- A CYP450 inducer increases rate of hepatic metabolism = decreased serum concentation of
other drugs metabolized by the same hepatic isoenzyme
Grapefruit juice is an inhibtior, which can increase serum levels of certain drugs
Dopamine Pathways - mesolimbic (positive sx)
- mesocortical (negative sx)
- nigrostriatal (EPS)
- tuberoinfundibular (prolactin)
Metabolic Syndrome cluster of conditions that incerase risk for T2DM and cardiovascular
disease (obesity, HTN, high triglycerides, low HDL, insulin resistance)
-increased risk for metabolic syndrome found with some antipsychotic medications, primarily
SGA
, NSG 552 Psychopharmacology Exam 1 -
Modules 1-3 Questions With Answers 100%
Correct
High Potency vs Low Potency High potency: higher risk for EPS/hyperprolactinemia.
Effective at lower doses. Haldol, risperdal, prolixin, olanzapine
Low potency: more sedating with more anticholinergic symptoms. Thorazine, seroquel, clozaril,
geodon
Neuroleptic malignant syndrome (NMS) - Life threatening
- occur with use of dopamine receptor antagonists or when dopaminergic medidcation are
suddenly withdrawn
- sx usually begin within 2 wks of starting a new med or changing dose.
- Characterized by fever, AMS, muscle rigidity, autonomic dysfuncton
- Dantrolene sodium is FDA approved to treat. Muscle relaxant that reduces
hyperthermia/muscle stiffness
QTC interval -measurement of the left ventricle's repolarization efficiency on ECG.
- usually 350-450 (men), 360-460 (women)
-associated with life-threatening cardiac arrhythmias
-antipsychotic and antidepressant drugs can prolong QT intervals, some more than others
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