NU664C Midterm Exam/26 Questions &
Answers
Know the route of administration for newer agent asenapine (Saphris) and
what instructions should be given to the patient regarding administration. - -
Sublingual
-Know and describe the top atypical antipsychotic with greatest incidence of
prolonged QTc interval. - -Ziprasidone (Geodon).
-Know which antipsychotics have specific instructions for minimum food
intake or diet restrictions. - -Lurasidone (Latuda)
-Know an alternative atypical antipsychotic for a patient who has developed
diabetes and has a significant weight gain from treatment with olanzapine. -
-Aripiprazole (Abilify)
-Know whether a patient is demonstrating efficacy to clozapine 500 mg/day
if this week's granulocyte count is less than 500mm3. What is the most
appropriate recommendation for drug therapy? - -Discontinue and do not re-
start
-Know the common effects of smoking along with antipsychotic drug therapy
such as olanzapine. - -Decreases the plasma levels of Olanzapine (Zyprexa)
because of its metabolism at CYP450 enzyme.
-Know what a painful muscle spasm with neck muscles pulling a patient's
head to the side called and Name a common drug therapy to relieve this
symptom. - -Dystonia
-Know the role of buspirone in the treatment of anxiety and the
recommended dose and time for onset of action. - -Takes 3 to 4 weeks for
full effect
-Know what medication may be an option for patients noncompliant on
antipsychotics resulting in multiple hospital stays. - -Risperdal Consta
(risperidone)
-Know baseline labs and vital measurements tests for the patient who will be
prescribed an antipsychotic such as quetiapine (Seroquel). - -Lipid, Fasting
Blood Sugar, Family History **NOT CPK**
-Describe common side effects/disadvantages of antihistamines. - -
anticholinergic effects
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