Exam (elaborations)
NR 566 WEEK 7 QUESTIONS AND ANSWERS
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NR 566 WEEK 7 QUESTIONS AND ANSWERS
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Name: Score:62 Multiple choice questions
Term 1 of 62
Which drug classes can be prescribed and are considered first line treatment for Panic
Disoder:
Paroxetine Sertraline Fluozetine Drug therapy for 7-10mo
Paroxetine
Sertraline
Fluozetine
Drug therapy for 6-9mo
Paroxetine Sertraline Fluozetine Drug therapy for 5-6mo
Paroxetine Sertraline Fluozetine Drug therapy for 26-27mo
Term 2 of 62
Sepcial considerations for prescribing antidepressants in older adults:
suicidal ideations
bleeding disorders
liver disease
childbearing women
organic brain disease
lactation
may not respond as well as younger people if first episode occurs after age 65yrs
Citalopram & Escitalopram (SSRI) should be used at 1/2 dose d/t prolonging QT
taking other antianxiety medications
severe hepatic impairment
severe renal impairment
lactation ( trace amouonts found in breast milk)
these drugs can increase blood glucose, increasing risk for DMII
HbA1C Q3mo for one year than annually
Certain ones (Clozapine) can cause blood dyscrasias
check CBC
-CBC
-HbA1C
,Term 3 of 62
Valproic Acid (Depakote) can cause what negative effect?
SSRI
-treats anxious depression
- increase dose for smokers
Ssri, snri, bupropion, mirtazapine
SNRI
Treats
-GAD
-social anxiety
-panic
-social phobia
Thrombocytopenia, hepatotoxicity and leukopenia
Term 4 of 62
Duloxetine (Cymbalta)
Specific effects:
SNRI
Treats
-GAD
-social anxiety
-panic
-social phobia
SSRI
-treats anxious depression
- increase dose for smokers
SNRI
-can be used for for perimenopausal vasomotor symptoms
SNRI
can treat pain syndrome from fibromyalgia and neuropathies
,Term 5 of 62
Divalproex sodium (Depakote)
Valproic Acid (Depakene) MAO
not effective tx for depression
short term use only
high risk for dependence & abuse
potential for rebound anxiety
mechanism for Bipolar disorder is not well understood
similar to lithium it has possbile neuroprotective effects
short term anxiety treatment and can be used alone or in adjunct to other therapies
onset of effectiveness is 2weeks
Bone marrow suppression
hypersensitvity to tricyclic antidepressants (TCA)
Concurrent use or use within 14days of MAO inhibitors
lactation
Term 6 of 62
Buspiprone (Buspar) is contradindicated in which patients?
taking other antianxiety medications
severe hepatic impairment
severe renal impairment
lactation ( trace amouonts found in breast milk)
Severe renal impariemtn
severe hepatic impairment
concurrent use with MAOIs
short term anxiety treatment and can be used alone or in adjunct to other therapies
onset of effectiveness is 2weeks
Liver function
CBC
(monitoring for Thrombocytopenia, hepatotoxicity and leukopenia)
, Term 7 of 62
Carbamazepine (Tegretol)
Precautions when prescribing as an antipsychotic:
suidicle ideations
renail impairement
lactation
Suicide risk
antidepressant-induced suicide is more prevalent in children, adolescents, and adults
younger than 25yrs.
Suicidal ideations
renal failure
older men with prostatic hyperplasia (increases urinary retention)
glaucoma
suicidal ideations
bleeding disorders
liver disease
childbearing women
organic brain disease
lactation
Term 8 of 62
Serotonin Antagonist and Reuptake Inhibitors (SARIs)
SARI activity is not as pronounced as the SSRIs
Trazodone (Desyrel)
Nefazodone (Serzone)
Parozetine is contraindicated in pregnancy d/t congenital defects including atrail septal
defect
Severe renal impariemtn
severe hepatic impairment
concurrent use with MAOIs
acute anxiety symptoms
provide short term releif
controlled substance, not intended for long term use
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