NURS 660 PAINFUL EXAM 3 REVIEW - MARYVILLE UNIVERSITY
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NURS 660
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Maryville University
NURS 660 PAINFUL EXAM 3 REVIEW - MARYVILLE UNIVERSITY.1. What is the medication that is the antidote for alprazolam? (If someone ODs).
a. In overdosed-administer Flumazenil (benzo antagonist)-Stahl-can reverse od or induce sz or withdrawal in pts dependent on benzos
2. What is the MOA of pr...
nurs 660 painful exam 3 review maryville university
nurs 660 painful exam 3 review
what is the medication that is the antidote for alprazolam if someone ods
what is the moa of pregabalin that mak
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NURS 660 PAINFUL
EXAM 3 REVIEW -
MARYVILLE
UNIVERSITY
, 1. What is the medication that is the antidote for alprazolam? (If someone ODs).
a. In overdosed-administer Flumazenil (benzo antagonist)-Stahl-can
reverse od or induce sz or withdrawal in pts dependent on benzos
2. What is the MOA of pregabalin that makes it alleviate pain for people with
fibromyalgia or chronic fatigue?
a. Gabapentin and Lyrica are analgesic adjuncts that bind to open
conformation of VS calcium channels (prevent release of NTs including
glutamate) in CNS tissue and stabilize neuronal membranes, thus interfering
with the transmission of pain impulses rather than binding to opioid receptors
b. “Fibro-Fog” – Dorsolateral pre frontal cortex and anterior thalamus.
3. Caffeine – what is an antagonist of caffeine? So caffeine promotes being awake
and alert, and opposes the homeostatic drive. It’s an antagonist of what?
a. Caffeine and theophylline can block adenosine effects-Caffeine
antagonist is adenosine
b. withhold caffeine for 5 half-lives prior to adenosine; avoid dietary caffeine
for at least 12 hrs prior to pharm stress test
c. The body will build up levels of adenosine due to caffeine using receptor sites.
4. What is this diagnosis: the patient comes in with a CC of anxiety. She has
been excessively worrying, increased arousal, increased tiredness and
irritability. What is the least likely diagnosis?
a.
5. Somebody w/ anxiety worries about having a panic attack, in addition has mood
changes to avoid things in order to not have a panic attack. “It’s a little more
specific than just anxiety”. (Probably panic disorder per Psychiatric Interviewing).
a.
6. Which two areas of the brain are involved in a reciprocal relationship that we
fear, anxiety & “fight or flight”. An example “ A woman was raped, and
continues to have fear of opposite sex on her way to parking garage…so
which two areas of the brain are involved?”.
a. Amygdala & Hippocampus (She gave answer)
7. Know the MOA of modafinil (Provigil)- how does it promote normal wakefulness?
a. Wake promoting
b. Enhances tonic dopamine firing.
8. You have a sleep medication called Eszopiclone. What receptors does this
target? How does it work?
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