NURS 3335- medication quiz with complete solutions

Name 3 classes of first-generation antipsychotic medications: - ANSWER Phenothiazine Theoxanthenes Butyrophenones Most sedative-hypnotics act by increasing or decreasing the activity of the - ANSWER Neurotransmitter-receptor systems Because some types of first-generation antipsychotic medications block dopamine, it can lead to extrapyramidal syndrome (EPS). Four major symptoms related to EPS include - ANSWER dystonic reactions, parkinsonism, akathisia, tardive dyskinesia Second-generation antipsychotics increase the risk of - ANSWER metabolic syndrome what are the three main symptoms of metabolic syndrome - ANSWER increased weight, increased blood glucose, increased triglycerides List the 5 benzodiazepines approved by the FDA for insomnia: Generic names only - ANSWER Flurazepam Temazepam Triazolam Estazolam Quazepam wo benzodiazepines that reduce anxiety but do not cause sleepiness are: - ANSWER lorazepam alprazolam When a benzodiazepine is taken in conjunction with alcohol, opiates, or tricyclic antidepressants it can lead to life-threatening ___________ depression - ANSWER CNS Medications such as Ambien or Lunesta fall into what category - ANSWER Z-hypnotics List the names of the six SSRIs mentioned in Chapter 3 of your textbook. List the generic name ONLY. - ANSWER 1. Sertraline 2. Fluoxetine 3. Citalopram 4. Escitalopram 5. Paroxetine 6. Fluvoxamine The action of the SSRI is to block the reuptake of _________ thereby making more of this neurotransmitter available. - ANSWER serotonin The risk of serotonin syndrome is greatest when an SSRI is administered along with an - ANSWER second serotonin enhancing agent Patients on lithium must have routine _________ to ensure a therapeutic level is achieved and _toxicity is avoided. - ANSWER Blood levels checks What is important for patients taking lithium to know about the intake of sodium? - ANSWER Hyponatremia can increase the risk of lithium toxicity because increased renal reabsorption of sodium leads to increased reabsorption of lithium as well. Can also cause imbalances in the fluid electrolyte balance. the normal lithium level is - ANSWER 0.6-1.2 mEq/L List the 7 signs of early lithium toxicity. - ANSWER GI upset, coarse hand tremors, confusion, hyperirritability of muscles, electroencephalographic changes, sedation, and incoordination. ____________is used to treat acute mania. In the first few weeks a rash may occur. - ANSWER carbamazepine _____________is a second-generation antipsychotic drug that is known to cause agranulocytosis (suppress bone marrow) and therefore must be monitored. - ANSWER clozapine The class of drugs, ________, are considered the first line of defense in treatment of anxiety disorders. - ANSWER SSRIs The class of drugs, ___________, are most commonly used to treat somatic and anxiety disorders but should be used for a short period of time. - ANSWER benzodiazepines It is important for the nurse to monitor the patient taking a benzodiazepine for what 3 main side effects? - ANSWER sedation, ataxia, decreased cognitive function Two SSRIs approved for the treatment of PTSD are ________________. - ANSWER Sertraline and Paroxetine The only FDA approved medication for bulimia nervosa is - ANSWER fluoxetine Lisdexamfetamine dimesylate is a stimulant used to treat ADHD but is also approved for the treatment of mild to moderate - ANSWER binge-eating disorder Name a drug used to treat Narcolepsy - ANSWER Modafinil Why should benzodiazepines be avoided for treating IED? - ANSWER they reduce inhibitions and self control Benzodiazepines may reduce the amount of __________ needed to control anger. - ANSWER antipsychotics It is important to monitor ______ and______ in individuals prescribed an anticonvulsant. - ANSWER CBC and LFTs Identify the precautions for each of the following herbal/dietary supplements. Kava - ANSWER can be hepatotoxic Identify the precautions for each of the following herbal/dietary supplements. Golden Root - ANSWER allergic reactions may occur, dry mouth, dizziness, and headaches Identify the precautions for each of the following herbal/dietary supplements. Valerian Root - ANSWER SE: morning fatigue, headaches, dizziness, upset stomach, generally safe in small amounts Identify the precautions for each of the following herbal/dietary supplements. melatonin - ANSWER can worsen moods in dementia patients, SE: drowsiness, dizziness, nausea, headache LT effects: it affects the body's natural ability to produce melatonin Identify the precautions for each of the following herbal/dietary supplements. Fish Oil Omega -3 - ANSWER GI SE: belching, indigestion, may increase bleeding times, Caution W/ patients who have fish/shellfish allergies. Which two herbal/dietary supplements can cause serotonin syndrome when combined with some of the typical medications prescribed for psychiatric disorders? - ANSWER St. John's Wort, SAMe (S-adenosyl-L-methionine)