NUR2474 RASMUSSEN PHARM EXAM 1
LATEST 2023 WITH CORRECT ANSWERS
what things should we always do when giving methylphenidate to a child with
ADHD - Answer - ALWAYS: give the drug in the morning, after breakfast, and
give the last dose before 4pm, or else the child will not sleep at night which 3
drugs are controlled substances and highly abused? - Answer -
amphetamines,
- barbiturates, - methylphenidate
what is the purpose of drug treatment with Alzheimer Disease patients - Answer -
there is treatment to help slow down the progression of the disease, but to not
cure it
how does donepezil work - Answer - it slows the progression of Alzheimers
disease by causing reversible inhibition of cholinesterase and the cholinergic
receptors.
what should we do when discontinuing an antidepressant (or any medication) -
Answer - if antidepressant is stopped cold turkey, withdrawal syndrome can
occur.
- we must gradually taper the drug slowly and have the HCP taper it.
- do not let patient taper drug by themselves
what are signs and symptoms of withdrawal syndrome? - Answer - HA,
- Nausea,
- visual disturbances,
- sweating,
- dizziness, - tremors
what is the relationship between sertraline and nursing infants? - Answer - when
this drug is used with a patient who is pregnant or nursing infants, the infant can
have neonatal abstinence syndrome occur
,what should we educate pregnant or nursing moms about when using sertraline?
- Answer - We must educate the patient on potentially using other medications
during
this time period, as it can cause potential birth defects and the baby to become
sick.
explain the relationship between fluoxetine and alcohol abuse - Answer - when
this drug is used with alcohol abuse, it can interact with the medication and
make the patient very sick..
what should we teach the patient regarding alcohol use - Answer - the patient
must avoid alcohol while taking most medications
what is the first line medication used to stop a seizure? - Answer - diazepam
(benzo) by IM
. explain side effect - Answer - unavoidable secondary drug effects produced at
therapeutic doses.
- May be unwanted, but unavoidable and expected.
explain adverse effect - Answer - undesired and unexpected severe responses to
a medication. They do have the potential to cause harm.
explain allergies/anaphylaxis - Answer - an immune response to a medication
that causes a reaction that can be mild to life threatening what are s/s of
allergic reactions? - Answer - itchy,
- rash,
- hives,
- wheezes,
- SOB,
- swelling of face, - lips and throat.
what should we do if we a patient actively in allergic reaction? - Answer - stop the
medication,
- call the doctor,
- D/C lines,
, - check for antidotes, and
- give emergency care based on ABC's
what should we do before giving any medication? - Answer - ask about patient
allergies to medications and what happens when they take them.
- remember if they report they get any s/s of allergic run with medication use, we
must hold med and call dr.
explain intended drug effects - Answer - effects that we want to see and that are
therapeutic when using the drug. Ex:
with an antidepressant, we want to see a mood change, because that is the
intended use of the drug.
explain teratogenic effect - Answer - a drug induced birth defect that can cause
harm to the fetus
Why we do not allow pregnant moms or those lactating to not take certain
medications - Answer - so they do not harm their child.
. explain paradoxical effect - Answer - The opposite of the intended drug response
example of paradoxical response - Answer - Benzo's may be used for sedation
and insomnia treatment, but may instead cause them to stay up, have
excitement, and to be rowdy. The opposite.
explain tolerance - Answer - occurs when there is a long term reduced
responsiveness to a medication over time, causing the medication to not produce
a therapeutic effect. Will need to increase the dose to get the same effect. Will be
higher dose but the effects will be seen. will take longer to wean also
explain dependence - Answer - the patient gets used to the drug and cannot stop
using it. When they do stop the med cold turkey they can have withdrawal
symptoms. Why we have to wean and taper the drug
explain addiction - Answer - occurs when the patient abuses the drug and uses it
for pleasure instead as prescribed.
why may we give a atypical antipsychotic medication (2nd generation)? - Answer -
when one cannot handle the EPS that the 1stgeneration drugs produce.
which patient populations should we not use a atypical antipsychotic with? -
Answer - those with diabetes, those with high cholesterol
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