100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NRNP 6675 Week 6 final Exam Questions and Verified Answers (2024 / 2025) 100% Guarantee Pass $12.99
Add to cart

Exam (elaborations)

NRNP 6675 Week 6 final Exam Questions and Verified Answers (2024 / 2025) 100% Guarantee Pass

 11 views  0 purchase
  • Course
  • NRNP 6675
  • Institution
  • NRNP 6675

NRNP 6675 Week 6 final Exam Questions and Verified Answers (2024 / 2025) 100% Guarantee Pass

Preview 4 out of 33  pages

  • August 15, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • nrnp 6675
  • NRNP 6675
  • NRNP 6675
avatar-seller
Prose1
NRNP 6675 FINAL EXAM LAST EXAM EVERRRRR (minus boards)




1.The 1/2 life of lithium is about?: 24 hours

2.Fluoxetine is the SSRI with the WD risk?: lowest due to long half life

3.What antipsychotics are good for pts who miss doses of their meds?: An-

tipsychotics with long half-lives:

1.Cariprazine(Vrylar): (2-4 days-active metabolites up to 3 weeks)

2.Abilify (3 days)

3.Brexipiprazole (4 days)

4.Pimozide (4-5 days)

5.Pimavanserin (2 days, active metabolites 8 days)

4.Disulfiram's alcohol interactions persist for up to how long after the med-

ication is stopped?: LONG Half life--2-3 days


persist up to 2 weeks following stopping

5.What is the only TCA with a long half life?: Protriptyline (Vivactil)

6.Most psychotropics have a medium range 1/2 life of approx?: 24 hours

7.what does "steady state" mean in relation to 1/2 life?: steady state means that

you are eliminating the drug at the same overall rate that you are ingesting it

8.Lithium reaches its 'steady state' when?: 5 half lives



, NRNP 6675 FINAL EXAM LAST EXAM EVERRRRR (minus boards)

example:

Day 1: Start pt on Lithium 600 mg daily

Day 2: (24 hours later) the amount left in his body is 300 mg (day 2 min) because 24

hours has passed--one 1/2 life--therefore the pt has excreted 1/2 of the initial

amount.

THEN the pt takes his 2nd dose of 600 mg on DAY 2-resulting in a max dose of 900

(300 mg left in body + 600 mg of 2nd dose).

DAY 3: starts off with 450 mg (1/2 of the 900 mg in pt's system) and after taking the

day 3 600 mg dose, the pt now has a total of 1050 mg.

9.Due to the steady state of Lithium, when do we draw a blood level?: 5 half

lives


if you check any earlier, the trough level will underestimate the actual level the pt is

on after achieving steady state

10.Fluoxetine has a half life of about?: 2 weeks 1/2 life


take 2.5 months to achieve steady state

11.Most psychotropic medications operate in this fashion:: "when you double

the dose, the serum dose doubles."





, NRNP 6675 FINAL EXAM LAST EXAM EVERRRRR (minus boards)




*minus three SRIs and three anticonvulsants (Fluoxetine, fluvoxamine, paxil,

gabapentin, valproate and carbamazepine)

12. induces it's own metabolism, hastening excretion and shorten-

ing it's half life: A. Carbamazepine (Tegretol)


*this effect begins to "rev up" after 2-4 weeks--which is why a carbamazepine level is

so important on obtaining 1-2 months after starting Tegretol.

13.Carbamazepine (Tegretol) level should be checked how soon after starting

to take this med?: 1-2 months due to Tegretol inducing it's own metabolism,

hastening excretion and shortening it's half life.

14. has trouble getting a "serum" level because it binds to proteins that

render it therapeutically inactive?: A. Valproate Acid (Depakote)


-this is particularly true at the lower levels (eg. <50 mcg/mL), so you can expect dose

changes to make a more dramatic difference when the pt's depakote level is in the

higher range

15. 's serum level is the opposite of Valproic Acid: it rises quickly at

first and then slows down?: Gabapentin




, NRNP 6675 FINAL EXAM LAST EXAM EVERRRRR (minus boards)

*gabapentin saturates the transporters that absorb it in the small intestine, causing

its levels to rise at a snails pace when the dosage goes above a certain saturation

point (around 900 mg/day).


-from there, the saturation trickles down; @ 900 mg/day--60% is absorbed. @ 1200

mg/day--50 % is absorbed. @3000 mg/day--30% of the gabapentin is absorbed.

16.Due to Gabapentin's serum pattern for dosage:

@ 900 mg/day, how much is the patient absorbing?: @ 0900mg/day---60% is

absorbed.

17.Due to Gabapentin's serum pattern for dosage:

@ 1200 mg/day, how much is the patient absorbing?: @ 1200 mg/day--50 % is

absorbed.

18.Due to Gabapentin's serum pattern for dosage:

@ 3000 mg/day, how much is the patient absorbing?: @3000 mg/day--30% of the

gabapentin is absorbed.

19.Carbamazepine (Tegretol's) serum level drops after how long after stop-

ping taking it?: 1-2 months

20.For Valproate (Depakote), dose changes can have big effects once the

level is beyond 50 mcg/mL?: SMALL

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Prose1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

53920 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.99
  • (0)
Add to cart
Added