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Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | 9781975161187 | All Chapters with Answers and Rationals $17.99   Add to cart

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Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | 9781975161187 | All Chapters with Answers and Rationals

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Psychiatric Nursing: Contemporary Practice, 7th Edition (Ann Boyd, 2022), Chapter 1-43 | 9781975161187 | All Chapters with Answers and Rationals

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  • August 20, 2024
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Test Bank For Psychiatric Nursing: Contemporary Practice, 7th
Edition (Ann Boyd, 2022), Chapter 1-43 | 9781975161187 | All
Chapters with Answers and Rationals

unwanted effects with serious physiologic consequences - ANSWER: adverse reaction

drug regulation and use is determined by - ANSWER: FDA

where drugs act - ANSWER: pharmacodynamics

Four sites of drug action - ANSWER: receptors, ion channels, enzymes, carrier protiens

Selectivity of a drug - ANSWER: Drug elicits only the response for which it is given

Affinity of a drug - ANSWER: the tendency of a drug to combine with a receptor

intrinsic activity of a drug - ANSWER: Measure of the magnitude or intensity of a biological response
produced by an ED100 drug dose, relative to the maximal attainable response (alpha = 1.0) that can
be produced in a target tissue

Can vary from 1.0-0

Agonists and Antagonists - ANSWER: substances that bind to a receptor and cause a partial response
that is not as strong as that caused by an agonist

ability of drug to produce response - ANSWER: efficacy

drug dose needed for effect - ANSWER: potency

rapid decrease in drug effects - ANSWER: desensitization

gradual decrease in drug action - ANSWER: tolerance

drug concentration harmful to body - ANSWER: toxicity

ratio of max nontoxic dose to min effective dose - ANSWER: therapeutic index

how the body acts on the drug - ANSWER: Pharmacokinetics

first pass effect - ANSWER: The initial metabolism in the liver of a drug absorbed from the
gastrointestinal tract before the drug reaches systemic circulation through the bloodstream.

Bioavailability - ANSWER: the rate at and the extent to which a nutrient is absorbed and used

Distribution of drugs - ANSWER: the transport of drugs from the plasma to the tissues

metabolism of drugs - ANSWER: - Most drugs metabolized in liver and excreted in urine
- Liver or Kidney disease affect drug levels
- If metabolites active, should monitor their levels also

excretion of drugs - ANSWER: drugs and their metablosim are excreted through sweat, saliva, and
secretions primarily through kidneys

, Age effects on drug metabolism - ANSWER: The effect of old age on drug metabolism is not well
studied but there is some evidence in animals and humans that drug metabolism slows down with old
age (gastric absorption, renal function, liver metabolism)

how a person's genetic makeup affects their response to drugs - ANSWER: pharmacogenomics

cultural variations and differences influencing effectiveness of drugs - ANSWER:
ethnopsychopharmacology

phases of drug treatment - ANSWER: 1. Initiation
2. Stabilization
3. Maintenance
4. Discontinuation

Major Psychopharmacologic Drug Classes - ANSWER: Antipsychotic medications
Mood stabilizers
Antidepressants
Antianxiety and sedative-hypnotics
Stimulants

antipsychotic medications types - ANSWER: typical (conventional) and atypical

indications for antipsychotics - ANSWER: schizophrenia, mania, autism, psychosis (hallucinations,
delusions, disorganized thoughts, agitation)

absorption of antipsychotics - ANSWER: -variable with oral
-IM is less variable and avoids 1st pass

Metabolism of antipsychotics - ANSWER: liver

excretion of antipsychotics - ANSWER: slow; half-life of 24 hours and metabolites with longer half-
lives; high lipid solubility

atypical antipsychotics - ANSWER: Abilify (aripiprazole)
Clozaril (clozapine)
Risperdal (risperidone)
Seroquel (quetiapine)
Zyprexa (olanzapine)
Geodon (ziprasidone)

Typical Antipsychotics - ANSWER: Chlorpromazine
Haloperidol
Fluphenazine
Loxapine
Molindone
Pimoxide
Thiothixene

Side effects of Andtipsychotics - ANSWER: O HOTN
prolonged OT
anticholinergic
weight gain
diabetes
sexual
agranulocytosis
NMS
photosensitivity

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