NURS 663 EXAM UPDATED
QUESTIONS WITH VERIFIED
ANSWERS || ALREADY GRADED A
Bupropion mnemonic 4 - ANSWER ✔ Bu DA NE to remember
neurotransmitters. Think butane lighter because it is hot like sex
related to no sexual side effects and also think to decrease
smoking for smoking cessation. Think BUproprion to remember
not to give to those with BUlimia or others at risk for seizures
related to decreasing the seizure threshold.
You don't use bupropion on with other disorders - ANSWER ✔
Traumatic brain injury, seizure disorder, neurological disorder,
those who have had brain surgery, disorders with electrolyte.
Abnormalities (eating disorders, severe renal or gastrointestinal
issues)
Used cautiously in substance abusers related to abuse potential
because of psychotic symptoms at high doses.
Can increase anxiety irritability and agitation
Bupropion dosing - ANSWER ✔ The 12 hour give 100 mg daily
to start then increase 100 mg daily every three weeks to a max
dose of 200 mg twice a day. The 24 hour start at 150 mg then
increase 150 mg each day every week to a maximum of 450 mg
per day
Bupropion mechanism of action - ANSWER ✔ Like SSRI/SNRI,
inhibits dopamine reuptake, an alpha three beta 4 nicotinic
antagonist
, Bupropion side effects advantages and other uses 7 - ANSWER
✔ No sexual dysfunction, substance abuse especially nicotine,
ADHD, increased energy, decreased appetite, good
augmentation, low induction of mania
Injectable treatment for alcohol abuse - ANSWER ✔ naltrexone
naloxone; what, for who - ANSWER ✔ what: opiate antidote
(heroin)
blocks effects of buprenorphine when injected
not for pregnancy
naloxone and pregnancy - ANSWER ✔ can cause spontaneous
abortion, preterm labor, intrauterine fetal demise
Naltrexone forms and dosing - ANSWER ✔ pill and injection
available
must take 50mg x7d before getting shot; no opioids in last 7d
before starting
naltrexone MOA and side effects - ANSWER ✔ MOA: opioid
antagonoist; blocks euphoric effects of alcohol and prevents
craving
SE: withdrawal, nausea, dizzy, anxiety, fatigue
paroxetine; use - ANSWER ✔ tx of choice in PTSD veterans,
sexual trauma
paroxetine side effects - ANSWER ✔ sedation, weight gain,
sexual, anticholinergic
paroxetine dosing - ANSWER ✔ 10-20mg/d and increase by 10-
20mg every 2 weeks to max of 60
, prazosin; MOA, use - ANSWER ✔ for nightmares due to PTSD,
blocks norepinephrine
prazosin; dosing, monitor fo - ANSWER ✔ dosing: 1-15mg; start
with 1mg
monitor: blood pressure and pulse
sertraline: dosing - ANSWER ✔ start at 25-50mg x1wk and
increase by 25-50 every 1-2wks to max of 200
sertraline side effects - ANSWER ✔ nausea, decreased appetite,
sleepiness, tremors, sweating, insomnia, sexual
alcohol intoxication s/sx - ANSWER ✔ recent ingestion
at least one of: slurred speech, incoordination, unsteady gait,
nystagmus, memory impaired, stupor or coma
alcoholic cirrhosis - ANSWER ✔ fatigue, weakness, weight loss,
GI bleed, abdominal swelling, concussion, jaundice
liver has scar tissue
liver transplant needed
alcoholic liver disease - ANSWER ✔ fatty liver, alcoholic
hepatitis, cirrhosis
amphetamine abuse - ANSWER ✔ flushing, pallor, fever,
headache, tachycardia, palpitations, bruxism, SOB, tremor, ataxia
MI, htn, colitis
cannabis intoxication DSM - ANSWER ✔ conjunctival injection,
increased appetite, dry mouth, tachycardia
, cocaine intoxication - ANSWER ✔ mydriasis, increase or
decreased HR, chills, sweating, CP, increase or decreased BP,
dyskinesias, dystopias, n/v, decreased RR, seizures, coma
can detox outpatient
delirium tremens - ANSWER ✔ rapid onset of confusion, 3dinto
detox and can last 2-3days; shake, irregular heart beat, sweating
delirium tremens treatment - ANSWER ✔ bentos; lorazepam,
chlordiazepoxide
fetal - ANSWER ✔ microcephaly, short, limb, heart, face defects
Hallucinogenic mushrooms - ANSWER ✔ psilocybin; muscle
spasm, confusion, delirium
inhalant abuse tx - ANSWER ✔ bentos, baclofen, buspirone,
lamotrigene
sudden sniffing death syndrome - ANSWER ✔ sudden death,
usually from heart failure, in a person who is startled while
abusing inhalants. The fright often occurs upon discovery of the
sniffer by an authority figure of when the drug produces a
frightening hallucination.
Opiate intoxication DSM - ANSWER ✔ pupillary construction +at
least 1 of drowsiness/coma, slurred speech, memory impaired
opiate withdrawal DSM - ANSWER ✔ at least 3: dysphoric mood,
n/v, muscle aches, lacrimation or rhinorrhea, pupillary dilation,
piloerection, sweating, diarrhea, yawning, fever, insomnia
