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MH701 Safety Exam # 3 Questions and answers with 100% correct solutions | A+ Grade
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MH701 Safety Exam # 3 Questions and answers with 100% correct solutions | A+ Grade
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MH701 Safety Exam # 3 Questions andanswers with 100% correct solutions |
A+ Grade
Benzo option-elderly that has no active metabolites, half-lives that do not increase with age?
✔✔Lorazepam
Safer, less fall risk, more tolerated, and short-acting.
-Want to avoid clonazepam and diazepam due to long-acting, more risk, toxic, fall risk. Beers criteria-to
avoid with elderly 65 y/o. The BEERS criteria for potentially inappropriate medication use in older adults
are guidelines for healthcare professionals to help improve the safety of prescribing medications for
older adults.
Often avoided in elderly due to significant orthostatic hypotension and anticholinergic effects? ✔✔TCAs
tetracyclic antidepressants
Drying effects, constipation. Two of the most safest TCAs to give are nortriptyline and desipramine.
Two mood stabilzers used with the elderly with neuroprotective benefits? ✔✔Lithium and
Depakote (valproate) are commonly used
BBW w antipsychotics ✔✔Can worsen cognition-Dementia
, -If hallucinating, will need an antipsychotic along with mood stabilizer.
Atypicals with children ✔✔SSRI
Lowest S/E profile, drug class to start with.
Associated with children, due to brain development not completed before age 25. Do not know hoe will
react. Need to have an eye on that child with medication. SSRI does not actually cause SI.
Compulsive drug craving, seeking use that persists even in the face of negative
consequences? ✔✔Addiction
-Dopamine is the neurotransmitter related to addiction. Stimulants, methamphetamine, adderall can be
addictive.
Maladaptive pattern of substance use with tolerance, withdraw, and persistent desire to obtain?
✔✔Substance dependence
Will do anything to obtain. Use CAGE questionaire for assessing alcohol dependence.
C-Cut down
A-Annoyed by others
G-Guilty about drinking
E-"Eye-Opener"
Assessment tool for withdrawal is CIWA, will tell us if they need medication, benzo, valium or ativan to
help with withdrawal. S/S: shaking, anxiety, tremors. CIWA gives a score and depending on that score if
medication is needed.
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