NUR 2474 Pharmacology for
Professional Nursing Exam 1 | 100%
Correctly Answered and Graded A+ |
Rasmussen
How do we treat early EPS?
- Correct Answer - anticholinergics, bentos, beta blocker
Explain tardive dyskinesia
- Correct Answer - choreoathetoid movements of the tongue and face,
lip smacking movement, fly catching tongue, slow worm like tongue
movement, involuntary movements of limbs, tones, hips and fingers.
How do you treat late EPS?
- Correct Answer - no treatment, but you can prevent it. D/C all
medications and switch to 2nd generation antipsychotic
What do tcas treat? - Correct Answer - major depression
How do tcas work - Correct Answer - blocks serotonin and NE reuptake
,What are the side effects of tcas
- Correct Answer - sedation, orthostatic hypotension, anticholinergic
What is the most dangerous effect of tcas
- Correct Answer - cardiac toxicity
S/S of cardiac toxicity in tcas
- Correct Answer - dysrhythmias, tachycardia, heart blocks, v tach, v fib
How do we treat cardiac toxicity in tcas?
- Correct Answer - no antidote, treat with gastric lavage, activated
charcoal, IV HCO3
What do neuroleptics do?
- Correct Answer - it blocks dopamine. Only increase the effects of
Parkinson's disease, as they will induce Parkinson's symptoms with
EPS, it is an additive relationship.
What is the issue with using a neuroleptic with a patient with Parkinson's
disease?
- Correct Answer - will worsen the Parkinson's disease symptoms. Would
be appropriate to use a 2nd generation antipsychotic
, A neuroleptic is the same as an__________
- Correct Answer - antipsychotic
Explain the concept of half life and how to solve them
- Correct Answer - The amount of time ½ of the drug is taken out of the
system.
To solve: divide by 1/2 he medication dosage by each half life. Ex: if a
drug has 4 half lives, you divide the medication 4 times by 1/2
What can occur when one begins to not use an antipsychotic medication
because of the parkinsons symptoms ?
- Correct Answer - the Parkinson's symptoms will go away, but because
you stop the antipsychotic, the psychotic symptoms will come back.
What do maois interact heavily with?
- Correct Answer - tyramine
What happens if a person using an MAOI eats a food that is high in
tyramine? - Correct Answer - hypertensive crisis
Explain the s/s of hypertensive crisis
- Correct Answer - severe HA, tachycardia, hypertension, N,V, confusion,
sweating, stroke, death
