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NSG 552 Psychopharmacology Exam 1 - Modules 1-3 Questions With Answers 100% Correct $16.99   Add to cart

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NSG 552 Psychopharmacology Exam 1 - Modules 1-3 Questions With Answers 100% Correct

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NSG 552 Psychopharmacology Exam 1 - Modules 1-3 Questions With Answers 100% Correct EPS Involuntary movements that occur as a side effect to certina medications. AKA drug induced movement disorder. May include tardive dyskinesia, dystonic reactions, parkinsons-like symptoms, akathesia, NMD,...

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  • November 23, 2024
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  • NSG 552-
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NSG 552 Psychopharmacology Exam 1 -
Modules 1-3 Questions With Answers 100%
Correct

EPS Involuntary movements that occur as a side effect to certina medications. AKA drug

induced movement disorder. May include tardive dyskinesia, dystonic reactions, parkinsons-like

symptoms, akathesia, NMD, akinesia

- Can be acute or chronic

- related to suppression of D2 dopamine receptors in the nigrostriatal pathway




Tardive dyskinesia - characterized by involuntary movments in the face and body


- often induced by long-term use of anitpsychotic drugs

- can be associated with use of other medication types (antidepressants, lithium, antihistamines)

- more common with 1st gen antipsychotics

- movements may include: writhing, mouth puckering, tongue rolling, lip smacking, pill rolling,

tongue protrusion




Upregulation Refers to the activiation of the nervous system. Is the process by which a

cell increases its response to a subtance or signal from outside the cell to carry out a specific

response

, NSG 552 Psychopharmacology Exam 1 -
Modules 1-3 Questions With Answers 100%
Correct
downregulation Refers to state of calm/relation within nervous system. Characterized by a

decreased response by a cell to a molecule or neurotransmitter.




Receptor Profiles FGA - Primarily D2 antagonism. Also antagonize M2, H1, and a1

receptors

SGA - 5-HT2A & D2 antagonism. Rapid D2 dissociation. 5HT2A agonism. Also antagonizes

M2, H1, 5HT2C, and a1 receptors




Binding When a neurotransmitter binds to a receptor on a receiving cell, it causes ion

channels to open or close.




Affinity The property of a drug that describes its ability to bind to a receptor


Constant

Unique for each drug-receptor pair as it is dependent on each of their structures




CYP450 - membrane-bound hemoproteins that play a pivotal role in the detoxification of

xenobiotics, cellular metabolism, and homeostatis

, NSG 552 Psychopharmacology Exam 1 -
Modules 1-3 Questions With Answers 100%
Correct
-Inhibitition or induction of CYP enzymes is a major mechanism underlying drug-drug

interactions

- A CYP450 inhibitor prevents or reduces work by CYP450 enzymes = decreased drug

metabolism and increased risk for toxicity

- A CYP450 inducer increases rate of hepatic metabolism = decreased serum concentation of

other drugs metabolized by the same hepatic isoenzyme

Grapefruit juice is an inhibtior, which can increase serum levels of certain drugs




Dopamine Pathways - mesolimbic (positive sx)


- mesocortical (negative sx)

- nigrostriatal (EPS)

- tuberoinfundibular (prolactin)




Metabolic Syndrome cluster of conditions that incerase risk for T2DM and cardiovascular

disease (obesity, HTN, high triglycerides, low HDL, insulin resistance)

-increased risk for metabolic syndrome found with some antipsychotic medications, primarily

SGA

, NSG 552 Psychopharmacology Exam 1 -
Modules 1-3 Questions With Answers 100%
Correct
High Potency vs Low Potency High potency: higher risk for EPS/hyperprolactinemia.

Effective at lower doses. Haldol, risperdal, prolixin, olanzapine

Low potency: more sedating with more anticholinergic symptoms. Thorazine, seroquel, clozaril,

geodon




Neuroleptic malignant syndrome (NMS) - Life threatening


- occur with use of dopamine receptor antagonists or when dopaminergic medidcation are

suddenly withdrawn

- sx usually begin within 2 wks of starting a new med or changing dose.

- Characterized by fever, AMS, muscle rigidity, autonomic dysfuncton

- Dantrolene sodium is FDA approved to treat. Muscle relaxant that reduces

hyperthermia/muscle stiffness




QTC interval -measurement of the left ventricle's repolarization efficiency on ECG.


- usually 350-450 (men), 360-460 (women)

-associated with life-threatening cardiac arrhythmias

-antipsychotic and antidepressant drugs can prolong QT intervals, some more than others

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