NR 566 / NR566 Advanced Pharmacology Care of the Family Final Exam | Rated A| Latest 2022/2023| Chamberlain

NR 566 / NR566 Advanced Pharmacology Care of the Family Final Exam | Rated A| Latest 2022/2023| Chamberlain 1. How to minimize adverse effects when using lithium - Educate patient on signs of toxicity including nausea vomiting tremor confusion blurred vision and tinnitus 2. Antiepileptic drugs used to treat bipolar disorder - Carbamazepine and divalproex sodium 3. Blackbox warning for divalproex sodium - Serious or fatal hepatic failure and pancreatitis has occurred with use of Depakote ER Linked to fetal risk like neural tube defects other malformations and decreased IQ 4. Blackbox warning of carbamazepine - Fatal dermatologic reactions Including toxic epidermal necrosis and Steven Johnson syndrome - Aplastic anemia and a granulocytosis 5. Blackbox warning for lamotrigine - Fatal dermatologic reactions like SJS and TEN 6. Blackbox warning for use of antipsychotic drugs - Increase mortality in older adults when used in patients with dementia related psychosis 7. How are antipsychotic drugs used to treat bipolar disorder - Acutely control symptoms during manic episodes - Long-term to help stabilize mood 8. What drugs do antipsychotic Interact with ? - Anticholinergenic drugs - CNS depressants - Levadopa and direct dopamine receptor agonists 9. How to treat depression in patients w fatigue, insomnia, sexual dysfunction, and pain ? - For a patient with fatigue, choose a drug that causes central nervous system (CNS) stimulation (e.g., fluoxetine, bupropion). - For a patient with insomnia, choose a drug that causes substantial sedation (e.g., mirtazapine). - For a patient with sexual dysfunction, choose bupropion, a drug that enhances libido. - For a patient with chronic pain, choose duloxetine or a TCA, drugs that can relieve chronic pain. 10. treatment of depression - SSRIs (first-line) 11. How to manage depression treatment - 4-8 weeks start w low dose and titration up - Increase the dosage. - Switch to another drug in the same class. - Switch to another drug in a different class. - Add a second drug, such as an atypical antidepressant. - Once symptoms resolve continue for 4-9 months to prevent relapse