Exam 1: NU R 210/ NUR210 (Latest 2023/ 2024) Principles of Pharmacology Exam| Questions and Verified A nswers | Grade A | Galen Q: Antipsychotic - Haloperidol ? Answer: Uses: Schizophrenia, Acute sycosis S/E: Dry mouth, Sedation Adverse reactions/ Toxicity: EPS(Tremors) NMS(fever, rigidity) Contradictions: Mood stabilizers & antipsychotics Q: Atypical Antipsychotic - Aripiprazole ? Answer: Uses: Schizophrenia S/E: Dryness, Weight gain, Drowsy, Sedation anticholinergic effects Adverse reactions/ Toxicity: Suicidal ideation, EPS, NMS Pt teaching: Nursing considerations: Wont work overnight about 3 weeks Lab values: Monitor CBC, blood glucose, cholesterol levels Q: SNRI - Venlafaxine ? Answer: Uses: anti - depression S/E: Dryness, urinary retention Adverse reactions/ Toxicity: Renal failure, Steven Johnson Syndrome Lab values: BUN, Creatine Q: Tricyclic - Amitriptyline ? Answer: uses: depression Q: MAO inhibitor - Phenelzine Sulfate ? Answer: Uses: Depression S/E: Agitation, Restless, Dizzy, Drowsiness Adverse reactions/ Toxicity: Hypertensive crisis PT teaching: Stay away from foods with tyramine & cold meds Nursing considerations: Stay away from herbal remedies Q: Mood Stabilizer - Lithium ? Answer: Uses: Bipolar disorder S/E: Headache, Drowsy, Drop in BP Adverse reactions/ Toxicity: Seizure activity due to drop in sodium, Toxicity Pt teaching: Take around the same time daily Lab values: Anything over 1.5 is toxic Q: SSRI - Fluoxetine ? Answer: Uses: Depression S/E: Headache, Sexual dysfunction Adverse reactions/ Toxicity: Drop in blood sugar, Seizures, Steven Johnson Syndrome, suicidal Ideations Pt teaching: Take at the same time daily. Nursing considerations: Watch over suicidal thoughts Q: Medications cannot be taken with ___________ ? Answer: herbals or antacids Q: What kind of tablets can not be crushed ? Answer: Enteric coated Q: What is a loading dose ? Answer: A large volume of medication to start working on the problem Q: Side effects ? Answer: Side effects are secondary effects of drug therapy. They are predictable and can range from inconvenient to severe or life threatening. All drugs have side effects. The occurrence of side effects is one of the primary reasons patients stop taking their pre scribed medicines. Our role as nurses are to educate patients about a drug's side effects and encouraging them to report side effects. Q: Adverse effects ? Answer: Adverse effects are unintentional, unexpected reactions to drug therapy that occur at normal drug dosages. May be mild to severe and include anaphylaxis. Adverse drug reactions are always undesirable and must be reported and documented. "but did it kill yo u?"
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