Neurological System Part 1 Test Questions an d Answers SE of ambien ✅non-benzodiazepine enhance inhibitory effects of GABA *daytime drowsiness, headaches, anxiety, dizziness, diplopia, confusion in older adults *Amnesia (inability to recall recent events - ambulating, eating, driving) Pt teaching with Restoril ✅-take temazepam about 30 minutes 30 minutes before bedtime and ensure 8 hrs for sleep -do no take temazepam with alcohol or other depressants -stop taking drug and notify provider if there is a paradoxical reaction -Pts develop a tolerance to benzodiazepines over time, so make sure that patients take the drug only as long as necessary. Tell patients taking a benzodiazepine for several weeks to decrease use of the drug slowly to prevent withdrawal symptoms Adverse effects of sumatriptan (Imitrex) ✅-chest pressure / feeling of heaviness in the chest may result ffrom vasoconstriction of blood vessels in the lungs and esophsagus and broncho -coronary vasospasm of coronary vessels causing anginal pain -CNS effects (tingling sensation, vertigo) Side effect Depakote ✅-gastrointestinal upset -bruising, bleeding, prolonged bleeding time, decreased platelets -skin rash -liver toxicity (potentily fatal) -hyperammonemia ( an increase in the level of ammonia in the blood, can occur due to valporic acid's ability to alter fatty -acid metabolism. Subsequently, you need to monitor patients taking valporic acid for S&S of hepatitis and pancreatitis. Therapeutic effect of Versed ✅-ability to provide sedation before the administration of general anesthesia to induce a state of moderate or conscious sedation with the induction of amnesia during procedure , such as endoscopy or colonoscopy - works as a supplement to inhalation anesthesia for surgery SE of lidocaine (Xylocaine); ✅-occur only in relation to systemic absorption of high doses -stimulation of the CNS, resulting in restlessness, irritability, tremors, confusion, convulsions -CNS depression occurs after the CNS stimulation effects resolve, and can be severe enough to cause respiratory depression -Hypotension can be an adverse effect of spinal anesthesia -IV lidocaine - life threatening if taken in high doses
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