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Simple Nursing Pharmacology Questions And Answers With Verified Solutions Latest Update 2024/2025
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Simple Nursing Pharmacology Questions And Answers With Verified Solutions Latest Update 2024/2025
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Simple Nursing Pharmacology Questions And AnswersWith Verified Solutions Latest Update 2024/2025.
4 rules for antidepressants - ANSWER 1. increased risk for suicide - 18-24yr at risk
2. slow onset and slow taper off - never stop abruptly
3. never mix - SSRIs with St. John's or MAOI with other antidepressants
4. All psych drugs lower BP and cause weight gain
trazodone - ANSWER atypical antidepressent
what should we avoid with trazodone? - ANSWER ETOH and other sedatives
trazodone can lead to this erection complication - ANSWER priapism
bupropion - ANSWER atypical antidepressant
what two things can bupropion be used for? - ANSWER quitting smoking and depression
what can we never do to bupropion? - ANSWER crush, chew, or cut meds
duloxetine - ANSWER SNRI
what type of pain can duloxetine fight? - ANSWER fibromyalgia
clozapine - ANSWER Antipsychotic
risperidone - ANSWER Antipsychotic
normal SE with clozapine/risperidone - ANSWER WG
sedation
hypersalivation
what lab value can drop with clozapine? - ANSWER WBC
clozapine is contraindicated with lcients who have - ANSWER dementia
ziprasidone can lead to - ANSWER widened QT intervals
normal SE of haloperidol (don't need to report) - ANSWER dystonic movements - spasms of
neck, face, tongue
we have to watch out for what syndrome with haloperidol?? - ANSWER neuroleptic malignant
syndrome
sxs of neuroleptic malignant syndrome? what drug do we need to monitor this with? - ANSWER
HALOPERIDOL
,high fever
muscle rigidity/tremors
sweating
sertaline - ANSWER SSRI
citalopram - ANSWER SSRI
escitalopram - ANSWER SSRI
common SE with SSRI - ANSWER WG
sexual dysfunctin
insomnia
3 S with SSRI - ANSWER s - suicide risk
s - slow onset and taper off
s - serotonin syndrome
what herb do we never mix SSRI with? - ANSWER st. john
SRI for sxs of serotonin syndrome - ANSWER sweat, hot fever
rigid muscles (tremors, hyperreflexia)
increased HR
MAOOI for key points with MAOI - ANSWER M - massive HTN crisis
A - avoid tyramine
O - OTC - avoid Calcium, Antacids, Acetaminophen, NSAIDs
O - other antidepressents - need a 2 week wash out period
I - increased suicide
MAOI can lead to massive - ANSWER HTN crisis
foods that contain tyramine - ANSWER aged cheese, pepperoni, salami, avocados, figs, bananas,
smoked fish, protein dietary supplements, soups, soy sauce, some beers, and red wine
WATCH OUT WITH MAOI
we need to wait two weeks after stopping MAOI before we take - ANSWER another
antidepresant
(CAAN) - avoid these OTC with MAOI - ANSWER Calcium
, Antiacids
Acetaminophen
NSAIDs
phenelzine - ANSWER MAOI
isocarboxazid - ANSWER MAOI
selegiline - ANSWER MAOI
amitriptyline - ANSWER TCA
imipraimine - ANSWER TCA
what do we need to teach pts with amitriptyline - ANSWER slow position changes
common SE with impramine - ANSWER photosensitivity
decreased urine
dry mouth
constipation
sweating
seizures
drowsiness
what is the most serious AE with TCA - ANSWER urinary retention
3 key points with amtriptyline or impramine - ANSWER slow position changes
no MAOI
urinary retention
azithromycin - ANSWER macrolide
erythromycin - ANSWER macrolide
macrolides are not hard on the (2) - ANSWER kidney and ears
what will we see on an ECG with azithromycin? - ANSWER prolonged QT intervals
azithromycin is hard on the - ANSWER liver
what OTC med do we avoid with azithromycin? - ANSWER acetaminophen
common SE with azithromycin - ANSWER N&V
fever and decreased WBC
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