NURS 3381 Medications and Classifications Questions With
Complete Solutions
Acamprosate is also known as: Correct Answers Campral
Alprazolam (Xanax, Xanax XR) belongs to what drug class?
Correct Answers Antianxiety agents; benzodiazepines
Schedule IV drug
Alprazolam (Xanax, Xanax XR): Assessments and
Considerations Correct Answers Monitor CBC, liver, and renal
function throughout therapy - may decrease hematocrit and
cause neutropenia.
Monitor for toxicity or overdose - administer flumazenil
(antidote) if seen; may cause seizures in patients with a history
of seizure disorder or who are taking TCAs.
Alprazolam (Xanax, Xanax XR): Common Side Effects,
Adverse Reactions, and Contraindications Correct Answers
Dizziness, drowsiness, and lethargy.
CI: hypersensitivity, cross-sensitivity with other
benzodiazepines, pre-existing CNS depression, severe
uncontrolled pain, angle-closure glaucoma, obstructive sleep
apnea, pulmonary disease, itraconazole or ketoconazole use, and
lactation.
Alprazolam (Xanax, Xanax XR): Indications Correct Answers
GAD
Panic disorder
,Anxiety associated with depression
Alprazolam (Xanax, Xanax XR): MOA and Therapeutic
Effect(s) Correct Answers MOA: acts at many levels in the
CNS to produce anxiolytic effect; may produce CNS depression,
and effects may be mediated by GABA (an inhibitory
neurotransmitter).
Relief of anxiety.
Alprazolam (Xanax, Xanax XR): Route, Onset, Peak, Half-life
and Duration Correct Answers Half-life: 12-15 hours
PO
Onset: 1-2 hours
Peak: 1-2 hours
Duration: up to 24 hours
Alprazolam is also known as: Correct Answers Xanax
Amitriptyline (Elavil) belongs to what drug class? Correct
Answers Antidepressants; TCAs
Amitriptyline (Elavil): Assessments and Considerations Correct
Answers Patients taking high doses or with a history of CV
disease should have ECG monitored periodically during therapy.
Monitor BP before and during therapy - notify HCP if there's a
10-20 mm Hg decrease or sudden increase in HR.
Assess leukocyte, CBC with differential, liver function, and
serum glucose - may increase serum bilirubin and alkaline
, phosphatase, may decrease bone marrow, and may change
serum glucose levels.
Amitriptyline (Elavil): Common Side Effects, Adverse
Reactions, and Contraindications Correct Answers Blurred
vision, dry eyes, dry mouth, hypotension, constipation, lethargy,
sedation, suicidal thoughts, arrhythmias, torsade de pointes.
CI: angle-closure glaucoma, known history of QTc interval
prolongation, recent MI, heart failure, and lactation.
Amitriptyline (Elavil): Indications Correct Answers Depression
Anxiety
Insomnia
Treatment-resistant depression
Chronic pain syndromes (fibromyalgia, neuropathic pain,
headaches, low back pain)
Amitriptyline (Elavil): MOA and Therapeutic Effect(s) Correct
Answers MOA: potentiates the effect of serotonin and
norepinephrine in the CNS; has significant anticholinergic
properties.
Antidepressant action.
Amitriptyline (Elavil): Route, Onset, Peak, Half-life and
Duration Correct Answers Half-life: 10-50 hours
PO
Onset: 2-3 weeks (up to 30 days)
Peak: 2-6 weeks