Exam (elaborations)
NR 566 STUDY GUIDE QUESTIONS AND ANSWERS
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NR 566 STUDY GUIDE QUESTIONS AND ANSWERS
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Name: Score:84 Multiple choice questions
Term 1 of 84
Herpes Simplex Virus
- Avoid foods containing -- Tyramine - could lead to hypertensive crisis
Avocados, figs, sausages, fish, milk products, beer, wine
- Traizolam
- Alprazolam (xanax)
- Chlordiazepoxide (Librium)
- Clonazepam (klonipin)
- Lorazepam (ativan)
Metronidazole 500 mg PO 2 times/day x 7 days
or
clindamycin cream 2% intravaginally at bedtime x 7 days.
Acyclovir 400mg 3 times/day 7-10 days
or
Famciclovir 250mg orally 3 times/day for 7-10 days
Term 2 of 84
TCA - Patient education needed
- Not recommended for postpartum depression
- Pts should be notified about the symptoms of hypertensive crisis - tyramine can
produce life threatening hypertensive crisis
- ECG should be checked, especially in patients with known dysrhythmias or patients
older than 40 years of age.
- Can increase after patients are stabilized on the initial dosage for 1 to 3 months before
an increase in dosage
- May increase risk of suicide in early phase of treatment
- Move slowly when assuming an upright posture
,Term 3 of 84
Lithium (mood stabilizer) - therapeutic drug level
Safe while breastfeeding
B blockers
0.6-0.8 mEq/L
- Butorphanol
Term 4 of 84
Lithium drug drug interactions
- Early on (first few months), the risk of suicide may actually increase.
- Concerns are usually to people under 25 years
- CNS depression
- Cardiac dysrhythmias
- GI effects with excessive doses
Caution in pregnancy
- used for convenience
- BBW: cigarette smoking increases
- thiazide diuretics
- NSAID's
- ARBS
,Term 5 of 84
MAOI - dietary restrictions
- Hypotension, dizziness, fainting, somnolence, and nasal congestion
-Hypotension would be the most concerning because it can lead to inadequate
peripheral tissue perfusion.
- Educate patient that abrupt cessation of these drugs is not recommended. Patients
should also report thoughts of suicide or self harm
- Traizolam
- Alprazolam (xanax)
- Chlordiazepoxide (Librium)
- Clonazepam (klonipin)
- Lorazepam (ativan)
- Avoid foods containing -- Tyramine - could lead to hypertensive crisis
Avocados, figs, sausages, fish, milk products, beer, wine
Term 6 of 84
Symptoms of serotonin withdrawal
- Serum sodium should be checked in older adults and patients on diuretic therapy.
- SSRI & MAOI's when given together causes serotonin syndrome
Zopidem (ambien
Zaleplon (sonata)
Eszopiclone (lunesta)
- generally limited to acute, emergency control of heavy uterine bleeding
, Term 7 of 84
Phenytoin - common side effects and associated patient teaching
- Nystagmus can occur in plasma levels greater than 20ug/ml
- Gingival hyperplasia
- Morbilliform (measles like rash)
--can decreased the effects of oral contraceptives, warfarin, and glucocorticoids
Triazolam: Benzodiazepine
Suvorexant: Orexin antagonist
Ramelteon: Melatonin agonist
Zolpidem, zaleplon, Eszopiclone: benzodiazepine like drug
Secobarbital: Secobarbital
Trazadone & Doxepin: Hypnotics
- Phenytoin reduces the effects of contraceptives. you need to increase the dose or use
another method to prevent pregnancy
- mandates the reporting of serious adverse events for nonprescription drugs and
dietary supplements. The following should be reported: deaths, hospitalizations, life-
threatening experiences, persistent or significant disabilities and birth defects.
Term 8 of 84
First line treatment for acute, mild to moderate migraine without nausea & vomitting
NSAID
- Pts should be informed about signs of hypotension (lightheadedness, dizziness) and
advised to sit or lie down if these occur
- Hypotension can be minimized by moving slowly when assuming an erect posture
- Pt should be warned against participation in hazardous activities until sedative effects
diminish
- Patients should be warned against excessive exposure to sunlight and advised to apply
a sunscreen and wear protective clothing.
- Ambien
- Can cause rhinorrhea, epistaxis, and nasopharyngitis
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