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2024 PHARMACOLOGY MODULE 10 EXAM WITH CORRECT ANSWERS
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2024 PHARMACOLOGY MODULE 10 EXAM WITH CORRECT ANSWERS
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2024 PHARMACOLOGY MODULE 10EXAM WITH CORRECT ANSWERS
haloperidol indications - CORRECT-ANSWERSacute/chronic psychoses,
dementia, schizophrenia, tourettes
haloperidol MOA - CORRECT-ANSWERSblock dopamine receptors + high D2
affinity
haloperidol contraindications - CORRECT-ANSWERSglaucoma, sedation,
severe liver/kidney/cardiovascular disease, blood dyscarias
haloperidol interactions - CORRECT-ANSWERS- cns dep + alcohol - increased
sedation
- anticholinergics - increased toxicity
- phenobarbital, carbamazine, caffeine - decreased effects
- tramadol - increased seizures
haloperidol adverse effects - CORRECT-ANSWERSsedation, anticholinergic,
eps, nms, seizures
haloperidol nursing considerations - CORRECT-ANSWERSgive for acute
events dealing w agitation
anticholinergic s/s - CORRECT-ANSWERSdry mouth, blurred vision,
photosensitivity, constipation, urinary retention
clozapine - CORRECT-ANSWERS- severely ill schizophrenia pt intolerant of
typical
- blocks dopamine but mostly D4
aripiprazole - CORRECT-ANSWERSblocks serotonin + dopamine D4
- AE - weight gain
olanzapine - CORRECT-ANSWERSno agranulocytosis, less likely eps
risperidone - CORRECT-ANSWERSno agranulocytosis, low eps incidence
- AE - eps, insomnia, akathisia
ziprasidone - CORRECT-ANSWERScaution in cardiac pt
, - prolongs QT interval, monitor EKG
atypical antipsychotics nursing considerations - CORRECT-ANSWERSmonitor
weekly WBC count, stop if <3000
antipsychotics general nursing considerations - CORRECT-ANSWERS- assess
weight, vitals, renal function, glaucoma, cardiac history
- give orally w food/milk to minimize GI upset
- give IM into deep muscle with large gauge needle (>21)
- admin within 15min of prep
- drug may take 3-6weeks to be effective
- avoid alcohol + cns depressants
deconate administration - CORRECT-ANSWERSz tract injection (airlock)
- draw up 0.2-0.5mL air before giving injection to lock meds into tissue
- air is the last thing to go in
non pharmacologic anxiety interventions - CORRECT-ANSWERSdeep
breathing, guided imagery, music, psychotherapy, support groups
-lam, -pam nursing considerations - CORRECT-ANSWERS- asses vitals (drugs
lower BP + HR), renal function
- bed alarm
- mostly taken PRN
- assess suicidal thoughts
buspirone indication - CORRECT-ANSWERSanxiety
buspirone MOA - CORRECT-ANSWERSbinds to serotonin + dopamine
receptors
buspirone interactions - CORRECT-ANSWERSgrapefruit juice - toxicity
busprione adverse effects - CORRECT-ANSWERSdrowsiness, dizziness,
headache, nausea, nervousness, excitement
buspirone nursing considerations - CORRECT-ANSWERS- take on a scheduled
basis
- may take 1-2 weeks to become fully effective
lithium indications - CORRECT-ANSWERSmanic episodes in bipolar psychosis
lithium MOA - CORRECT-ANSWERSalters ion transport in nerve and muscle
cells and increases receptor sensitivity to serotonin
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