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pharmacology exam 2 NUR 2060 -part 2 CNS Questions With Complete Solutions
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pharmacology exam 2 NUR 2060 -part 2 CNS Questions With Complete Solutions
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pharmacology exam 2 NUR 2060 -part 2 CNS QuestionsWith Complete Solutions
absence seizures (petit mal) Correct Answer loss of
consciousness for a brief period of time
-mild, symmetric motor activity or no activity
-primarily in children
acute therapy for depressive episode Correct Answer -mood
stabilizer alone or with atypical antipsychotic
-use of antidepressants is controversial as may produce manic
state
acute therapy for manic episode Correct Answer -valproic acid
(Depakote)
-lithium
ADRs of benzodiazepines Correct Answer -CNS depression
-anterograde amnesia (new info)
-respiratory depression
-abuse potential (schedule IV)
-additive effects w alcohol and opioids
-tolerance and dependence
-teratogenesis
-avoid in pregnancy and lactation
alprazolam (Xanax) Correct Answer used for panic disorder
and generalized anxiety disorder
benzodiazepine
amitriptyline (Elavil) Correct Answer TCA
,amphetamine mixtures (Adderall) Correct Answer CNS
stimulants- sympathomimetic
-used for ADHD, narcolepsy, obesity
-blocks reuptake and increases release of norepinephrine and
dopamine
-BBW: risk for addiction and ause/misuse
antipsychotic ADRs Correct Answer -neuroleptic malignant
syndrome: fever which is sudden and high, "lead pipe" rigidity,
tachycardia, hypertension, seizures, resp distress
-life threatening, if history of this, never give drug again
-4% death rate
aripiprazole (Abilify) Correct Answer atypical (second
generation) antipsychotic agent
-schizophrenia, bipolar, adjunct for major depressive disorder
-side effects: EPS, headache, weight gain, fatigue,
hyperglycemia, hyperlipidemia
-BBW: suicidality (always asses for psych meds)
atomexetine (Strattera) Correct Answer Non-CNS stimulant,
used for ADHD
-selectively inhibits norepinephrine uptake
-side effects: decreased appetite, mood swings, somnolence,
disrupted sleep patterns, liver toxicity risk
-BBW: suicidality
-do not mix w MAOIs
, atonic seizures Correct Answer sudden loss of muscle tone and
dropping of a limb or slumping to the ground; results in
dramatic falls.
baclofen (Lyvispah) Correct Answer skeletal muscle relaxant
for spasticity
-suppresses hyperactive reflexes involved in regulation of
muscle movement
-relieves spasticity of MS, cerebral palsy, and spinal cord injury
-reduces spasms, decreases pain, improves performanct
-ADRs: drowsiness, dizziness, weakness, fatigue (CNS
depression)
-nursing implications: titrate dose slowly, do not stop abruptly,
carry ID on at all times that describes medical regimen- apt
withdrawal can cause hallucinations and seizures
barbituates Correct Answer Drugs that are used to induce sleep
or reduce anxiety. Act as depressants.
ultra short acting- starts acting in 1 minute, used for anesthesia
initiation and maintenance
short to intermediate acting- starts acting in 15 min, used for
procedural sedation
long acting- starts acting in 1 hour, used for seizure, epilepsy,
sedation
benztropine (Cogentin) Correct Answer anticholinergic agent
used for Parkinson's disease
-reduces tremor and rigidity, not bradykinesia
-used in early stages and in younger patients
-sympathetic response is side effect
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