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NUR 909 Midterm Exam Questions And Answers
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NUR 909 Midterm Exam Questions And AnswersWhat scheduled medication class are the stimulant medications? What does this mean
in terms of prescribing? Schedule 2 -prescriptions can't be faxed or called into a
pharmacy must be written/printed or e-prescribed and refills not allowed
What are some of the stimulant medications used in the treatment of ADD/ADHD?
Methylphenidate (Ritalin)
Dexmethylphenidate (Focalin)
Mixed amphetamine salts (Adderall)
Dextroamphetamine (Dexedrine)
Lisdexamfetamine (Vyvanse)
Adverse Effects of Stimulants Anorexia/decreased appetite
Insomnia
Irritability
Increased BP & HR
Growth suppression
Tics
Hallucinations
Atomoxetine (indication, mechanism of action, adverse effects) - Answer Indication:
non-stimulant medication used in the treatment of ADD/ADHD
Mechanism of action: selective norepinephrine reuptake inhibitor (SNRI)
Adverse effects: stomach upset, insomnia, dizziness
,Bupropion (uses, mechanism of action, adverse effects, precautions) - Answer Uses:
depression, tobacco cessation (SR formulation), ADD/ADHD (off-label)
Mechanism of action: dopamine-norepinephrine reuptake inhibitor
Adverse effects: insomnia, dry mouth, diarrhea
Precautions: seizures risk-avoid in seizure history or patients at risk for seizure; may
exacerbate anxiety in anxiety disorder patients
Aside from the treatment of hypertension, for what is clonidine and guanfacine used?
-Answer Non-stimulant medications used in the treatment of ADD/ADHD (commonly
used to treat the aggressive behaviors associated with ADHD)
For patients with sexual dysfunction on an SSRI, which medication can be added to their
regimen that may help improve symptoms? -Answer Bupropion
Prior to and during the initiation of stimulant therapy, what are important monitoring
parameters? -Answer Cardiac history -assess for any known personal/family history of
heart disease, history of syncope with exercise, and family history of sudden
unexpected death under the age of 40
HR & BP to be monitored at baseline and then every 3-6 months
ECG prior to initiation of therapy - this is on the basis of clinical judgement
What is the mechanism of action of the stimulant medications? -Answer Increase the
levels of dopamine, serotonin, and norepinephrine in the brain. This action stimulates
the reward center in the brain and produces a sense of well-being; because of this
response these drugs have considerable potential for abuse.
, Primary drug classes used in the treatment of bipolar disorder - Answer Mood
stabilizers & atypical antipsychotics
1st Gen/Typical Antipsychotics examples, adverse effects Answer Examples:
haloperidol (Haldol), prochlorperazine (Thorazine), thioridazine (Mellaril)
Adverse effects: extrapyramidal symptoms (EPS)
2nd Gen/Atypical Antipsychotics examples, adverse effects Answer Examples:
clozapine (Clozaril), olanzapine (Zyprexa), quetiapine (Seroquel), aripiprazole (Abilify),
ziprasidone (Geodon), risperidone (Risperdal)
Adverse effects: weight gain, hyperlipidemia, blood glucose abnormalities, EPS (less
likely with this class)
Extrapyramidal Symptoms Answer Akathisia (restlessness)
Acute dystonia (involuntary muscle contractions)
Parkinsonism (rigidity, bradykinesia, tremors, shuffling gait)
Tardive dyskinesia (lip smacking, tongue movements, chewing motions)
Injectable and long-acting injectable atypical antipsychotics - Answer Injectable:
aripiprazole (Abilify), olanzapine (Zyprexa), ziprasidone (Geodon)
Long-acting injectable: aripiprazole (Abilify), olanzapine (Zyprexa), ziprasidone
(Geodon), paliperidone (Invega)
Mood Stabilizers - Answer Lithium
Valproic Acid
Carbamazepine
Lamotrigine
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