Exam (elaborations)
MARYVILLE UNIVERSITY PHARMACOLOGY NURS-615 EXAM 2
- Course
- Institution
MARYVILLE UNIVERSITY PHARMACOLOGY NURS-615 EXAM 2
[Show more]
Content preview
MARYVILLE UNIVERSITY PHARMACOLOGY NURS-615EXAM 2
How does carbamazepine work? - Answers-Works by decreasing nerve impulses that
cause seizures and pain
How often should carbamazepine lab values be monitored? What labs? - Answers-CBC
q 3-4 months
What anti-seizure med auto induces metabolism? - Answers-Carbamazepine
What medication decreases the production of RBCs, WBCs, and platelets? - Answers-
Carbamazepine
What medication affects Lamictal? - Answers-OCPs decrease the effects of this drug, so
the dose must be doubled
Can valproate (Depakote) be used during pregnancy? - Answers-It is a known
teratogen. If needed, must be used after 1st trimester.
What must be ruled out in patients before starting an anti-depressant? - Answers-
hypothyroidism
Anti-depressant that is to be used with caution in cardiac patients due to behaving like
class 1 anti-arrythmics? - Answers-TCAs
TCA side effects are mainly of what type? - Answers-Anti-cholinergic
What is a first-line antidepressant in children? - Answers-fluoxetine (Prozac)
How do you discontinue an SSRI? - Answers-Taper by reducing the dose by 50% for 3-
4 days
When are MAOIs effective? - Answers-In atypical depression or Parkinson's
Why are MAOIs reserved for last line of treatment? - Answers-Lethal drug interactions
and food interactions
How long before starting a new antidepressant after MAOIs? - Answers-At least 2
weeks to clear it from system
What are high tyramine foods and when are they contraindicated? - Answers-
Fermented foods; aged cheese, wine alcohol
Contraindicated with MAOI use
, Important drug interaction and side effect with MAOIs? - Answers-Avoid other serotonin
drugs and watch for hypertensive crisis
What anti-depressant may have sleep issues if taken at night? - Answers-fluoxetine
(Prozac) (SSRI)
How do SSRIs work? - Answers-They block the reuptake of serotonin at the synaptic
cleft so there is more serotonin around
How are sexual side effects linked to SSRIs? - Answers-Sexual side effects may start
after 1 month; especially common in Paxil
How long does it take for SSRIs to work? - Answers-2-6 weeks; usually within 4 weeks;
some symptoms may improve within 1 to 2 weeks
What medication is a seroternergic 5-ht receptor partial agonist (partial alpha 1 receptor
agonist)? - Answers-buspirone (Buspar)
What is carbamazepine half-life? - Answers-Single dose: 30 hours
Multiple dose: 15 hours
What is a great risk of seizure potential while taking anti-seizure medications? -
Answers-Stopping the medication abruptly.
What type of medication is topiramate (Topamax)? - Answers-Anti-seizure med
What does topiramate cause? - Answers-Electrolyte imbalance -- hyperchloremic
metabolic acidosis
What are adverse effects of topiramate? - Answers-Weight loss, high temperature, and
inability to sweat
What is special about buspirone (Buspar)? - Answers-It has both anti-anxiety and anti-
depressant effects.
How is treatment with buspirone (Buspar) usually conducted? - Answers-Can be
combined with an SSRI to treat patients with agitated or anxious depression
Benzodiazepines affect what neurotransmitter and how? - Answers-Increases the
effects of GABA
What medications results in a sedative, hypnotic, anxiolytic, and muscle relaxer effect? -
Answers-Benzodiazepines
What anxiolytic has the greatest risk for dependence and resistance? - Answers-
alprazolam (Xanax)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78462 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now