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CNM Exam Meds Questions And Correct Answers
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CNM Exam Meds Questions And Correct Answerscyclobenzaprine (Flexeril)
skeletal muscle relaxant
tx LBP
MOA: decreases tonic somatic motor activity in the brain stem
-somnolence may occur
-potentializes alcohol and other CNS depressants
-increased risk for HTN crisis w/ MAO inhibitors
-limit to 1-2 weeks at most
-avoid use in elderly adults
-not recommended in pregnancy
triptans (sumatriptan, zolmitriptan, rizatriptan)
first line tx for moderate to severe migraine HAs
MOA: selective serotonin agonists
-may initially cause chest/throat tightness, flushing, numbness, tingling, dizziness
should not use w/in 24 hrs of another triptan or any ergotamine containing drug
c/i w/ CAD, HTN
preg only if BOR, highest concern at end of pregnancy
ergotamines (ergotamine, dihydroergotamine/parenteral and nasal spray)
second line tx migraine HAs
nonspecific serotonin agonist and vasoconstrictor
do not give with a triptan
c/i with CAD, HTN
, c/i pregnancy
propanolol
beta blocker
can be used as migraine prevention
timolol
beta blocker
can be used as migraine prevention
verapamil
calcium channel blocker
can be used as migraine prevention
valproic acid
antiepileptic
can be used as migraine prevention
divalproex
antiepileptic
can be used as migraine prevention
topiramate
antiepileptic
can be used as migraine prevention
butalbital
barbituate
tx episodic tension HAs
MOA: muscle relaxant (low dose), hypnotic (high dose)
-may cause drowsiness, lightheadedness
-potentiates effects of alcohol, other CNS depressants
-avoid use with hepatic impairment
-pregnancy if BOR
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