NUR 213 Pharmacology with 100%
fully solved questions(graded A+)
Lithium indication/ interventions - answer Mgmt of manic phase of
Bipolar Disorder/ Prevention of manic-depressive psychosis; Encourage 10-
12 glasses water/day & adequate salt intake; take w/ meals to avoid GI
upset; target lithium level - 0.8-1.2 & level are drawn frequently (@ 1st
twice a wk then q 2-3 months
Use cautiously in clients w/ renal dysfunction, heart dx, hyponatremia &
dehydration.
Side Effects of Lithium - answer Hyponatremia, ataxia, HA, dysrhythmias,
dry mouth, fine hand tremors, polyuria, impaired vision, drowsiness,
dizziness, V/D
Donepezil Indication/Interventions - answer Mgmt of dementia in
Alzheimer's dx; take @ same time qday, give w/ meals to decrease GI
upset, educate pt. drug does not cure but stabilizes sx's
Donepezil Side effects - answer Hypo/HTN, UTI, rash, dark
urine/sweating, hyperlipidemia, fatigue, insomnia, dizziness, HA, N/V/D
Carbidopa-levodopa Indication/Interventions - answer Tx of Parkinson dx
& syndrome; Monitor for impaired voluntary movements, admin. during
wake/walking hrs, change positions slowly, take w/ food, protein decreases
the effect of med
Carbidopa-levodopa Side effects - answer Twitching, HA, dizziness, dark
urine/sweat, blurred vision, orthostatic hypotension, hemolytic anemia,
rash, increased LFTs, N/V
Fluoxetine Indication/Interventions - answer Tx of major depression,
OCD, bulimia, premenstrual dysphoric disorder & panic disorders; Can take
wks for effects, monitor for SI, avoid alcohol, may cause serotonin
syndrome
, Fluoxetine Side effects - answer Sexual dysfunction, dyspnea,
hyponatremia, cough, visual changes, tachycardia, drowsiness, UTI, rash,
insomnia, hot flashes, palpitations, N/D
Quetiapine Indication/Interventions - answer Tx of bipolar disorder,
depression & schizophrenia; Change positions slowly, monitor for increase
SI; monitor CBC & LFT, educate pt to have routine eye exams q6 months
Quetiapine Side effects - answer Drowsiness, orthostatic hypotension ,
dry mouth, extrapyramidal sx, hyponatremia, vision problems, wt. gain,
nausea, *neuroleptic malignant syndrome (Life threatening)*
Chlorpromazine Indication/Interventions - answer Tx of psychotic
disorders & severe N/V; Can darken urine, *HIGHEST risk for
extrapyramidal sx & neuroleptic malignant syndrome*, change positions
slowly, monitor for increase in SI, monitor CBC & LFT, educate pt to have
routine eye exams q 6 months
Chlorpromazine Side effects - answer Drowsiness, orthostatic
hypotension , dry mouth, extrapyramidal sx, hyponatremia, vision
problems, wt. gain, nausea, *neuroleptic malignant syndrome (Life
threatening)*
Aripiprazole Indication/Interventions - answer Tx of psychotic disorders &
adjunct for depression; monitor weight.. Can extrapyramidal sx and
neuroleptic malignant syndrome.
Aripiprazole Side effects - answer Wt. gain, insomnia, vomiting, blurred
vision, orthostatic hypotension
Amiodarone Indication/Interventions - answer Mgmt of ventricular
arrhythmias not controlled by 1st line agents; teach pt to check radial
pulse & take exactly as ordered @ same time each day
Amiodarone Side effects - answer Dizziness, fatigue, bradycardia,
hypotension, rash, hepatotoxicity, photosensitivity