Exam Bank Solution Manual for 472 psychopharm Rated 100%
What are SSRIs used for in relation to anxiety? - Answers GAD, panic, and social anxiety
what are some of the common ssri's - Answers citlopram, escitalopram, fluoxetine, fluvoxamine,
paroxetine, sertaline, vilazodone
what drug class is the first line treatment for trauma and stress related disorders? - Answers ssri's
what are the side effects of ssris? - Answers nausea, diaphoresis, tremor, fatigue, (later effects include
sexual dysfunction, weight gain, headache), weight gain, gi bleeding, hyponatremia, and bruxism (night
time grinding of teeth).
what are side effects of lithium ? - Answers diaphoresis, weakness, and nausea (watch for an increase in
severity if toxicity occurs)
a nurse can anticipate anticholinergic side effects will take place when a patient takes what drug? -
Answers haloperidol (the first generation anti-cholinergic drugs will have this )
a nurse tells a patient taking a MAOI to avoid foods high in tyramine why? - Answers tyramine can lead
to hypertensive crisis
what foods have tyramine? - Answers smoked or pickled foods..so pickles, cheeses, meats, sauerkraut,
pickled fish, soy sauce, figs, bananas, liver, bologna, pepperoni, salami, avacodos, beans, soybean paste
what drug type should the nurse be aware and most alert for changes in blood pressure? - Answers
SNRIs (because it is a norepinephrine re-uptake inhibitor alters the NE in the body and that is a
sympathoneumetic)
why might the drug olanzapine (zyprexa) be added as a prescription for a patient who has lithium as a
prescription but relapsed after not taking it? - Answers it will help bring the hyperactivity under control
what is the normal therapeutic lithium level? - Answers 0.8-1.4 (I believe is what she stated, please let
me know if you have something different) (maintenance is 0.4-1.3)
a teaching plan for a patient who is taking lithium should include what? - Answers eat a normal salt and
fluid diet
a patient with bipolar disorder has been taking lamotrigine (lamictal) for the past 3 months with an
excellent response, what would indicate a patient needing immediate attention? - Answers a rash on the
chest and abdomen (stevens Johnson syndrome)
a patient who is on lithium calls into the clinical and says that she has had diarrhea for four days and it
seems like she is weak and unsteady when she walks, the tremor in her hand has gotten worse as well,
as a nurse, what do you do for this? - Answers you tell the patient to have someone bring her in
immediately
, a patient has been taking amitriptyline (elavil) daily for almost a year and then she says that she stopped
taking it suddenly and all the sudden she has the cold sweats, nausea, rapid heart beat, terrible
nightmares, what do you tell the patient? - Answers you tell the patient that it may be a withdrawal and
tell her to take one of her elavil and contact her doctor
the spouse of a man being treated with zoloft calls and reports that he had a grand mal seizure, before
the seizure the pateint felt hot and the patient does not have a history of seizures, what should the
nurse tell the spouse what to do? - Answers tell to hold meds and call 911 for transport to the hospital
what happens in serotonin syndrome? - Answers there is agitation, confusion, disorientation,
hyperreflexia, fever, diaphoresis, incoordination, and tremors...can have high blood pressure,
tachycardia...* If severe it can have high fever, seizures, irregular heartbeat, and unconsciousness*
what may occur 2-72 hours after treatment with ssri begins and resolves when medication stops -
Answers serotonin syndrome
what are the withdrawal symptoms of ssris? - Answers nausea, sensory issues, anxiety, tremors, malaise,
unease, (can be avoided by tapering the medicaiton slowly *DO NOT ABRUPTLY STOP TAKING SSRIs*)
what happens when SSRIs are taken with MAOIs or TCAs? - Answers it is contraindicated because it can
cause serotinin syndrome....
how long should you discontinue an MAOI before taking an SSRI? - Answers 14 days
can you use SSRIs with coumadin? - Answers nah, it increases the ptt and inr
why should you not use alcohol with SSRIs? - Answers basically it puts more stress on the liver and
potentiates the effects
should ssris be taken with food? - Answers sure, to minimize gi distress
how can sleep disturbances associated with SSRIs be reduced? - Answers take it in the morning
how long does it sometimes take for SSRIs to work? - Answers four weeks,
what effect do SSRIs have on lithium? - Answers they can increase the level of lithium
how is the evaluation of SSRIs done? - Answers is there a normal sleep pattern, does the person feel
more relaxed, and does the patient have a greater ability to participate in social and occupational
intereactions
what are TCAs used for? - Answers ocd in children and depressive disorders
what are the medications for TCAs - Answers amitriptyline, clomipramine (ocd for kids), imipramine,
notriptyline
