NURS 1023 HESI
What is the preferred treatment for PTSD? - Answer- Paroxetine (Paxil)
Controls depression, hypervigilance, and avoidance of social situations.
What info about paroxetine should you communicate with the patient? - Answer- 1. Do not stop abruptly
2. Do not take with aspirin ...
NURS 1023 HESI
What is the preferred treatment for PTSD? - Answer- Paroxetine (Paxil)
Controls depression, hypervigilance, and avoidance of social situations.
What info about paroxetine should you communicate with the patient? - Answer- 1.
Do not stop abruptly
2. Do not take with aspirin - r/o bleeding
A patient with APD is exhibiting rigid extended neck and a thickening tongue. What
med should be administered? - Answer- Benztropine (cogentin)
These are EP symptoms.
A patient is exhibiting rigid extended neck and a thickening tongue. What statements
are true?
1. Continue antipsychotic meds while treating NMS
2. Stop all antipsychotic meds immediately
3. The patient may experience respiratory alkalosis
4. Aggressively treat hyperthermia, if present, w/ cooling blankets & ice packs -
Answer- 2. Stop all antipsychotic meds immediately
4. Aggressively treat hyperthermia, if present, w/ cooling blankets & ice packs
The patient may experience metabolic acidosis r/t rigidity of muscles
What med is used to treat alcohol dependence? - Answer- Disulfiram (Antabuse)
Alcohol antagonist
What info about disulfiram should you communicate with the patient?
1. You may have a metallic or garlic taste in mouth
2. Do not drink alcohol
3. It is safe to continue oral contraceptives
4. Administer antacids at least 2h pre and post admin - Answer- 1. You may have a
metallic or garlic taste in mouth
2. Do not drink alcohol
What are the signs of alcohol withdrawal? - Answer- Increased temp, diaphoretic,
severe headache, increased BP, hallucinations, restlness
Define: antisocial personality disorder - Answer- A persistent pattern of disregard for
and violation of the rights of others; callousness, or lack of empathy, deceitful,
aggressive, manipulative; little to no capacity for intimacy in personal relationships;
failure to conform to social norms and laws
, Treatment for antisocial personality disorder - Answer- Lithium
Therapeutic effects of lithium - Answer- Prevention of extreme mood swings.
Reduces anger, aggressiveness, and combative behavior.
Mood stabilizer
How does caffeine affect lithium? - Answer- Increase lithium excretion
How do thiazide diuretics affect lithium? - Answer- Depletion of Na+ can lead to
lithium toxicity
Medication for schizophrenia - Answer- Haloperidol
How does haloperidol work? - Answer- Works to correct dopamine imbalances in the
brain to improve thinking, mood, and behavior
What info about haloperidol should you communicate with the patient?
1. Take on empty stomach
2. Drink extra fluids
3. Contact HCP w/ irregular heartbeat
4. Avoid taking w/ grapefruit juice - Answer- 2. Drink extra fluids
3. Contact HCP w/ irregular heartbeat
Haloperidol increases r/o dehydration.
Irregular heartbeat can be a sign of NMS
What info about alprazolam (xanax) should you communicate with the patient?
1. Report s/s of constipation
2. Report decreased urination
3. Do not take w/ other meds that make you sleepy
4. Do not take w/ grapefruit juice - Answer- 3. Do not take w/ other meds that make
you sleepy
4. Do not take w/ grapefruit juice
Define: Bipolar DO w/ mania - Answer- Inflated self-esteem, grandiosity, decreased
need for sleep; excessive talking, flight of ideas; easily distracted, engaging in risky
activities.
Define: Major depressive DO - Answer- At least 5 symptoms during the same 2 week
period that include either depressed mood or loss of interest in pleasure; symptoms
can include feeling sad, empty or tearful, inability to feel happy, insomnia or
hypersomnia, unintentional weight loss or gain, feelings of worthlessness, poor
concentration
What tricyclic antidepressant is used to treat major depressive DO? - Answer-
Imipramine (Tofranil)
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