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NURS 6501 Final Exam |Questions and answers with 100% correct solutions | A+ Grade
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NURS 6501 Final Exam |Questions and answers with 100% correct solutions | A+ Grade
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NURS 6501 Final Exam |Questions andanswers with 100% correct solutions |
A+ Grade
What is discontinuation syndrome (from SSRIs)?
"FINISH" ✔✔2-3 days after stopping SSRIs abruptly
F: flu-like SS
I: insomnia
N: nausea
I: imbalance
S: sensory disturbances
H: hyperarousal
Bupropion
- MOA
- BENFITS
AE
CONTRA ✔✔MOA
- act to inhibit reuptake of NE, dopamine, and serotonin
BENFIT
,- Depression
- Smoking cessation
- Seasonal affective disorder
- Treat sexual dysfunction relative to SSRI therapy
AE
- weight loss
- increases libido ⇒ combine with SSRI
- can cause seizures by lowering the seizure threshold
CONTRA
- History of seizures
- Do not prescribe to pts with psych disorders ⇒ ↑ risk for delusions or hallucinations
RF for ETOH abuse 4 ✔✔Younger adults (18-29 yrs)
Men > women
Native americans
Genetics (low response to ETOH), environment (peer influences), specific personality traits (impulsivity,
extroversion), cognitive fxn
What are predisposing factors impacting the likelihood of someone developing a SA issue?
✔✔Predisposing Factors:
- Unhealthy use of one substance increases the likelihood of unhealthy use of other substances
, - Family history
- Social history
- Partner or friends with SA, living in a community with poverty, violence, and/or high ETOH/drug use
Use of:
- Caffeine, tobacco, ETOH, prescription meds, marijuana, illicit drugs
- Mental health disorders
- Highest in personality disorders
What is withdrawal ✔✔process of removal of the drug of dependence from the body
SS of substance abuse withdrawal 3 ✔✔Can last days to
weeks - NVD
- Flu-like SS: lacrimation, rhinorrhea, diaphoresis, shivering, piloerection
- SNS/CNS Arousal: mydriasis, mild HTN and tachy, anxiety, irritability, insomnia, agitation, restless
leg, general restlessness, tremor, low grade temp
Which medications are central nervous system sedatives? ✔✔Include sedatives, tranquilizers,
hypnotics - Good for treating anxiety, panic, acute stress reactions, sleep disorders
Examples:
Benzos:
- Diazepam (valium), clonazepam (klonopin), alprazolam (xanax)
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