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Pharmacology Module 10 Part A (UT Arlington 2198-NURS-UL-3365 PHARMACOLOGY IN NURSING) Qs & As
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Pharmacology Module 10 Part A (UT Arlington 2198-NURS-UL-3365 PHARMACOLOGY IN NURSING) Qs & As
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Pharmacology Module 10 Part A (UT Arlington2198-NURS-UL-3365 PHARMACOLOGY IN
NURSING) Qs & As
May not be effective until 1 to 2 weeks after continuous use Correct Ans-Buspirone
Alteration of ion transport in muscle and nerve cells Correct Ans-Lithium
Increased receptor sensitivity to serotonin Correct Ans-Lithium
Adverse Effects: Headache, drowsiness, dizziness, hypotension, dysrhythmias, Restlessness,
slurred speech, dry mouth, metallic taste, GI distress, tremors, muscle weakness, edema of
hands and ankles, increased urination, blood dyscrasias, nephrotoxicity Correct Ans-Lithium
Lithium Therapeutic serum range Correct Ans-0.5 to 1.5 mEq/L
Increased lithium level with Correct Ans-diuretics, methyldopa, haloperidol, NSAIDs,
antidepressants, theophylline, phenothiazines
Lithium and sodium are similar in structure, as a consequence Correct Ans-the kidney can
have trouble telling the difference between the ions.
, Lithium: Maintaining adequate ____levels helps keep the patient within the therapeutic range.
Correct Ans-sodium
Lithium: The patient on a diuretic will be at greater risk of Correct Ans-sodium depletion,
which leads to toxic levels of lithium in the body.
Lithium, Teach patient signs of toxicity: Correct Ans-persistent nausea, vomiting, severe
diarrhea, slurred speech, blurred vision increased thirst, increasing tremors, lack of
coordination, confusion, drowsiness, dysrhythmias, seizures, coma
Lithium: Encourage the patient to avoid what substances? Correct Ans-caffeine(can cause
manic-episodes), crash diets, NSAIDs, diuretics(wastes sodium).
Lithium can be taken with or without food? Correct Ans-Lithium should be taken with food
to decrease GI distress
Not recommended for patients with chronic cardiac problems or seizure disorders Correct
Ans-Tricyclic Antidepressants - amitriptyline and nortriptyline
Major depression and agitated depression Correct Ans-Tricyclic Antidepressants -
amitriptyline and nortriptyline
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