QUESTIONS AND VERIFED
CORRECT ANSWERS
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Naloxone (Narcan) Action: - CORRECT ANSWER-Competes for opioid receptors, thereby blocking
opioid actions
Structural analog of morphine
Tramadol (Ultram) action - CORRECT ANSWER-- Weak agonist at mu receptors
- Blocks NE and serotonin uptake, thereby activating monoaminergic spinal inhibition of pain
Tramadol (Ultram) Drug Interactions - CORRECT ANSWER-CNS Depressants
MAOIs
SSRIs/TCAs/Triptans --> Serotonin syndrome
Schedule II Prescribing rules - CORRECT ANSWER-1) Can write several C-II Rx's
on the same day, for the same patient, for the same drug...for up to a 90 day supply.
2) Must indicate the earliest date the patient can fill each Rx and sign and date TODAY'S date.
,3) If patient is in a LTCF or is terminally ill, an Rx may be partially filled. Note this on the Rx.
CNS Stimulants - Drugs - CORRECT ANSWER-amphetamine
Lisdexamphetamine
Dextroamphetamine
Methamphetamine
Methylphenidate
Dexmethylphenidate
CNS Stimulants - Action - CORRECT ANSWER-↑ release of NE & dopamine in CNS
Inhibit reuptake of NE and dopamine
CNS Stimulants - Effects - CORRECT ANSWER-↑ alertness
↓ fatigue
mood elevation
CNS Stimulants - Uses - CORRECT ANSWER-Narcolepsy
ADHD
CNS Stimulants - SIde Effects - CORRECT ANSWER-Insomnia, restlessness
Weight loss
Paranoid psychosis
CNS Stimulants - Drug Interactions - CORRECT ANSWER-Drug Interactions:
, CNS Stimulants - Contraindications/Warnings - CORRECT ANSWER-- Use with caution if CV
disease is present
- Monitor children for growth
- Monitor blood pressure, sleep disorders.
- Drug holidays should be strongly encouraged.
- Watch for abuse!
Meds for Generalized Anxiety Disorder - CORRECT ANSWER-SRIs
Buspirone
Benzodiazepines
CNS Stimulants - Patient Education - CORRECT ANSWER-
Barbiturates (-barbital) - Drugs - CORRECT ANSWER-- Thiopental
- Secobarbital (Seconal)
- Phenobarbital (Luminal)
Barbiturates (-barbital) - Action - CORRECT ANSWER-- Interact with GABA receptor so that
chloride flux into CNS cells is increased
- directly mimic GABA
Nonselective CNS depression
Barbiturates (-barbital) - Effect - CORRECT ANSWER-- CNS depression
- At low doses, these drugs are sedative; at high doses hypnotic
Barbiturates (-barbital) - Uses - CORRECT ANSWER-Epileptic seizures