NR326 Mental Health Exam 1 DRUGS
Questions and Guide Answers
100% Verified Graded A+
1. What drugs are given prior to ECT to decrease clients secretions and help
prevent aspiration?
Answer: Atropine sulfate or Glycopyrrolate
- administer 30 min prior
2. What drugs are given prior to ECT as short acting anesthetics?
Answer: Methohexital or Propofol IV bolus
- administered at time of procedure
3. What drug is given prior to ECT as a muscle relaxant?
Answer: succinylcholine chloride
4. When succinylcholine chloride is given prior to ECT, what nursing responsi-
bilities are needed?
,Answer: 1. Place BP cutt on lower leg prior to administration of succinylcholine chloride
2. Make sure O2 is given as respiratory muscles will also be paralyzed
5. Succinylcholine chloride
Answer: Muscle relaxant given prior to ECT to prevent severe muscle contractions during the seizure
6. Approximately 30 minutes before ECT administer what drug as the pretreat-
ment medication?
Answer: atropine sulfate or glycopyrrolate (Robinul)
- given IM
7. Carbamazepine (Tegretol)
Answer: Anticonvulsant
8. Serotonin syndrome
Answer: potentially fatal syndrome of serotonin overstimulation with rapid onset S/S
- change in mental status, dry mouth, sweating or fever
- hypothermic and shock, diarrhea or nausea
- tremors or reflex changes, muscle rigidity, mixing meds
Interventions
- cessation of drug
- supportive interventions ( O2, IV fluids, control HR & BP, administer meds, benzodiazepines)
, 9. What are the early signs of serotonin syndrome?
Answer: diarrhea, restlessness, agitation, hyperreflexia, fluctuations in vital signs
10. Stevens-Johnson Syndrome is a common side effect of what type of mood
stabilizers? Specially what drugs?
Answer: Anticonvulsants
Lamotrigine (Lamictal) and Carbamazepine (Tegretol)
11. Anticonvulsants as mood stabilizers
Answer: Carbamazepine (Tegretol) Valproic acid (Depakote)
Lamotrigine (Lamictal)
Instructions
- dont stop abruptly
- report skin rash, unusual bleeding, spontaneous bruising. sore throat, fever, malaise, dark urine, yellow skin or eyes
- dont use dangerous machinery
- avoid alchol and OTC meds
Side ettects
- dizziness, sedation, constipation
- steven-johnson syndrome (SJS)
Questions and Guide Answers
100% Verified Graded A+
1. What drugs are given prior to ECT to decrease clients secretions and help
prevent aspiration?
Answer: Atropine sulfate or Glycopyrrolate
- administer 30 min prior
2. What drugs are given prior to ECT as short acting anesthetics?
Answer: Methohexital or Propofol IV bolus
- administered at time of procedure
3. What drug is given prior to ECT as a muscle relaxant?
Answer: succinylcholine chloride
4. When succinylcholine chloride is given prior to ECT, what nursing responsi-
bilities are needed?
,Answer: 1. Place BP cutt on lower leg prior to administration of succinylcholine chloride
2. Make sure O2 is given as respiratory muscles will also be paralyzed
5. Succinylcholine chloride
Answer: Muscle relaxant given prior to ECT to prevent severe muscle contractions during the seizure
6. Approximately 30 minutes before ECT administer what drug as the pretreat-
ment medication?
Answer: atropine sulfate or glycopyrrolate (Robinul)
- given IM
7. Carbamazepine (Tegretol)
Answer: Anticonvulsant
8. Serotonin syndrome
Answer: potentially fatal syndrome of serotonin overstimulation with rapid onset S/S
- change in mental status, dry mouth, sweating or fever
- hypothermic and shock, diarrhea or nausea
- tremors or reflex changes, muscle rigidity, mixing meds
Interventions
- cessation of drug
- supportive interventions ( O2, IV fluids, control HR & BP, administer meds, benzodiazepines)
, 9. What are the early signs of serotonin syndrome?
Answer: diarrhea, restlessness, agitation, hyperreflexia, fluctuations in vital signs
10. Stevens-Johnson Syndrome is a common side effect of what type of mood
stabilizers? Specially what drugs?
Answer: Anticonvulsants
Lamotrigine (Lamictal) and Carbamazepine (Tegretol)
11. Anticonvulsants as mood stabilizers
Answer: Carbamazepine (Tegretol) Valproic acid (Depakote)
Lamotrigine (Lamictal)
Instructions
- dont stop abruptly
- report skin rash, unusual bleeding, spontaneous bruising. sore throat, fever, malaise, dark urine, yellow skin or eyes
- dont use dangerous machinery
- avoid alchol and OTC meds
Side ettects
- dizziness, sedation, constipation
- steven-johnson syndrome (SJS)
