NUR24 74 Rasmussen Pharm Exam 1
2022/2023 100% Verified A+
what things should we always do when giving methylphenidate to a child with ADHD
Answer - ALWAYS: give the drug in the morning, after breakfast, and give the last dose
before 4pm, or else the child will not sleep at night
which 3 drugs are controlled substances and highly abused? Answer - amphetamines,
- barbiturates,
- methylphenidate
what is the purpose of drug treatment with Alzheimer Disease patients Answer - there is
treatment to help slow down the progression of the disease, but to not
cure it
how does donepezil work Answer - it slows the progression of Alzheimers disease by
causing reversible inhibition of cholinesterase and the cholinergic receptors.
what should we do when discontinuing an antidepressant (or any medication) Answer -
if antidepressant is stopped cold turkey, withdrawal syndrome can occur.
- we must gradually taper the drug slowly and have the HCP taper it.
- do not let patient taper drug by themselves
what are signs and symptoms of withdrawal syndrome? Answer - HA,
- Nausea,
- visual disturbances,
- sweating,
- dizziness,
- tremors
what is the relationship between sertraline and nursing infants? Answer - when this drug
is used with a patient who is pregnant or nursing infants, the infant can have neonatal
abstinence syndrome occur
what should we educate pregnant or nursing moms about when using sertraline?
Answer - We must educate the patient on potentially using other medications during
this time period, as it can cause potential birth defects and the baby to
become sick.
explain the relationship between fluoxetine and alcohol abuse Answer - when this drug
is used with alcohol abuse, it can interact with the medication
, and make the patient very sick..
what should we teach the patient regarding alcohol use Answer - the patient must avoid
alcohol while taking most medications
what is the first line medication used to stop a seizure? Answer - diazepam (benzo) by
IM
. explain side effect Answer - unavoidable secondary drug effects produced at
therapeutic doses.
- May be unwanted, but unavoidable and expected.
explain adverse effect Answer - undesired and unexpected severe responses to a
medication. They do have
the potential to cause harm.
explain allergies/anaphylaxis Answer - an immune response to a medication that
causes a reaction that can be mild to life threatening
what are s/s of allergic reactions? Answer - itchy,
- rash,
- hives,
- wheezes,
- SOB,
- swelling of face,
- lips and throat.
what should we do if we a patient actively in allergic reaction? Answer - stop the
medication,
- call the doctor,
- D/C lines,
- check for antidotes, and
- give emergency care based on ABC's
what should we do before giving any medication? Answer - ask about patient allergies
to medications and what happens when they take
them.
- remember if they report they get any s/s of allergic run with medication use,
we must hold med and call dr.
explain intended drug effects Answer - effects that we want to see and that are
therapeutic when using the drug. Ex:
with an antidepressant, we want to see a mood change, because that is the
intended use of the drug.
2022/2023 100% Verified A+
what things should we always do when giving methylphenidate to a child with ADHD
Answer - ALWAYS: give the drug in the morning, after breakfast, and give the last dose
before 4pm, or else the child will not sleep at night
which 3 drugs are controlled substances and highly abused? Answer - amphetamines,
- barbiturates,
- methylphenidate
what is the purpose of drug treatment with Alzheimer Disease patients Answer - there is
treatment to help slow down the progression of the disease, but to not
cure it
how does donepezil work Answer - it slows the progression of Alzheimers disease by
causing reversible inhibition of cholinesterase and the cholinergic receptors.
what should we do when discontinuing an antidepressant (or any medication) Answer -
if antidepressant is stopped cold turkey, withdrawal syndrome can occur.
- we must gradually taper the drug slowly and have the HCP taper it.
- do not let patient taper drug by themselves
what are signs and symptoms of withdrawal syndrome? Answer - HA,
- Nausea,
- visual disturbances,
- sweating,
- dizziness,
- tremors
what is the relationship between sertraline and nursing infants? Answer - when this drug
is used with a patient who is pregnant or nursing infants, the infant can have neonatal
abstinence syndrome occur
what should we educate pregnant or nursing moms about when using sertraline?
Answer - We must educate the patient on potentially using other medications during
this time period, as it can cause potential birth defects and the baby to
become sick.
explain the relationship between fluoxetine and alcohol abuse Answer - when this drug
is used with alcohol abuse, it can interact with the medication
, and make the patient very sick..
what should we teach the patient regarding alcohol use Answer - the patient must avoid
alcohol while taking most medications
what is the first line medication used to stop a seizure? Answer - diazepam (benzo) by
IM
. explain side effect Answer - unavoidable secondary drug effects produced at
therapeutic doses.
- May be unwanted, but unavoidable and expected.
explain adverse effect Answer - undesired and unexpected severe responses to a
medication. They do have
the potential to cause harm.
explain allergies/anaphylaxis Answer - an immune response to a medication that
causes a reaction that can be mild to life threatening
what are s/s of allergic reactions? Answer - itchy,
- rash,
- hives,
- wheezes,
- SOB,
- swelling of face,
- lips and throat.
what should we do if we a patient actively in allergic reaction? Answer - stop the
medication,
- call the doctor,
- D/C lines,
- check for antidotes, and
- give emergency care based on ABC's
what should we do before giving any medication? Answer - ask about patient allergies
to medications and what happens when they take
them.
- remember if they report they get any s/s of allergic run with medication use,
we must hold med and call dr.
explain intended drug effects Answer - effects that we want to see and that are
therapeutic when using the drug. Ex:
with an antidepressant, we want to see a mood change, because that is the
intended use of the drug.
