NUR 2474Exam 1 review 2474-1 updated 2022/2023

Lithium levels, use, side effects - Levels: 0.6-1.2 - Use: Mania, mood stabilization, depression, bipolar - Side effects: Cardiac (because of electrolyte disturbances- salt), GI distress, tremors, polyuria and thirst, and renal toxicity. Benzodiazepines use, actions, the antidote - Actions: GABA - Antidote: Flumazenil - Uses: Anxiety, depression, sleep, sedation, alcohol withdrawal, seizures, muscle spasm Medications for anxiety, sleep, and concentration - Buspirone: anxiety, sleep, panic disorders, PTSD, OCD (cause sedation) Stimulants, examples, education - Methylphenidate: don’t take before bed, can cause weight loss, severe headaches, dysrhythmias, hallucinations, withdrawal, controlled substance (need special brand new prescription) - Don’t take it before bedtime, monitor weight/diet, encourage small frequent meals, monitor heart rhythm, encourage pt to report hallucinations, headache, and nausea are caused by withdrawal. Dementia medications, examples and side effects, action - Denapazil o Increased GI motility, increased GI secretions, diaphoresis, salivation increases, bradycardia, urinary urgency