NUR 180 Final Exam Questions With Answers
Fluoxetine (Prozac)
What to avoid (2)
SE (4)
How to store and take
Antidepressant, SSRI
Avoid St. Johns wort and aspirin (GI issues)
SE: weight changes, dizziness/drowsiness, dry mouth, constipation
store in room temp and take daily
Olanzapine (Zyprexa)
SE: (1)
-antipsychotic
watch for extrapyramidal side effects
Venlafaxine (Effexor)
How to take
SE (1)
antidepressant (SNRI)
-take w/ food, take in am (insomnia)
Med given to treat extrapyramidal effect (2)
Benadryl and Cogentin
ANTICHOLINERGICS
Cogentin (Benztropine)
Anticholinergic given to Parkinson's pt to tx extrapyramidal effects
Lorazepam (Ativan)
uses
Avoid (4)
SE: (1)
Given to prevent seizures from alcohol WD and anxiety
NO driving, alcohol, cough syrup, or diphenhydramine
SE: Dizzy/drowsy
What are MAOI's and what to avoid (5)
-Antidepressants drug class
-Avoid food w/ tyramine (pepperoni, sausage, wine, chocolate, picked foods, cheeses)
Causes severe hypertensive crisis (not following dietary restrictions)
Antipsychotics (4 names)
-Haloperidol (Haldol)
-Quetiapine (Seroquel)
-Fluphenazine (Prolixin)
-Risperidone (Risperdal)
What do we need to monitor when giving antipsychotics? (2)
, For extrapyramidal effects and for signs of neuroleptic malignant syndrome
extrapyramidal symptoms (4)
-Akinesia (unable to move voluntarily)
-acute dystonia (involuntary muscle contraction)
-Tardive dyskinesia (tongue twitching, lip smacking)
-Parkinsonism (shuffling gait, pill rolling, bradykinesia, tremors)
Signs of neuroleptic malignant syndrome (9)
FEVER
Change in LOC/mood
muscle rigidity
Resp difficulties
tremors
tachycardia
diaphoresis
BP change
inability to speak
Lithium uses
therpautic level
SE: (3)
Mood stabalizer (bipolar, personality disorder)
0.6-1.2
SE:tremors, fatigue, NVD
lithium toxicity & signs (6)
> 1.5
NV, tremors, seizures, hotn, coma, confusion
Maslow's Hierarchy of Needs
(level 1) Physiological Needs,
(level 2) Safety and Security,
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem,
(level 5) Self Actualization
Interventions or anxiety (6)
Stay with pt
Assure safety
Place in calm room
Encourage to discuss feelings
Give simple and clear instructions if needed
(Cognitive behavioral therapy helps)
What interferes with coping? (4)
-Culture
-family dynamics
-stress
Fluoxetine (Prozac)
What to avoid (2)
SE (4)
How to store and take
Antidepressant, SSRI
Avoid St. Johns wort and aspirin (GI issues)
SE: weight changes, dizziness/drowsiness, dry mouth, constipation
store in room temp and take daily
Olanzapine (Zyprexa)
SE: (1)
-antipsychotic
watch for extrapyramidal side effects
Venlafaxine (Effexor)
How to take
SE (1)
antidepressant (SNRI)
-take w/ food, take in am (insomnia)
Med given to treat extrapyramidal effect (2)
Benadryl and Cogentin
ANTICHOLINERGICS
Cogentin (Benztropine)
Anticholinergic given to Parkinson's pt to tx extrapyramidal effects
Lorazepam (Ativan)
uses
Avoid (4)
SE: (1)
Given to prevent seizures from alcohol WD and anxiety
NO driving, alcohol, cough syrup, or diphenhydramine
SE: Dizzy/drowsy
What are MAOI's and what to avoid (5)
-Antidepressants drug class
-Avoid food w/ tyramine (pepperoni, sausage, wine, chocolate, picked foods, cheeses)
Causes severe hypertensive crisis (not following dietary restrictions)
Antipsychotics (4 names)
-Haloperidol (Haldol)
-Quetiapine (Seroquel)
-Fluphenazine (Prolixin)
-Risperidone (Risperdal)
What do we need to monitor when giving antipsychotics? (2)
, For extrapyramidal effects and for signs of neuroleptic malignant syndrome
extrapyramidal symptoms (4)
-Akinesia (unable to move voluntarily)
-acute dystonia (involuntary muscle contraction)
-Tardive dyskinesia (tongue twitching, lip smacking)
-Parkinsonism (shuffling gait, pill rolling, bradykinesia, tremors)
Signs of neuroleptic malignant syndrome (9)
FEVER
Change in LOC/mood
muscle rigidity
Resp difficulties
tremors
tachycardia
diaphoresis
BP change
inability to speak
Lithium uses
therpautic level
SE: (3)
Mood stabalizer (bipolar, personality disorder)
0.6-1.2
SE:tremors, fatigue, NVD
lithium toxicity & signs (6)
> 1.5
NV, tremors, seizures, hotn, coma, confusion
Maslow's Hierarchy of Needs
(level 1) Physiological Needs,
(level 2) Safety and Security,
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem,
(level 5) Self Actualization
Interventions or anxiety (6)
Stay with pt
Assure safety
Place in calm room
Encourage to discuss feelings
Give simple and clear instructions if needed
(Cognitive behavioral therapy helps)
What interferes with coping? (4)
-Culture
-family dynamics
-stress
