NUR 334- PHARM EXAM QUESTIONS AND ANSWERS A
+ GRADED
I also have a "what drug / drug class is this" quizlet set, and a quizlet set for the
content review in class if you would like to use that as well! Happi studying :)
:)
what are the 4 classes of CNS depressants for this exam
1. anti depressants
2. benzodiazepiens
3. non benzodiazepines
4. barbiturates
what are the 4 anti depressant classes for this exam
1. SSRIs
2. SNRIs
3. TCAs
4. MAOIs
what class is used for bipolar (in this exam)
mood stabilizers
what are the two drug classes for schizophrenia in this exam
1. conventional/"typical" antipsychotics
2. atypical antipsychotics
what is the prototype SSRI antidepressant (CNS depressant) for this exam?
escitalopram (Lexapro)
this SSRI works by increasing the availability of serotonin at the specific post
synaptic receptor sites located within the CNS
escitalopram (Lexapro)
what is escitalopram (Lexapro) used for
- GAD
- depression
what are some adverse reactions of escitalopram (Lexapro)
- somnolence!!
- insomnia!!
- seizure!!
- dizziness
- nausea
- confusion
black box warning of escitalopram (Lexapro)
it can increase the risk of suicidal behavior and thinking
herbal interaction with escitalopram (Lexapro)
St. John's Wort:
- can cause serotonin syndrome
- can increase the effects of escitalopram (Lexapro)
treatment for OD of escitalopram (Lexapro)
none. just treat the symptoms
, side effects of all SSRIs
- weight gain
- sexual dysfunction
overdose symptoms of SSRIs
- restlessness
- confusion
- anxiety (opposite effect of drug)
- HTN
- tremors
- sweating
- fever
- decreased muscle coordination
who should NOT receive tricyclic antidepressants (TCAs)
those with heart conditions
side effects of tricyclic antidepressants (TCAs)
- dry mouth
- blurry vision
- urinary retention
- HTN
what do tricyclic antidepressants treat
- GAD
- depression
this class of antidepressant/CNS depressant is usually not good with other drugs
MAOIs
what foods should you avoid with MAOIs?
tyramine foods:
ex. wine, chocolate, aged cheese, processed meats, avocados
what could happen if you take tyramine foods with MAOIs
hypertensive crisis
what other types of meds could be affected if taken with MAOIs
it will increase the effects of DM meds, including insulin
what should you do if a patient is taking insulin with MAOIs
- lower insulin dose
- or give extra sugar If needed
- monitor glucose levels
adverse effects of MAOIs
- orthostatic hypotension
- HAs
- diarrhea
overall, what are some teaching points for MAOIs
- treats depression and GAD
- change positions slowly (due to orthostatic hypotension)
- avoid tyramine
- it can increase effects of insulin
- usually not good with other drugs
this class of drugs is an atypical antidepressant
+ GRADED
I also have a "what drug / drug class is this" quizlet set, and a quizlet set for the
content review in class if you would like to use that as well! Happi studying :)
:)
what are the 4 classes of CNS depressants for this exam
1. anti depressants
2. benzodiazepiens
3. non benzodiazepines
4. barbiturates
what are the 4 anti depressant classes for this exam
1. SSRIs
2. SNRIs
3. TCAs
4. MAOIs
what class is used for bipolar (in this exam)
mood stabilizers
what are the two drug classes for schizophrenia in this exam
1. conventional/"typical" antipsychotics
2. atypical antipsychotics
what is the prototype SSRI antidepressant (CNS depressant) for this exam?
escitalopram (Lexapro)
this SSRI works by increasing the availability of serotonin at the specific post
synaptic receptor sites located within the CNS
escitalopram (Lexapro)
what is escitalopram (Lexapro) used for
- GAD
- depression
what are some adverse reactions of escitalopram (Lexapro)
- somnolence!!
- insomnia!!
- seizure!!
- dizziness
- nausea
- confusion
black box warning of escitalopram (Lexapro)
it can increase the risk of suicidal behavior and thinking
herbal interaction with escitalopram (Lexapro)
St. John's Wort:
- can cause serotonin syndrome
- can increase the effects of escitalopram (Lexapro)
treatment for OD of escitalopram (Lexapro)
none. just treat the symptoms
, side effects of all SSRIs
- weight gain
- sexual dysfunction
overdose symptoms of SSRIs
- restlessness
- confusion
- anxiety (opposite effect of drug)
- HTN
- tremors
- sweating
- fever
- decreased muscle coordination
who should NOT receive tricyclic antidepressants (TCAs)
those with heart conditions
side effects of tricyclic antidepressants (TCAs)
- dry mouth
- blurry vision
- urinary retention
- HTN
what do tricyclic antidepressants treat
- GAD
- depression
this class of antidepressant/CNS depressant is usually not good with other drugs
MAOIs
what foods should you avoid with MAOIs?
tyramine foods:
ex. wine, chocolate, aged cheese, processed meats, avocados
what could happen if you take tyramine foods with MAOIs
hypertensive crisis
what other types of meds could be affected if taken with MAOIs
it will increase the effects of DM meds, including insulin
what should you do if a patient is taking insulin with MAOIs
- lower insulin dose
- or give extra sugar If needed
- monitor glucose levels
adverse effects of MAOIs
- orthostatic hypotension
- HAs
- diarrhea
overall, what are some teaching points for MAOIs
- treats depression and GAD
- change positions slowly (due to orthostatic hypotension)
- avoid tyramine
- it can increase effects of insulin
- usually not good with other drugs
this class of drugs is an atypical antidepressant
