NURS 6015 LATEST QUESTIONS AND ANSWERS.
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What are symptoms of a panic attack?
Accelerated HR
Trembling
Chest Pain/Discomfort
Dizziness/Feeling Faint
During a panic attack the _____ nervous system is triggered.
Sympathetic
What are 2 benzodiazepines used to treat anxiety?
Diazepam & Alprazolam
What is the MOA for benzodiazepines?
Enhance GABA = CNS Depression
What consideration do you need to take when stopping benzodiazepines on a
patient that has been using the medication long term?
You need to wean the patient off the drug.
Which benzodiazepine is really good for panic disorder? Why?
Alprazolam d/t its short half-life.
What should be avoided while taking benzodiazepines?
Alcohol
Who should not take benzodiazepines?
Patients with liver disease.
What are some side effects of benzodiazepines?
Drowsiness
Confusion
Newborn Withdrawal
Tolerance/Dependence
Remember CNS depression
What is a non-benzodiazepine medication used for anxiety?
Buspirone
Which anxiety medication is best for long-term use?
Buspirone
How often should buspirone be taken? Why?
3x daily d/t short half-life
What is fluoxetine used for?
Depression
What type of drug is fluoxetine?
SSRI
Which drug can be paired with fluoxetine to help prevent decreased libido?
Bupropion
How long does it take for fluoxetine to reach full efficacy?
At least 6 weeks
, What is the black box warning for fluoxetine?
Increase in suicidal ideation in children.
What is the MOA of fluoxetine?
Increases Serotonin
What is amitriptyline used for?
Depression
What type of drug is amitriptyline?
Tricyclic Antidepressant (TCA)
What are some side effects of amitriptyline?
Orthostatic Hypotension
Cardiac Dysrhythmias
What is bupropion used for (2 things)?
Depression, Smoking Cessation
How long does it take for bupropion to start working?
2-4 weeks
What is phenelzine used for?
Depression
What type of drug is phenelzine?
Monoamine Oxidase Inhibitor (MAOI)
What foods need to be avoided when taking phenelzine? Why?
Tyramine foods (aged meats, cheeses, wine, chocolate) - can cause a hypertensive
crisis.
What should be monitored frequently in patients taking phenelzine?
Blood Pressure
Which antidepressant can cause a hypertensive crisis?
Phenelzine
What are symptoms of a hypertensive crisis?
Headache
Very High BP
Tachycardia
Diaphoresis
What are some symptoms of pseudo parkinsonism?
Stooped posture
Shuffling gait
Rigidity
Bradykinesia
Tremors at rest
Pill-rolling motion of the hand
What are some symptoms of tardive dyskinesia?
Protrusion and rolling of the tongue
Sucking and smacking movements of the lips
Chewing motion
Facial dyskinesia
Involuntary movements of the body and extremities
What is chlorpromazine used for?
Schizophrenia
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What are symptoms of a panic attack?
Accelerated HR
Trembling
Chest Pain/Discomfort
Dizziness/Feeling Faint
During a panic attack the _____ nervous system is triggered.
Sympathetic
What are 2 benzodiazepines used to treat anxiety?
Diazepam & Alprazolam
What is the MOA for benzodiazepines?
Enhance GABA = CNS Depression
What consideration do you need to take when stopping benzodiazepines on a
patient that has been using the medication long term?
You need to wean the patient off the drug.
Which benzodiazepine is really good for panic disorder? Why?
Alprazolam d/t its short half-life.
What should be avoided while taking benzodiazepines?
Alcohol
Who should not take benzodiazepines?
Patients with liver disease.
What are some side effects of benzodiazepines?
Drowsiness
Confusion
Newborn Withdrawal
Tolerance/Dependence
Remember CNS depression
What is a non-benzodiazepine medication used for anxiety?
Buspirone
Which anxiety medication is best for long-term use?
Buspirone
How often should buspirone be taken? Why?
3x daily d/t short half-life
What is fluoxetine used for?
Depression
What type of drug is fluoxetine?
SSRI
Which drug can be paired with fluoxetine to help prevent decreased libido?
Bupropion
How long does it take for fluoxetine to reach full efficacy?
At least 6 weeks
, What is the black box warning for fluoxetine?
Increase in suicidal ideation in children.
What is the MOA of fluoxetine?
Increases Serotonin
What is amitriptyline used for?
Depression
What type of drug is amitriptyline?
Tricyclic Antidepressant (TCA)
What are some side effects of amitriptyline?
Orthostatic Hypotension
Cardiac Dysrhythmias
What is bupropion used for (2 things)?
Depression, Smoking Cessation
How long does it take for bupropion to start working?
2-4 weeks
What is phenelzine used for?
Depression
What type of drug is phenelzine?
Monoamine Oxidase Inhibitor (MAOI)
What foods need to be avoided when taking phenelzine? Why?
Tyramine foods (aged meats, cheeses, wine, chocolate) - can cause a hypertensive
crisis.
What should be monitored frequently in patients taking phenelzine?
Blood Pressure
Which antidepressant can cause a hypertensive crisis?
Phenelzine
What are symptoms of a hypertensive crisis?
Headache
Very High BP
Tachycardia
Diaphoresis
What are some symptoms of pseudo parkinsonism?
Stooped posture
Shuffling gait
Rigidity
Bradykinesia
Tremors at rest
Pill-rolling motion of the hand
What are some symptoms of tardive dyskinesia?
Protrusion and rolling of the tongue
Sucking and smacking movements of the lips
Chewing motion
Facial dyskinesia
Involuntary movements of the body and extremities
What is chlorpromazine used for?
Schizophrenia
