NR546 WEEK 2: TEST YOUR
KNOWLEDGE QUESTIONS WITH
CORRECT ANSWERS
Pharmacokinetics - ANSWER: the study of what happens to a drug from the time of nn nn nn nn nn nn nn nn nn nn nn nn nn nn
administration until the parent drug and all metabolites leave the body
nn nn nn nn nn nn nn nn nn nn nn
Pharmacokinetics concepts - ANSWER: absorption nn nn nn nn
distribution
metabolism
excretion
Flockhart Table - ANSWER: drug interactions that are mediated by cytochrome P450
nn nn nn nn nn nn nn nn nn nn nn
enzymes
nn
comprehensive list of drugs and the interactions related to the cytochrome P450
nn nn nn nn nn nn nn nn nn nn nn
system
nn
client factors that impact the effect of psychotropic medications - ANSWER: -age
nn nn nn nn nn nn nn nn nn nn nn
-diet
-smoking status nn
-other prescribed medications
nn nn
-over-the-counter medications nn
*all impact drug metabolism
nn nn nn
Neurotransmitters - ANSWER: chemicals released by neurons to send communication nn nn nn nn nn nn nn nn nn
across synaptic clefts to other neurons
nn nn nn nn nn nn
-impact human emotion and behavior
nn nn nn nn
Many psychiatric disorders and client symptoms occur from an excess, deficiency, or
nn nn nn nn nn nn nn nn nn nn nn
imbalance of _________ - ANSWER: neurotransmitters
nn nn nn nn nn nn
Neurotransmission: - ANSWER: the chemical transmission of information between nn nn nn nn nn nn nn nn
neurons and their target cells
nn nn nn nn nn
-the chemicals, or neurotransmitters, are released from their transport vesicles to bind
nn nn nn nn nn nn nn nn nn nn nn
with receptor sites to perform their duties, which are excitatory or inhibitory
nn nn nn nn nn nn nn nn nn nn nn nn
-neurotransmitter then either returned and stored for future use (reuptake) or
nn nn nn nn nn nn nn nn nn nn
inactivated and dissolved by enzymes
nn nn nn nn nn
, Excitatory neurotransmitters: - ANSWER: increase the likelihood that the neuron will
nn nn nn nn nn nn nn nn nn nn
fire an action potential
nn nn nn nn
inhibitory neurotransmitters: - ANSWER: decrease the likelihood that a neuron will fire
nn nn nn nn nn nn nn nn nn nn nn
an action
nn nn
neurotransmitters that most impact mental health can be classified into four major nn nn nn nn nn nn nn nn nn nn nn
categories: - ANSWER: cholinergics
nn nn nn nn
-acetylcholine
monoamines
-norepinephrine, dopamine, serotonin, histamine nn nn nn
amino acids nn
-gamma- amino-butyric acid and glutamate
nn nn nn nn
neuropeptides
Inhibitors: VISA CKGQ - ANSWER: Valproate
nn nn nn nn nn
Isoniazid
Sulfonamides
Amiodarone
Chloramphenicol
Ketoconazole
Grapefruit Juice nn
Quinidine
-decrease medication metabolism nn nn
Inducers: CRAP GPS - ANSWER: Carbamazepine
nn nn nn nn nn
Rifampin
Alcohol
Phenytoin
Griseofulvin
Phenobarbital
Sulfonylureas
-increase medication metabolism nn nn
neurotransmitters that may be responsible for a client's symptoms of depression - nn nn nn nn nn nn nn nn nn nn nn
ANSWER: Imbalanced levels of acetylcholine, norepinephrine, serotonin, histamine,
nn nn nn nn nn nn nn nn
or glutamate can contribute to symptoms of depression
nn nn nn nn nn nn nn nn
client who is a poor metabolizer: - ANSWER: has a lower concentration of the
nn nn nn nn nn nn nn nn nn nn nn nn nn
necessary enzyme to metabolize a drug, which results in higher blood concentrations
nn nn nn nn nn nn nn nn nn nn nn nn
of the drug.
nn nn nn nn
KNOWLEDGE QUESTIONS WITH
CORRECT ANSWERS
Pharmacokinetics - ANSWER: the study of what happens to a drug from the time of nn nn nn nn nn nn nn nn nn nn nn nn nn nn
administration until the parent drug and all metabolites leave the body
nn nn nn nn nn nn nn nn nn nn nn
Pharmacokinetics concepts - ANSWER: absorption nn nn nn nn
distribution
metabolism
excretion
Flockhart Table - ANSWER: drug interactions that are mediated by cytochrome P450
nn nn nn nn nn nn nn nn nn nn nn
enzymes
nn
comprehensive list of drugs and the interactions related to the cytochrome P450
nn nn nn nn nn nn nn nn nn nn nn
system
nn
client factors that impact the effect of psychotropic medications - ANSWER: -age
nn nn nn nn nn nn nn nn nn nn nn
-diet
-smoking status nn
-other prescribed medications
nn nn
-over-the-counter medications nn
*all impact drug metabolism
nn nn nn
Neurotransmitters - ANSWER: chemicals released by neurons to send communication nn nn nn nn nn nn nn nn nn
across synaptic clefts to other neurons
nn nn nn nn nn nn
-impact human emotion and behavior
nn nn nn nn
Many psychiatric disorders and client symptoms occur from an excess, deficiency, or
nn nn nn nn nn nn nn nn nn nn nn
imbalance of _________ - ANSWER: neurotransmitters
nn nn nn nn nn nn
Neurotransmission: - ANSWER: the chemical transmission of information between nn nn nn nn nn nn nn nn
neurons and their target cells
nn nn nn nn nn
-the chemicals, or neurotransmitters, are released from their transport vesicles to bind
nn nn nn nn nn nn nn nn nn nn nn
with receptor sites to perform their duties, which are excitatory or inhibitory
nn nn nn nn nn nn nn nn nn nn nn nn
-neurotransmitter then either returned and stored for future use (reuptake) or
nn nn nn nn nn nn nn nn nn nn
inactivated and dissolved by enzymes
nn nn nn nn nn
, Excitatory neurotransmitters: - ANSWER: increase the likelihood that the neuron will
nn nn nn nn nn nn nn nn nn nn
fire an action potential
nn nn nn nn
inhibitory neurotransmitters: - ANSWER: decrease the likelihood that a neuron will fire
nn nn nn nn nn nn nn nn nn nn nn
an action
nn nn
neurotransmitters that most impact mental health can be classified into four major nn nn nn nn nn nn nn nn nn nn nn
categories: - ANSWER: cholinergics
nn nn nn nn
-acetylcholine
monoamines
-norepinephrine, dopamine, serotonin, histamine nn nn nn
amino acids nn
-gamma- amino-butyric acid and glutamate
nn nn nn nn
neuropeptides
Inhibitors: VISA CKGQ - ANSWER: Valproate
nn nn nn nn nn
Isoniazid
Sulfonamides
Amiodarone
Chloramphenicol
Ketoconazole
Grapefruit Juice nn
Quinidine
-decrease medication metabolism nn nn
Inducers: CRAP GPS - ANSWER: Carbamazepine
nn nn nn nn nn
Rifampin
Alcohol
Phenytoin
Griseofulvin
Phenobarbital
Sulfonylureas
-increase medication metabolism nn nn
neurotransmitters that may be responsible for a client's symptoms of depression - nn nn nn nn nn nn nn nn nn nn nn
ANSWER: Imbalanced levels of acetylcholine, norepinephrine, serotonin, histamine,
nn nn nn nn nn nn nn nn
or glutamate can contribute to symptoms of depression
nn nn nn nn nn nn nn nn
client who is a poor metabolizer: - ANSWER: has a lower concentration of the
nn nn nn nn nn nn nn nn nn nn nn nn nn
necessary enzyme to metabolize a drug, which results in higher blood concentrations
nn nn nn nn nn nn nn nn nn nn nn nn
of the drug.
nn nn nn nn