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Gandrews
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Donepezil (aricept)
Cholinesterase inhibitor. (inhibitis cholinesterase from reuptaking ACH allowing more to be in the body). Alzheimer's med
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Rivastigmine (Exelon)
Cholinesterase inhibitor. Alzheimer's med.
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Galantamine (Razadyne)
Cholinesterase inhibitor. Alzheimer's med.
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To prevent Nausea and vomiting, the nurse should how should the nurse provide Cholinesterase inhibitors?
with food.
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Why is it important to monitor a patient's heart rate when giving Cholinesterase inhibitors?
Because they can cause Bradycardia.
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When should give donepezil (aricept)
@ night with or without food.
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Cholinesterase inhibitors increase the risk of GI bleeding
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What drugs decrease the effects of Donepezil a cholinesterse inhibitor?
Anticholinergics
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What do NMDA receptor antagonist do?
Help tx patient's with mild to moderate Alzheimer disease.
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Interferon beta-1a (avonex)
Interferon beta- 1b (Betaseron)
- Immunomodulators used to treat MS.
- Only routes are IM and SQ
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glatiramer acetate (Copaxone)
Immunomdulator used to tx MS
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Natalizumab (Tysabri)
Immunomodulator used to tx MS
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How do immunomodulators work?
inhibit movement of leukocytes across the blood brain barrier.
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Why is it important to monitor the patient's CBC before tx with immunomodulator?
because immunomodulators can cause bone marrow suppression causes less blood cells to be produced.
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Why is important to monitor liver function tests before tx with immunodilator?
Because immunodilator are toxic to the liver
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Sumatriptan (Imitrex)
Serotonin agonist. Used to treat migraine headaches.
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Zolmitriptan (Zomig)
Serotonin agonist. Used to treat migraine headaches.
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What is a common side effect of serotonin agonist?
Chest heaviness Because it can cause vessels in the lungs to constrict and also coronary artery constriction
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Dantrolene (Dantrium)
(Peripherally acting muscle relaxant) controls muscle plasticity in MS. Acts directly on the spastic muscles and inhibits muscle contraction by preventing the release of CA into the muslces.
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Sodium Theopental
Barbituate. Helps provide rapid induction of hypnosis and anesthesia for brief procedures
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Temazepam (Restoril)
Benzodiazepine
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Midazolam (Versed)
Anesthetic adjunct, Benzodiazepine. Is often given with anesthesia because of its antianxiety and amnesiac properties.
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When systemically abosrbed (in large amounts), Lidocaine can cause what especially when used in the spinal cord?
Hypotension.
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Baclofen (Lioresal)
Centrally acting muscle relaxant
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Fetanyl (sublimaze)
opioid analgesic
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Pt can pre-medicate w/ what to help them ease the side effects of inteferon beta drugs such and nausea and vomiting?
Tylenol or NSAID
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