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Drugs that decrease nervousness, excitability & irritability are?
Benzodiazepines (Lorazepam, Diazepam, Alprazolam)
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Drugs that cause sleep are what?
Benzodiazepines (Lorazepam, Barbiturates (Pentobarbital & secobarbital), Nonbenzodiazepines (Ambien)
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Avoid the use of alcohol when taking these medications.
Sedatives, Hypnotics, Sedative/hypnotics, Benzodiazepines, Barbiturates, Nonbenzodiazepine hypnotics, Muscle relaxants, & CNS stimulants
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Zaleplon (Sonata), Zolpidem (Ambien), & Eszoplicone (Lunesta) are examples of which drugs?
Nonbenzodiazepine hypnotics
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These drugs act to relieve pain associated w/skeletal muscle spasms.
Muscle relaxants
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Temazepam (Restoril) & Triazolam (Halcion) are examples of these drugs?
Benzodiazepines
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The medically approved reasons to use these drugs include ADHD, Narcolepsy, & weight loss?
- CNS stimulants
- ADHD: Adderall, Ritalin, Focalin
- Narcolepsy: Ritalin, Provigil
- Weigh loss: Amphetamines
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Baclofen (Lioresal), Cyclobenzaprine (Flexeril), Dantrolene (Dantrium), Tizanidine (Zanaflex) are all examples of which drugs?
Muscle relaxants
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Amphetamine (Adderall), Methylphenidate (Concerta, Ritalin) & Sibutramine (Meridia) are examples of which drugs?
CNS stimulants
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"pam, lam, or am" drugs are used for sedative/hypnotic effects & anxiolytic effects, which drug group are they?
Benzodiazapines
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What can occur w/prolonged use of sedatives/hypnotics?
Rebound REM
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What is rebound REM?
The expedited process of reaching REM.
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What patient teaching should be included regarding administering the CNS stimulants for ADHD?
- Take w/meals
- Avoid alcohol
- Use sugarless gum for dry mouth
- Monitor Wt 2x/week
- Avoid driving w/^HR, nervousness, & tremors
- DO NOT stop taking abruptly
- Read OTC labels
- Nursing moms avoid things like caffeine
- Family counseling for ADHD kids
- Longterm use may lead to drug abuse
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What drugs cause pupil dilation, bronchodilation, & vasoconstriction?
Anticholinergics
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What system is the "Fight or Flight" system?
Sympathetic Nervous System (SNS)
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Which system is referred to as the "Rest & Digest" or "Rest & Relax" system?
Parasympathetic Nervous System (PNS)
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Nursing implications & patient teaching for this group of drugs would include: Use sunglasses for photophobia (after dilation of eyes); elderly need to be cautious of heat stroke. Report s/e of urinary hesitancy &/or retention, constipation.
Anticholinergics
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The cardioselective type of these drugs will cause a decrease in HR & decreases myocardial contractility, thus reducing myocardial oxygen demand.
Beta Blockers
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Dopamine, dobutamine & epinephrine are all examples of cardioselective...
- Adrenergic Blockers
- Also called: Adrenergic Antagonists or Sympatholytics.
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These drugs end in "lol or olol", what group are they?
Beta Blockers
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These drugs are used to decrease salivary secretions, treat urinary frequency, & motion sickness.
Anticholinergics
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Doxazosin, Prazosin, & Terazosin are all examples of what type of drug?
Alpha 1 Blockers
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The "first dose effect" of hypotension can occur w/the use of this group of drugs?
Alpha 1 Blockers
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What is the "First dose effect"?
is a sudden and severe fall in BP that can occur when changing from a lying to a standing position the first time that an alpha blocker drug is used or when resuming the drug after many months off. (Orthostatic Hypotention)
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The s/e of these drugs are: tachycardia, HA, nervousness, & palpitations. Which drug group is it?
- Adrenergic Drugs
- Adrenergic Agonist: Tachycardia, Nervousness, & Palpitation.
- Adrenergic Antagonist/Blockers: Headaches
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S/E of these drugs include Hypotension, Bradycardia, Impotence, & <excersise tolerance...
Alpha Blockers
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These drugs are also known as Cholinergic Agonists, what are they?
Cholinergic Drugs or Parasymtathiomimetics
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It is important to assess for allergies & Hx of COPD, Hypotension, cardiac dysrhythmias, bradycardia, heart failure, or other cardiovascular problems w/these drugs...
Alpha Blockers
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SLUDGE is an acronym for the s/e of which drugs?
Cholinergic Drugs
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The s/e of these drugs cause: dry mouth, constipation, urinary retention, orthostatic hypotension...
Anticholinergics
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These drugs cause pupil constriction, slowed HR, bronchiole constriction, vasodilation...What are they?
Adrenergic Blockers
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Adrenergic Drugs & Adrenergic Blocking drugs affect which system?
Sympathetic
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Another name for the Sympathomimetic drugs is what?
Adrenergics
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Cholinergic Drugs & Anticholinergic drugs affect which system?
Parasympathetic
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Ipratropium (Atrovent), Benztropine (Cogentin) & Trihexyphenidyl (Artane) are all examples of which types of drugs?
Anticholinergics
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The primary effect of increased HR & force of contraction occurs when which receptors are stimulated?
Adrenergic receptors
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The primary effect of bronchodilation occurs when which receptors are stimulated?
Beta 2 Adrenergic Receptors
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Albuterol (Proventil/Ventolin) & Salmeterol (Servent) are __________ that are used to treat illness such as _____ & ________
- *Bronchodilators
- *COPD
- *Asthma
-
When administering a bronchodilator inhaler & a corticosteroid inhaler, which should be administered first?
Bronchodilator
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The ophthalmic adrenergic drugs are used to treat what disease of the eye?
Glaucoma
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Overuse of nasal decongestants such as Afrin may cause what?
Rebound Congestion
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Terazosin (Hytrin) & Tamsulosin (Flomax) are both drugs used to Tx what?
BPH
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Which drugs should NEVER be stopped abruptly?
Cholinergics
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When taking beta blockers a patient should be taught to report a weight gain of ___/day or ___/week, or edema of the feet & ankles as this may indicate what?
- 3#/day or 5#/week
- Pulmonary Edema (?)
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Tacrine (Cognex), Donepezil (Aricept), Memantine (Namenda), are all ______ acting ________ drugs used to Tx what two disease processes?
- *indirect acting Cholinergics
- *Alzheimers & Dementia
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"SLUDGE" stands for what?
- Salivation, Lacrimination, Urination, Defication, GI upset, Emesis.
- (s/e of Cholinergic drugs)
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Theraputic effects of anti-Alzheimer's drugs may not occur for up to ___-___hours?
24-36 hours
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What are the two ways to administer anesthetics?
General & Local
-
Which anesthetic causes a certain part of the body to be insensitive to pain w/o loss of consciousness?
Local (block pain at the site where administered)
-
What type of anesthetic would be used to stitch up a small laceration?
Local
-
What are the two main types of Local anesthetics?
Esters & Amides
-
Spinal & Epidurals are which type of anesthetic?
Injectable (IV)
-
Which type of anesthetic would be used for more serious or complicated surgeries?
General
-
Which type of anesthetic produces unconsciousness, skeletal & smooth muscle relaxation?
General
-
What type of anesthetic is used to numb a sore throat?
Topical
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Which type of anesthetic is used for diagnostic procedures such as a colonoscopy & minor surgical procedures?
Moderate or conscious sedation
-
With this anesthetic the patient will; maintain their own airway, will NOT recall the procedure, will have decreased anxiety & sensitivity to pain.
Moderate or conscious sedation
-
What is a potentially serious s/e of general anesthetics characterized by a high fever & tachycardia?
Malignant Hyperthermia
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Which category of antipsychotics are most effective in treating both positive & negative symptoms associated w/schizophrenia?
Atypical
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A person taking a MAOI (antidepressant) can have what serious s/e if he or she eats aged cheeses, drinks wine or takes it concurrently w/an SSRI?
HYPERTENSIVE CRISIS
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What serious s/e is characterized by high fever, rigidity, altered mental status?
Neuroleptic Malignant Syndrome
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What serious s/e is characterized by lip smacking, tongue protrusion, & involuntary bodily movements?
Tardive Dyskinesia
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What serious s/e is characterized by restlessness, pacing, unable to stand still, & constant movements?
Akathisia
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What serious s/e is characterized by stooped posture, tremor, rigidity, & pill rolling?
Pseudoparkinsonism or Extrapyramidal Symptoms (EPS)
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Name the Typical (1st Generation Antipsychotic Drugs).
- Phenothiazines & Nonphenothiazines
- Chlorpromazine (Therazine)
- Fluphenazine (Prolixen)
- Haloperidol (Haldol)
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Name the Atypical (2nd Generation Antipsychotic Drugs)
- Olanzapine (Zyprexa)
- Ziprasidone (Geodon)
- Quetiapine (Seroquel)
- Aripiprazole (Abilify)
- Clozapine (Clozaril)
- Risperidone (Risperadal)
-
Which antipsychotics requires close montitoring of the WBC?
Clozapine (Clozaril)
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Which drugs are "pams, am or lam"?
Benzodiazapines
-
Which drug groups are used to Tx anxiety?
- Benzodiazapines
- BusPar (Buspirone)
-
Which groups of medications are used to Tx Bipolar Disorder?
- Lithium (mood stabalizer)
- SSRIs (Paxil, Celexa)
- MAOIs (Nardil)
-
Which Bipolar Disorder med has a narrow therapeutic index?
Lithium
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Name some SSRIs...
- Citalopram (Celexa)
- Fluoxetine HCL (Paxil)
- Sertraline HCL (Zoloft)
-
Name some MAOIs...
- Phenelzine Sulfate (Nardil)
- Isocarboxazid (Marplan)
-
Name some TCAs (Tricyclic Antidepressants)...
- Amitriptyline HCL (Elavil)
- Clomipramine (Anafranil)
-
Which group of antidepressants can cause the "cheese effect"?
MAOIs
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What are some foods that contain Tyramine & should be avoided when taking an MAOI?
Cheese, cream, yogurt, coffee, chocolate, bananas, raisins, pickled herring, sausage, soy sauce, yeast, beer & red wines.
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