ANS/CNS Review Sheet/Lesson 3

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ANS/CNS Review Sheet/Lesson 3
2013-09-24 10:53:43
ANS CNS Review

ANS/CNS Review sheet
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  1. Drugs that decrease nervousness, excitability & irritability are?
    Benzodiazepines (Lorazepam, Diazepam, Alprazolam)
  2. Drugs that cause sleep are what?
    Benzodiazepines (Lorazepam, Barbiturates (Pentobarbital & secobarbital), Nonbenzodiazepines (Ambien)
  3. Avoid the use of alcohol when taking these medications.
    Sedatives, Hypnotics, Sedative/hypnotics, Benzodiazepines, Barbiturates, Nonbenzodiazepine hypnotics, Muscle relaxants, & CNS stimulants
  4. Zaleplon (Sonata), Zolpidem (Ambien), & Eszoplicone (Lunesta) are examples of which drugs?
    Nonbenzodiazepine hypnotics
  5. These drugs act to relieve pain associated w/skeletal muscle spasms.
    Muscle relaxants
  6. Temazepam (Restoril) & Triazolam (Halcion) are examples of these drugs?
  7. 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
  8. Baclofen (Lioresal), Cyclobenzaprine (Flexeril), Dantrolene (Dantrium), Tizanidine (Zanaflex) are all examples of which drugs?
    Muscle relaxants
  9. Amphetamine (Adderall), Methylphenidate (Concerta, Ritalin) & Sibutramine (Meridia) are examples of which drugs?
    CNS stimulants
  10. "pam, lam, or am" drugs are used for sedative/hypnotic effects & anxiolytic effects, which drug group are they?
  11. What can occur w/prolonged use of sedatives/hypnotics?
    Rebound REM
  12. What is rebound REM?
    The expedited process of reaching REM.
  13. 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
  14. What drugs cause pupil dilation, bronchodilation, & vasoconstriction?
  15. What system is the "Fight or Flight" system?
    Sympathetic Nervous System (SNS)
  16. Which system is referred to as the "Rest & Digest" or "Rest & Relax" system?
    Parasympathetic Nervous System (PNS)
  17. 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.
  18. The cardioselective type of these drugs will cause a decrease in HR & decreases myocardial contractility, thus reducing myocardial oxygen demand.
    Beta Blockers
  19. Dopamine, dobutamine & epinephrine are all examples of cardioselective...
    • Adrenergic Blockers 
    •     Also called: Adrenergic Antagonists or Sympatholytics.
  20. These drugs end in "lol or olol", what group are they?
    Beta Blockers
  21. These drugs are used to decrease salivary secretions, treat urinary frequency, & motion sickness.
  22. Doxazosin, Prazosin, & Terazosin are all examples of what type of drug?
    Alpha 1 Blockers
  23. The "first dose effect" of hypotension can occur w/the use of this group of drugs?
    Alpha 1 Blockers
  24. 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)
  25. 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
  26. S/E of these drugs include Hypotension, Bradycardia, Impotence, & <excersise tolerance...
    Alpha Blockers
  27. These drugs are also known as Cholinergic Agonists, what are they?
    Cholinergic Drugs or Parasymtathiomimetics
  28. 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
  29. SLUDGE is an acronym for the s/e of which drugs?
    Cholinergic Drugs
  30. The s/e of these drugs cause: dry mouth, constipation, urinary retention, orthostatic hypotension...
  31. These drugs cause pupil constriction, slowed HR, bronchiole constriction, vasodilation...What are they?
    Adrenergic Blockers
  32. Adrenergic Drugs & Adrenergic Blocking drugs affect which system?
  33. Another name for the Sympathomimetic drugs is what?
  34. Cholinergic Drugs & Anticholinergic drugs affect which system?
  35. Ipratropium (Atrovent), Benztropine (Cogentin) & Trihexyphenidyl (Artane) are all examples of which types of drugs?
  36. The primary effect of increased HR & force of contraction occurs when which receptors are stimulated?
    Adrenergic receptors
  37. The primary effect of bronchodilation occurs when which receptors are stimulated?
    Beta 2 Adrenergic Receptors
  38. Albuterol (Proventil/Ventolin) & Salmeterol (Servent) are __________ that are used to treat illness such as _____ & ________
    • *Bronchodilators
    • *COPD
    • *Asthma
  39. When administering a bronchodilator inhaler & a corticosteroid inhaler, which should be administered first?
  40. The ophthalmic adrenergic drugs are used to treat what disease of the eye?
  41. Overuse of nasal decongestants such as Afrin may cause what?
    Rebound Congestion
  42. Terazosin (Hytrin) & Tamsulosin (Flomax) are both drugs used to Tx what?
  43. Which drugs should NEVER be stopped abruptly?
  44. 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 (?)
  45. Tacrine (Cognex), Donepezil (Aricept), Memantine (Namenda), are all ______ acting ________ drugs used to Tx what two disease processes?
    • *indirect acting Cholinergics 
    • *Alzheimers & Dementia
  46. "SLUDGE" stands for what?
    • Salivation, Lacrimination, Urination, Defication, GI upset, Emesis.
    • (s/e of Cholinergic drugs)
  47. Theraputic effects of anti-Alzheimer's drugs may not occur for up to ___-___hours?
    24-36 hours
  48. What are the two ways to administer anesthetics?
    General & Local
  49. 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)
  50. What type of anesthetic would be used to stitch up a small laceration?
  51. What are the two main types of Local anesthetics?
    Esters & Amides
  52. Spinal & Epidurals are which type of anesthetic?
    Injectable (IV)
  53. Which type of anesthetic would be used for more serious or complicated surgeries?
  54. Which type of anesthetic produces unconsciousness, skeletal & smooth muscle relaxation?
  55. What type of anesthetic is used to numb a sore throat?
  56. Which type of anesthetic is used for diagnostic procedures such as a colonoscopy & minor surgical procedures?
    Moderate or conscious sedation
  57. 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
  58. What is a potentially serious s/e of general anesthetics characterized by a high fever & tachycardia?
    Malignant Hyperthermia
  59. Which category of antipsychotics are most effective in treating both positive & negative symptoms associated w/schizophrenia?
  60. 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?
  61. What serious s/e is characterized by high fever, rigidity, altered mental status?
    Neuroleptic Malignant Syndrome
  62. What serious s/e is characterized by lip smacking, tongue protrusion, & involuntary bodily movements?
    Tardive Dyskinesia
  63. What serious s/e is characterized by restlessness, pacing, unable to stand still, & constant movements?
  64. What serious s/e is characterized by stooped posture, tremor, rigidity, & pill rolling?
    Pseudoparkinsonism or Extrapyramidal Symptoms (EPS)
  65. Name the Typical (1st Generation Antipsychotic Drugs).
    • Phenothiazines & Nonphenothiazines
    • Chlorpromazine (Therazine)
    • Fluphenazine (Prolixen)
    • Haloperidol (Haldol)
  66. Name the Atypical (2nd Generation Antipsychotic Drugs)
    • Olanzapine (Zyprexa)
    • Ziprasidone (Geodon)
    • Quetiapine (Seroquel)
    • Aripiprazole (Abilify)
    • Clozapine (Clozaril)
    • Risperidone (Risperadal)
  67. Which antipsychotics requires close montitoring of the WBC?
    Clozapine (Clozaril)
  68. Which drugs are "pams, am or lam"?
  69. Which drug groups are used to Tx anxiety?
    • Benzodiazapines
    • BusPar (Buspirone)
  70. Which groups of medications are used to Tx Bipolar Disorder?
    • Lithium (mood stabalizer)
    • SSRIs (Paxil, Celexa)
    • MAOIs (Nardil)
  71. Which Bipolar Disorder med has a narrow therapeutic index?
  72. Name some SSRIs...
    • Citalopram (Celexa)
    • Fluoxetine HCL (Paxil)
    • Sertraline HCL (Zoloft)
  73. Name some MAOIs...
    • Phenelzine Sulfate (Nardil)
    • Isocarboxazid (Marplan)
  74. Name some TCAs (Tricyclic Antidepressants)...
    • Amitriptyline HCL (Elavil)
    • Clomipramine (Anafranil)
  75. Which group of antidepressants can cause the "cheese effect"?
  76. 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.