Medication Test

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SSRIs with MAOIs or multiple SSRIs at once causes this

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clozapine (Clozaril), olanzapine (Zyprexa) & resperidone (Risperdal) are

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haloperidol (Haldol) can cause

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MAOIs with decongestants/ cold medicines can cause

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triazolam (Halcion) & flurazepam (Dalmane)

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fluoxetine (Prozac) & Sertraline (Zoloft) are

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imipramine (Tofranil) & amitryptiline (Elavil) are

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Lithium & depakote are

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chlorpromazine (Thorazine) & thiothixine (Navane) are

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lorazepam (Ativan) & alprazolam (Xanax)

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benztropine (Cogentin) & trihexyphenidyl (Artane) are

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secobarbital (Seconal) & Pentobarbital (Nembutal) are

1

A decrease in serotonin can result in anxiety.

1

Lithium carbonate can cause extrapyramidal symptoms.

1

Children with ADHD respond atypically to Methylphenidate (Ritalin) than children without the diagnosis – instead of stimulation they calm and can focus.

1

Extrapyramidal symptoms are caused by the blockage of norepinephrine at the synapse.

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Routine blood levels are taken on a client using haloperidol (Haldol).

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Eating aged cheese and minimal red wine is acceptable for clients taking Lithium carbonate but not those taking an MAO inhibitor.

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St. John’s Wort herbal medication has shown qualities of being an antidepressant; however, more clinical trials are needed.

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Fluoxetine (Prozac) is given at bedtime.

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Loarazepam is preferred over diazepam for short procedures or situations because the half-life is shorter.

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You will see more SSRIs used as a front-line drug of choice over the older tricyclics. Why?

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Which of the following is a potential prescribed drug of abuse, often in the elderly?

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You receive a client to your floor from the ER after having received a large dose of Haldol. He is sleepy but begins to complain of being stiff and feels restless inside. What would you do?

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Your client has been ordered phenelzine (Nardil). What special patient-family teaching do you need to address?

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Sarah has bipolar illness and begins taking Lithium. In your teaching, what is important to cover?

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Which electrolyte are you most concerned with when a client is taking Lithium?

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Harry Potter is on the mental health unit because of hallucinations of Hogwarts, flying brooms and witches. He begins to become confused and disoriented, has decreasing loss of consciousness rapidly, holds himself stiff, and is very warm to touch. You take his vitals and he has high BP, and temperature of 103.2 F. What are you most concerned he has?

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Nicole, aged 30, is in the intensive outpatient program because of depressive symptoms with mild suicidal ideation. Which is the safest antidepressant for her?

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Marian, aged 68, has been started on Risperdal for agitation and delusions. What is she at risk for?

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Ativan is an anti anxiety that is give which ways

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Riperdal is an antipsychotic that is given

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Prozac is an antidepressant that is given

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Ritalin is a CNS stimulant that is given

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Haldol is an antipsychotic that is given

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Xanax is an anti anxiety that is given

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Ativan is a(n)

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risperdal is a(n)

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Prozac is a(n)

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Ritalin is a(n)

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Haldol is a(n)

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Tegretol is a(n)

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Tegretol can only be given IM

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Litium in a(n)

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Lithium a drug used for anticonvulsant and bipolar disorder can only be given PO

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Thorazine is a(n)

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Thorazine can be given

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Seroquel is an anti anxiety

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Seroquel is given IM

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Marplan is a(n)

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Marplan is given for depression and is given PO

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Buspar is a(n)

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Buspar is given for the management of anxiety and is administered PO

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Zoloft is given for major depressive disorder, panic disorder and OCD. It is a(n)

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Zoloft is a SSRI that is given IM

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Elavil is a(n)

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The tricyclic antidepressant Elavil is given SC

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Fluphenazine is a(n)

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Fluphenazine an antipsychotic is given

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An antipsychotic/mood stabilizer given for schizophrenia and acute manic disorder is

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Zyprexa is given for bipolar I and is given

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Paxil is a(n)

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Paxil is administered PO

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Ambien is a(n)

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Ambien is given for insomnia and is administered

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Haloperidol (Haldol) is what drug classification?

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How is Haloperidol (Haldol) administered?

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What is the range of dose for Haloperidol (Haldol)

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Side effects to monitor for Haloperidol (Haldol) are

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Side effects of Haloperidol (Haldol) are QT prolongation and increased prolactin

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Describe how Haloperidol (Haldol) is used for rapid tranquilization in emergencies?

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Risperidone (Risperdal) is what drug classification?

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Risperidone (Risperdal) is administered

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standard dose for Risperidone (Risperdal) is PO 1 mg twice daily

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A standard dose for 2 Risperidone (Risperdal) is 45mg IM every 4 weeks

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Side effects of Risperidone (Risperdal) include

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a patient can breastfeed on Risperidone (Risperdal)

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Risperidone (Risperdal) is preferred over older antipsychotics because

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Fluoxetine (Prozac) is a SSRI antidepressant

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Fluoxetine (Prozac) is administered IV at night

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What is the standard dose of Fluoxetine (Prozac)?

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Side effects of Fluoxetine (Prozac) include

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Fluoxetine (Prozac) is contraindicated in all but which of the following

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Lithium carbonate is a mood stabilizer

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How is lithium carbonate administered

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What is the standard dose for lithium carbonate

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What would a nurse teach a patient receiving lithium carbonate

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EPS symptoms are drug-induced movement disorders

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EPS symptoms are drug-induced movement disorders that include

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What are the 5 rights

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The neurotransmitter that is increased in the disease of schizophrenia – hence the antipsychotics block the receptors

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The neurotransmitter that helps regulate attention, behavior, and body temperature; decreased in depression

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Medications that need routine blood levels to monitor for therapeutic range and toxicity

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Most anti-anxiety agents enhance the inhibitory effect of this neurotransmitter

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The antidepressant medications administered in the morning

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The antidepressant medications administered at bedtime

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The average time frame for therapeutic results of the antidepressants

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The 3 most common medications used for bi-polar disorder

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The types of antidepressant medications that present the highest risk for overdose

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The most common medication used for rapid tranquilization of a patient with psychotic symptoms

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The new class of antipsychotics that have fewer motor side effects (EPS) but are more expensive

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The abnormal motor side effects common with the typical or standard antipsychotics

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Two medications that can be administered in a long-acting injectable

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The permanent extrapyramidal side effect

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The nurse suggests low calorie hard candies and sips of water
Intervention for what?

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Adequate fluid intake, daily exercise, and high fiber foods
Intervention for what?

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Instructing the patient to move slowly from lying to sitting to standing, especially in the morning and in the Elderly.
Routinely checking BP for this

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The common medication combination (2 drugs) given to an agitated and psychotic person in the ER

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The 2 roles of the nurse when treating a mental health patient with psychotropics

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The benzodiazepine that has a shorter half life than valium and is often used in treatment of alcohol withdrawal

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The type of antidepressant medication that requires the patient to eat a special diet to avoid a hypertensive crisis

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The illness with signs & symptoms of :
Confusion to coma
Hyperthermia
Hyperreflexia
Labile BP & HR
Myoclonus & tremor

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The illness with signs & symptoms of :
Muscle ridgidity
Hyperthermia
Tachycardia
Diaphoresis
Labile BP
Respiratory distress – hypoxia
Renal failure

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The condition with signs & symptoms of :
Coarse hand tremor
Mental confusion
Hyperirritability of muscles
Drowsiness
Incoordination to ataxia
ECG changes and arrythmias
Blurred vision
Seizures

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What is used in ALL nursing departments & settings

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When neurons are stimulated or depolarized they release neurotransmitters. Each neurotransmitter has site-specific receptors that can receive it. This is called

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Most psychotropic medication affect neurotransmitters in one of several ways. Mark all that apply.

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There are two types of antipsychotic medication typical and atypical

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Which of the following 2 medications were the first generation of treatment for psychosis including hallucinations and delusions

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The Atypical Psychotics or the second generation are medications developed more recently that address similar symptoms. These medications include

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Serious medical complications for antipsychotics include

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Antipsychotics have a Black-Box Warning for

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Schizophrenia (positive symptoms), acute mania, psychotic depression, drug-induced psychosis, other psychotic symptoms (these symptoms are associated with elevated concentrations of

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MOA of Typical antipsychotics

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Which antipsychotics have fewer EPS but are no less sedating

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The weight gain from these drugs can be as much as 40lbs per month in worst case scenario

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Which atypical antipsychotic has a risk of agranulocytosis or a serious drop in granulated WBCs due to suppression of the bone marrow

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Atypical antipsychotics are use to treat schizophrenia, treatment of acute mania associated with bipolar disorder, some uses for augmentation of antidepressant

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These drugs target the negative symptoms of schizophrenia as well as the positive and have fewer motor side effects.

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These drugs are known as serotonin-dopamine antagonists because they have more 5-Ht2 effects to D2 receptor blockade. They may also improve cognitive function.

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Atypical antipsychotic have which side effects

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What is the psychiatric emergency related to atypical antipsychotics

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Serotonin syndrome is poorly understood and is believed to be an abrupt and drastic reduction in dopaminergic activity, high mortality

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Symptoms of neuroleptic malignant syndrome include

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Treatment for Neuroleptic Malignant Syndrome include

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types of antidepressants include

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Antidepressants are used to treat major depression, panic disorder and other anxiety disorders including psychotic depression

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Interact with the monoamine neurotransmitter systems in the brain, particularly the neurotransmitters

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Antidepressants have a Black Box Warning for increased risk of suicide in

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Contraindications for antidepressants include

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Psychiatric syndrome of antidepressants include

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Serotonin syndrome occurs from excessive serotoninergic activity this can occur because

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manifestations of serotonin syndrome include confusion to coma, hypothermia, labile BP/HR and

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Atypical or novel antidepressants MOA differ structurally and seem to work with less defined mechanisms than the other antidepressants

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Atypical or novel antidepressants are the oldest drugs for depression but are not used as much because of side effects.

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MOA of ti-cyclic antidepressants block the presynaptic re-uptake of neurotransmitters (norephinephrine & serotonin). Result is increased norephinephrine in the synapse. TCA’s block the muscarinic receptors that bind______________________ – result is anticholinergic effects.
Could also use for shingles cause blocks neurotransmitter

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An important patient teaching for trip-cyclic antidepressants is to use caution when getting up or driving and

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Side effects of Tri-cyclic antidepressants are anticholinergic which include

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Nursing interventions for tri-cyclic antidepressants include section, weight gain, tachycardia, sexual dysfunction and

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Contraindications of tri-cyclic antidepressants include suicide due to the overdose risk

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These are older drugs, along with the TCA’s. They are rarely used and usually a last choice for treatment of major depression. They require high compliance in lifestyle diet from the patient.

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MAO inhibitors MOA: inhibition of MAO enzyme system result in which neurotransmitters not being broken down so there are higher levels

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Side effects of MAO inhibitors include sedation, insomnia, dry mouth, orthostatic hypotension, sexual dysfunction and

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Psychotic emergency of MAO inhibitors are

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Hypertensive crisis occurs because excessive tyramine or sympathomimetic drugs and example of this is

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Which drug do you need to teach patients to avoid tyramine foods such as (aged cheeses, aged meats, beer and wine, sauerkraut, soy sauce) as well as sympathomimetic drugs

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Mood stabilizers drugs include

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Mood stabilizing drugs are use to treat anxiety

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Which drug was the first drug specific Bipolar Disorder (manic depression)Replaced in the 1980’s with usage of the anticonvulsants.

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Which is true regarding lithium carbonate MOA:

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Lithium Carbonate has the most narrow therapeutic index of all psychotropic medications

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Lithium carbonate has a black box warning that can occur even when doses close to a therapeutic range

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Side effects of lithium carbonate include nausea, diarrhea anorexia and

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Nursing interventions for Lithium Carbonate include fatigue, weight gain, acne, cardiac (non-therapeutic levels) and

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Patient teaching for Lithium Carbonate include taking with food, avoid alcohol and NSAIDS, ensuring the HCP of all other meds and having monthly blood levels drawn _______ hours after last dose. (maintain therapeutic levels between 0.5–1.5 mEq/L)

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Adverse effects of Lithium Carbonate include long term kidney and thyroid disease, lithium toxicity and

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therapeutic level for lithium carbonate are

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1.5–2 mEq/L are what levels for lithium carbonate and can cause coarse hand tremors, ECG change and persistent GI upsets

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2-2.5 mEq/L is what level for lithium carbonate and can cause ataxia, serious ECG changes, large dilute urine output and fatalities secondary to pulmonary complications?

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____________________are used as mood stabilizers to treat mania in bipolar disorder. Lamictal and Depakote are used to treat bipolar depression. They are prescribed alone, with lithium, or with an antipsychotic drug to control mania.

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Interventions for anticonvulsants include

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Anticonvulsant medications carry MANY Black Box warnings. Among them:

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Anticonvulsant medications carry MANY Black Box warnings. The one that is a psychiatric emergency is

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Side effects of anticonvulsants include sedation, dizziness, blurred vision, dry mouth, nausea, heartburn, muscle tremors and

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Patient teaching for anticonvulsants include impaired operation due to sedation, may require blood levels, notify MD immediately of rash and

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Adverse effects of anticonvulsants include Stevens-Johnson syndrome, evere stomach pain, bruising, jaundice (pancreatitis, liver involvement, thrombocytopenia) and potential harm to a fetus from

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Which medications are used to treat anxiety disorders, PTSD, alcohol withdrawal

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Anxiolytics include

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This is the MOA for which drug:
Moderate the actions of GABA, increases the receptor responsiveness to GABA

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side effects of anxiolytics include sedation, drowsiness, poor concentration, impaired memory, cloudy sensations and

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Patient teaching for anxiolytics include use caution while driving due to slower reflexes, avoid alcohol and

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Antianxietys and Anxiolytics have very similar side effects and patient teachings

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CNS stimulate drugs are used to manage which of the following

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The MOA of CNS stimulate drugs is stimulate brain function, increasing release of neurotransmitters (norepinephrine & dopamine)and blocking re-uptake. Reduces action of _______.

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CNS stimulants are at extreme risk for...

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Side effects for CNS stimulates include anorexia, nausea, irritability and

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Patient teaching for CNS stimulants include long-term use can cause dependency, tolerance develops and

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For this drug patients learn when they need to take the med.
Example: to focus on school work, cognitive tasks; drug holiday on weekends

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cognitive enhancers work on neurons are destroyed and this lowers the available ____________ for nervous system transmission. (dementia for example)

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Cognitve enhancers are used for Alzheimers disease, with their MOA lowering acetylcholine. Examples of these drugs include

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cognitive enhancers work by blocking the enzyme acetylcholinesterase and make available more of the neurotransmitter, ___________________

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For cognitive enhancers it is important to note in patient teachings that the medication does not reverse the disease process and

Quiz am Medication Test , erstellt von brittny beauford am 06/10/2016.

Medication Test

SSRIs with MAOIs or multiple SSRIs at once causes this

clozapine (Clozaril), olanzapine (Zyprexa) & resperidone (Risperdal) are

haloperidol (Haldol) can cause

MAOIs with decongestants/ cold medicines can cause

triazolam (Halcion) & flurazepam (Dalmane)

fluoxetine (Prozac) & Sertraline (Zoloft) are

imipramine (Tofranil) & amitryptiline (Elavil) are

Lithium & depakote are

chlorpromazine (Thorazine) & thiothixine (Navane) are

lorazepam (Ativan) & alprazolam (Xanax)

benztropine (Cogentin) & trihexyphenidyl (Artane) are

secobarbital (Seconal) & Pentobarbital (Nembutal) are

A decrease in serotonin can result in anxiety.

Lithium carbonate can cause extrapyramidal symptoms.

Children with ADHD respond atypically to Methylphenidate (Ritalin) than children without the diagnosis – instead of stimulation they calm and can focus.

Extrapyramidal symptoms are caused by the blockage of norepinephrine at the synapse.

Routine blood levels are taken on a client using haloperidol (Haldol).

Eating aged cheese and minimal red wine is acceptable for clients taking Lithium carbonate but not those taking an MAO inhibitor.

St. John’s Wort herbal medication has shown qualities of being an antidepressant; however, more clinical trials are needed.

Fluoxetine (Prozac) is given at bedtime.