week 7 NR568 NR222 quiz 1 WGU D351 HRM Foundations NR 222 Exam #1 Chamberlain Chamberlain NR-222 Final Latest updated exam questions with complete verified solutions

What other drug classes can be used to tx BPD

antidepressnats and antipsychotics

what drug interactions are there with lithium

it interacts with ACEs or loop diuretics

What do you need to monitor with lithium

Serum lithium levels, renal function and thyroid function

what are examples of SSRI

Celexa, Lexapro, Prozac, Paxil, Luvox, Zoloft

What are AE of venlafaxine

drowsiness, dizziness, HA, nightmares, N/V and stomach pain

What are AE of monoamine oxidase inhibitors

CNS Stimulation, orhtostatic hypotension, HTN crisis from dietary tyramine

what food interactions does MAOIs have

avocados, figs, meats that are fermented or smoked, fish, milk, cheese and beer/wine d/t their tyramine concentrations

When is antidepressant-induced suicide more prevalent?

in children, teens and adults younger than 25

What do patients need to know about SSRIs

they should not be stopped abruptly, d/c can result in rebound anxiety

if tx has lasted less than 8 weeks then d/c over 1-2 weeks is safe.

What patients are appropriate for MAOIs

atypical depression, those that have not responded to other antidepressants

What baseline data is needed to minimize the AE when prescribing SSRI or SNRIs

serum sodium in oldera dults and patients on diuretic therapy.

What baseline data is needed before staring tricyclic antidepressants

ECG

What baseline data is needed before starting MAOIs

BP

Medications used to tx panic disorders.

Paroxetine, sertraline, fluoxetine

Medications to manage social anxiety disorder

Zoloft, paroxetine - drug therapy takes 4 weeks to see effects.

SE of 1st gen antipsychotics

hypotension, medications can have sedative SE so caution when driving

SE of 2nd gen antipsychotics

Clozapine can cause life threatening agranulocytosis. use it for patients who have not responded to safer alternatives

Appropriate tx with trazadone

insomnia resulting from use of antidepressants that cause significant CNS stimulation

appropriate tx with zaleplon

Benzodiazepine like drug to assist with falling and staying asleep

appropriate tx with zolpidem

benzodiazepine like drug to assist with falling and staying asleep

appropriate tx with flurazepam

benzodiazepine for the long lasting effects

Example of Benzodiazepine

triazolam

example of benzodiazepine like drug

Lunesta, sonata, ambien

Examples of melatonin receptor agonists

Rozarem

Common issue with Kava

severe liver injury

common issue with ginkgo biloba

suppresses platelet aggregation and can increase risk of bleeding in patients receiving antiplatelet or anticoagulant drugs

issues with echinacea

can oppose the effects of immunosuppressant drugs, compromise drug therapy of TB, Cancer and HIV

Issues with St. John's Wort

interact adversely with many drugs: induction of cytochrome P450, induction of P-glycoprotein and intensification of serotonin effects

issues with ginger root

inhibit production of thromboxane by platelets can suppress platelet aggregation

issues with flaxseed

reduce absorption of convential medications should be taken 1 hour before or two hours after can cause bloating, gas, abd discomfort