Pharmacology QUIZ 3

Week 3

What is a potential side effect of abruptly stopping Antidepressant ?

Withdrawal Syndrome (antidepressant discontinuation syndrom)

What are some symptoms of Withdrawal Syndrome (antidepressant discontinuation syndrom)

headache, nausea, visual disturbance, anxiety, agitation, tachycardia, tinnitus, dizziness, tremors, worsening of pretreatment

Activation Syndrome is

a potential adverse affects of antidepressants (SSRIs) during the early phases of treatment particularly in young adults/adolesents’s

what arte symptoms of activation syndrome

increased energy, restlessness, agitation, anxiety, insomnia, and increased risk of suicidal thoughts.

Explain Antidepressant Discontinuation Syndrome (ADDS)

This occurse when SSRIs and SNRIs are abruptly stopped or or missed for several doses

SSRIs (selective serotonin Reuptake inhibitors) are

safer , have fewer side effects, first line of tx for depression

TCAs ( Tricyclic Antidepressants) are an

Older class, more side effects, and are dangerous in overdose

what is a major side effect of Tricyclic Antidepressants (TCAs)

Cardioctoxicity (fatal in od d/t dysrthmias)

What are some non opioid analgesics for a patient who has a known opioid addiction

Acetaminophen

Opioid tolerance

1-2 weeks your body builds tolerance

Opioid addiction

think they need it to feel better

Post Anesthesia Care Unit (PACU) was formally known as

Recovery room

What is the nurses main assessment begin with in the PACU

ABC (Airway, breathing, and circulation)

What herbal supplement can be used to treat mild to moderate depression

St. Johns Wort

St. Johns wort can interfere with medications and should be avoided and never to be take with

MAOIs

what essential oil (herb) will decrease anxiety and improve sleep for patients with anxiety

Rosemary Oil

benzodiazepines/alprazolam (XANAX)

avoid driving and operating heavy machinery

Diazepam (valium) and Alprazolam (Xanax) are types of

benzodiazepines

Describe s/s of a panic attack

increases respiratory rate and feels like heart is beating out of your chest

what should a nurse tell their patient to avoid doing while taking these types of medications (benzodiazepines) especially in early on in the tx

Avoid drinking, increased fall risk, and do not sop taking abruptly

if you are taking Diazepam you should avoid activities like

driving, alcohol, and grapefruit juice

Carbidopa-Levodopa important side effects for the nurse to monitor for is

on-off phenomenon (abnormal involuntary movements

What is the therapeutic outcome for a Parkinson’s patient taking Selegiline

improves motor function by decreasing tremors, rigidity and bradykinesia

Selegiline is an MAOI and it it used to

prevent dopamine breakdown, making it last longer

when you are taking MAOIs the nurse should advise the patient to avoid

foods high in tyramine (like cheddar cheese, cured meats, fermented produce) because it causes a dangerous increase in BP

A patient is taking Benztropine that is a anticholinergic medication. what side effect should the nurse have the patient report to the Dr?

worsening effect of parkinsons, urinary retention, constipation, blurred vision/eye pain, confusion/hallucinations/memory issues, palpitations/rapid HR

What are some adverse effects of taking antipileptic medicatiobs for epilepsy

liver damage, weight gain, mood swings, sleepiness, dizziness