NS 340 Medication Quiz Study Guide
NS 340 Medication Quiz Study Guide
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Date Created: 11/14/15
NS 340 Medication Review Quiz Study Guide (Revised 2/27/14/J.B.) ● The 25question quiz (4 points apiece) will be composed Multiple Choice. ● There will not be an inclass Study Guide Review prior to the quiz. ● You will have 30 minutes to complete the online quiz before it automatically stops. ● To enhance your knowledge of commonly prescribed psychotropic medications, it is recommended that you become familiar with the medications and some general information related to the classifications included on the Psychopharmacology list in your NS 341 Clinical Application Packet. Recommended Resources th Halter 7 ed. Textbook Antipsychotics Handout Antidepressant and Mood Stabilizer Handout Anxiolytic Handout ● Emphasis should be placed on the drug classifications, indications for usage, adverse reactions/side effects, nursing interventions, patient/family teaching, lab values, as applicable, and other pertinent information/precautions. ● In particular, pay attention to the following medications which will be included in the quiz questions: ADHD Drugs dextroamphetamine or amphetamine salts (Adderall) methylphenidate (Ritalin) Alcohol and Drug Cessation disulfiram (Antabuse) methadone hydrochloride (Methadone or Dolophine) naltrexone hydrochloride (ReVia or Revia) Antidepressants • Monoamine Oxidase Inhibitors (MAOI’s) phenelzine (Nardil) • Related Antidepressants bupropion (Wellbutrin) • Serotonin Norepinephrine Reuptake Inhibitors (SNRI’s) duloxetine hydrochloride (Cymbalta) • Selective Serotonin Reuptake Inhibitors (SSRI’s) sertraline (Zoloft) • Tricyclic Antidepressants (TCA’s) amitriptyline (Elavil) imipramine hydrochloride (Tofranil) Antiparkinsonian Medications diphenhydramine (Benadryl) trihexyphenidyl (Artane) Antipsychotics • First Generation (AKA Typical, Traditional) chlorpromazine (Thorazine) fluphenazine (Prolixin) haloperidol (Haldol) • Second Generation (AKA Atypical, Nontraditional, Novel) clozapine (Clozaril) quetiapine (Seroquel) risperidone (Risperdal) • Third Generation aripiprazole (Abilify) Anxiolytics • Benzodiazepines alprazolam (Xanax) lorazepam (Ativan) • Nonbenzodiazepines buspirone (former trade name BuSpar or Buspar) Mood Stabilizers • lamotrigine (Lamictal) • lithium carbonate (Lithobid, Eskalith) Additional Review Recommendations ● Symptoms, causes, and associated drug classifications for these potentially lifethreatening adverse reactions: Agranulocytosis Anticholinergic Toxicity—hyperpyrexia with hot, dry, red skin withou t diaphoresis, etc. MAOI Hypertensive Crisis Neuroleptic Malignant Syndrome (NMS)—hyperpyrexia is a cardinal sign with diaphoresis, etc. [Central] Serotonin Syndrome ● Extrapyramidal (EPS) terms and symptoms; be able to recognize and differentiate between the following: Acute Dystonia Akathisia Oculogyric Crisis Parkinsonism Tardive Dyskinesia ● Foods to avoid on a tyraminerestricted diet ● Textbook lithium levels: Therapeutic: 0.81.4 mEq/L Maintenance: 0.41.3 mEq/L 1.5mEq/L: Early signs of toxicity can occur 1.52.0 mEq/L: advanced signs of toxicity can occur 2.02.5 mEq/L or higher, severe toxicity and death can occur ● What is the primary neurotransmitter targeted by benzodiazepines to reduce anxiety? ● What is the concern about taking St. John’s Wort simultaneously with a prescription antidepressant? Or, more than one antidepressant at the same time or too soon after the other was discontinued? ● Why do some foods/beverages need to be avoided when taking an MAOI and what are they? ● What is the risk of taking too high of a dose or multiple antipsychotic medications simultaneously? ● What is the difference between anticholinergic side effects and anticholinergic toxicity? Note ● There is one drug calculation. You are provided information about the prescribed oral medication dosages a patient takes during the day. You then have to identify how many tablets are required daily. ● There are no questions regarding the cost of the medications. ● You do not need to know any recommended daily drug dosages for children, adults, and elderly.
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