Blueprint Exam 2 Ch 18-30 Summer 2018 copy.docx - VNSG 1231 Pharmacology Study Guide Exam 2 Chapter 18 CNS Stimulants 5 questions Review the Central

Blueprint Exam 2 Ch 18-30 Summer 2018 copy.docx - VNSG 1231...

This preview shows page 1 - 2 out of 5 pages.

VNSG 1231 Pharmacology Study Guide Exam 2 Chapter 18 CNS Stimulants 5 questions Review the Central Nervous system stimulants (analeptics, amphetamines & anorexiants) *Narcolepsy management drugs: modafinil (Provigil Treats narcolepsy- decreases episodes of sleepiness ), doxapram (Dopram) Reverses post anesthesia resp. depression without changing effect of opioid, Adverse reaction: H/A, dizziness, palpitations, urinary retention- Measure intake & output, Notify PHCP if unable to void or bladder appears distended *Weight loss drugs benzphetamine (Didrex Treats obesity only be used for obese (BMI >30) or overweight (BMI >27) individuals with a comorbid condition, An expected weight loss is 5% in 12 weeks. , Clients should not increase their medications without provider direction.), sibutramine (Merida). *How much weight should client lose in 12 weeks? 5% *ADHD drugs- Methylphenidate (Concerta Obtain baseline behavior screening, Growth & development screening Appetite assessment, weight, V/S, Give before breakfast and lunch, Encourage good breakfast, Notify PHCP for extreme fatigue, dizziness, tremors ), amphetamine/dextroamphetamine (Adderall), Strattera ( linked to suicide, , Watch for suicide thoughts, gradually titrate dose upward ), *What is purpose of each of these drugs? Teaching? Side Effects? When is the best time of day to take these medications? Morning, 30-45 minutes before breakfast and lunch *Contraindications ( Amphetamines are contraindicated with Glaucoma, Anorexiants with pregnancy X ) Chapter 19 Cholinesterase Inhibitors 3 questions What drugs are used to management Alzheimer's disease? donepezil HCL (Aricept), rivastigmine (Exelon), memantine (Namenda), donepezil/ memantine (Namzaric) combo drug What’s the goal of treatment? slow onset of dementia, and improve or maintain memory When is Aricept taken? Bedtime with a snack What side effect is associated with Exelon? Vomiting What herbs are used by the public to improve memory & mental functioning? Gingko-memory, Ginseng- function/mental performance Transdermal patch less vomiting; No site can be used more than 1 time in 2 weeks, very important to rotate sites and record on a back chart exactly where it was placed Chapter 20 Anti-anxiety 3 questions *Review the uses of Anxiolytics alprazolam (Xanax Treats anxiety disorders & panic attacks ), diazepam (Valium used for treating anxiety, acute alcohol withdrawal, PREOP, Paradoxical Reaction: Hyper- anxious state, Hyperexcitation, Hallucinations, Acute rage, Insomnia, Disorientation- What happens if you mix alcohol and valium? Convulsions and coma ), lorazepam (Ativan), buspirone (BuSpar blocks serotonin receptors ) *What class of controlled substance are these drugs? IV Review patient teaching for clients on these drugs *Which drug is safest for use in elderly? Ativan, Serax, BuSpar safer for elderly What is antidote for Valium overdose? Flumazenil (Romazicon) 6-10 minutes, Antidote can cause agitation, confusion, seizures *What are s/s of benzodiazepine withdrawal Benzodiazepine toxicity respiratory depression, coma ( Metallic taste
Image of page 1
Image of page 2

You've reached the end of your free preview.

Want to read all 5 pages?

  • Fall '19

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes
A+ icon
Ask Expert Tutors