Pt receives a drug that blocks adrenergic receptors Orthostatic hypotension no

Pt receives a drug that blocks adrenergic receptors

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Pt receives a drug that blocks adrenergic receptors Orthostatic hypotension (no BP to the brain) Reflex tachacardia is caused by hypotention A pt with diabetes gets a beta blocker (mask the signs of hypoglycemia and blocks beta receptors – inhibits glycogenolysis) Atenolol (more selective) A pt with depression is prescribed an antidepressant – the medication will reach full therapeutic effect 2 to 3 weeks (more like 1 to 2 months but this is the best response) A pt taking Levadopa/Carbadopa (dopaminergic) and experiences a frequent “on – off” episodes Avoid high protein meals – competes with drug A pt is prescribed a Dopamine agonist (Mirapex) (adrenergic agonist) for Parkinson’s
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This med will stop the progression of Parkinson’s.” – can’t cure Parkinson’s Pt with mild symptoms of Alzheimer’s is prescribed Donepezil (Aricept) The drug will stop the damage to the neurons in my brain - A patient with mild symptoms of Alzheimer's disease is prescribed donepezil (Aricept). Which statement made by the patient indicates a need for further teaching? - "The drug will stop damage to the neurons in my brain." ** Donepezil will improve transmission by neurons in the brain because more acetylcholine will be availalble (it is a cholinesterase inhibitor), it may cause an upset stomach, and it is a good idea to take it at bed time because of the side effects. It will not, however, stop the damage in the brain, it only provides symptom control.** Pt is concerned about developing Alzheimer’s disease Naproxen (NSAID’s) Which assessment best determines the effectiveness of Sumatriptan ( triptans are used for treatment of Migraines so… Termination of the migraine Pt with schizophrenia is prescribed chlorpromazine (Thorazine – first generation antipsychotic) oral concentrate The medication may cause excessive salivation - A patient with schizophrenia is prescribed chlorpromazine (Thorazine) oral concentrate. Which of the following discharge instructions should the nurse complete? A. Sexual arousal may be enhanced with this medication.B. Avoid direct skin contact with the medication.C. The medication may cause excessive salivation.D. Do not limit salt intake while taking the medication. Which assessment best determines the pt is developing tardive dyskinesia Twisting, writhing, worm-like movements of tongue Pt with depression is proscribed Fluoxitine (Prozac) It may take 3-4 weeks before my mood is elevated”
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Pt is on Marplan (MAOIs – have the most food interactions) for depression Bananas, smoked fish, and cheese Pt on Lithium Polydypsia (increased thirst), slurred speech, and fine hand tremors Pt is prescribed Lunesta for insomnia Anterograde amnesia (memory loss of events right before taking drug) A 24 yo female gets Triazolam (Halcion) for insomnia at home (remember to use the process of elimination) The medication will not alter my breathing” A pt is prescribed Venlafaxine and the pt asks what the purpose of medication is, you should state Depression and anxiety
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  • Summer '17
  • lerman
  • Pharmacology, Morphine, digoxin

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