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Test 2 review #2
units 5-8
| Question | Answer |
|---|---|
| Ritalin taken with tylenol does what? | decreases effect of tylenol |
| Ritalin taken with anticoagulants does what? | increase effects of anticoagulants |
| Ritalin taken with contraceptives does what? | decrease effects of contraceptives |
| Tylenol taken with anticoagulants does what? | decrease effects of anticoagulants |
| Tylenol taken with contraceptives does what? | decreases effect of contraceptives |
| anticoagulants taken with contraceptives does what? | decreases effect of anticoagulants |
| Benzodiazepine hypnotics suppress what? and cause what? | stage 4 of REM sleep causing nightmares and vivid dream. |
| Contraindication of Benzodiazepine hypnotics are? | alcohol and narcotics cause additive depression to CNS response and respiratory distress |
| Triazolam(Halcion) may cause? | rebound insomnia |
| Temazepam (restoril) may cause? | euphoria and palpatations |
| Parkinsonism is caused by? | Imbalance of the neurotransmitter dopamine and ACH. Degeneration of neurons from midbrain to basal ganglia of motor tract. |
| Non pharmacolgic treatments of parkinsons are? | client teaching,group support,exercise,and nutrition |
| Pharmacologic treatment for parkinsons are? | anticholinergics,dopaminergics,dopamine agonists,MAO-B inhibitors,COMT inhibitors |
| Goals of dopaminergic treatment are? | decrease symptoms of parkinsonism and with the use of carbidopa less levodopa is needed. |
| Goals of dopamine agonists are? | decrease symptoms of parkinsonism, has fewer side effects, and delays necessity of levodopa. |
| Goals of MAO-B inhibitors are? | inhibit dopamine breakdown and alllows neurons to reabsorb dopamine for later use. |
| Goals of COMT inhibitors are? | inhibits COMT enzyme and increases concentration of levodopa which causes smaller doses of levodopa. |
| Goals of anticholinergics are? | decrease tremors and treat drug induced parkinsonism. |
| Cause of MS is? | autoimmune disorder that attacks myelin sheath of nerve fibers in the brain and spinal cord causing lesions that are called plaques. |
| Treatment of MS acute attack is? | tapering course of glutocorticoids and ACH stimulates the adrenal cortex to secrete cortisol. |
| Treatment for MS remission and exacberation is? | Biologic immune response modifiers and IFN-B they reduce spasticity and improve muscle movement. |
| Treatment for MS chronic pregressive is? | immunosuppresants (cytoxan) |
| What reduces muscle spasticity in MS patients? | muscle relaxants |
| Goals of MS drugs? | Decrease inflammatory process of nerve fibers and improve conduction of axons. |
| Cause of Alzheimers disease? | Degeneration of cholinergic neuron and deficit of ACTH, Neuritic plaques, apo E4 which promotes formation of the plaques,Beta amyloid protein accumulaition, neurofibrillary twists and tangles in neurons, genetic predispostition, virus or infection. |
| Treatment of Alzheimers disease is? | Eryoloid mesylate (Hydergina), ACHE inhibitors |
| ACHE inhibitors goal? | increasing cognitive function and clients memory will improve. |
| Aspirins therapeutic effect is? | reduce pain and inflammatory symptoms, reduce body temp, and inhbit platelet aggregation. |
| Side effects of asprin are? | confusion, hearing loss,heartburn,rash,and drowsiness. |
| Adverse effects of asprin are? | Tinnitus,urticaria,ulceration,hemolytic anemia,bronchospasms,anaphylaxis,thromboctytopenia,and hepatotoxicity. |
| Drug interactions with asprin are? | increase risk of bleeding if taken with anticoagulants, increase of hypoglacemia with hypoglacimic drugs, increase in ulceration with glucocorticoid drugs. |
| Nursing recommendations when taking asprin are? | not to take with alcohol or warfarin,inform dentist before visiting, discontinue 3 to 7 days before surgery,causes GI distress. |
| NSAIDS therepuetic effect is? | reduce inflammatory process,relieve pain,antiinflammatory effect for arthritic conditions and reduce fever. |
| Side effects of NSAIDS are? | edema,tinnitus,fatigue,anxiety,and fluid retention with edema. |
| Adverse reactions of NSAIDS are? | GI bleeding,blood dyscrasias,dysrythmias,nephrotoxicity, and anaphylaxis. |
| Drug and food interactions with NSAIDS are? | increase in bleeding with anticoagulants, increase effect of phenytoin,sulfonamides,and warfarin, decrease effect with aspirin, and severe side effects with lithuim. |
| Nursing recommendations with NSAIDS are? | don't take with aspirin, avoid drinking with alcohol, herbal products may interact. |
| Therepeutic effect of acetaminophen is? | reduce pain and fever. |
| Side effects of acetaminophen are? | rash, vomiting, anorexia, and nausea |
| Adverse reactions of acetaminophen are? | hypoglacemia, oliguria, thrombocytopenia |
| drug and food interactions with tylenol are? | increase effects with caffeine, decrease effects of contraceptives etc.. |
| nursing recommendations are? | take correct dosage amount and don't use longer than 10 days. |
| What is the therapeutic effect of Gold therapy? | To alleviate inflammation and pain of rhematiod arthritis. |
| Side effects? | metallic taste,dizziness,dermatitis and photosensitivity. |
| adverse reactions? | corneal gold deposits, proteinuria,and bradycardia |
| drug and food interactions? | causes bone marrow depression with anticancer meds |
| nursing recommendations? | mantain dental hygeine, schedule blood tests, and may take up to 4 months to see results. |
| Indomethacin? | For moderate or severe arthritic conditions causes GI upset and ulcerations and your supposed to take with food. Avoid if allergic to asprin. |
| Colchicine? | Used for acute gout and reacurring gout. taken with food. Not for clients with renal or gastic problems. Increase fluid uptake when on. |
| Morphine sulfate? | Relieves severe pain. Urinary retention,brdaycardia,blurred vision,hypotension,seizures,resp.depression,intercranial pressure. increases effects of alcohol,hypnotics,antipsychotics,and muscle relaxants. |
| Dilaudid? | treats moderate to severe pain. Can be perscribed for analgesic purposes. |
| Imitrex? | treates migranes and cluster headaches. tingling,wam sensation,muscle cramps,and numbness, stroke heart block and hypotension. Vasospasms and BP elevation when taken with ergot alkaloids. |
| Fluphenazine? | manages symptoms of psychosis. Sedation, dizziness,blurred vision,tardive dysklmesia,and convulsions. increase in depression when taken with alcohol or CNS depressents. |
| Tricyclic anti depressents? | used for depression, bed wetting, ocd,trigeminal neuralgia and headaches. lowers seizure threshold. |
| SSRIS? | used for depression, bipolar,obesity,eating disorders,ocd,panic attacks. sweating, sexual dysfunction urnary retention. |
| lithium? | used for bipolar manic episodes. lethargy, slurred speech hypotension. urnary incontinence, clonic movements and circulatory collapse. Drugs increase lithium levels and you need to increase sodium uptake. |
| Psudoparkinsonim is? | stooped posture,shuffling gait,rigidity,bradykinesia,tremors at rest and pill rolling of hand. |
| Acute dystonia is? | facial grimacing,involuntary upward eye movement,muscle spasms,and laryngeal spasms. |
| Akathisia is? | restless,trouble standing still,paces the floor,and rocking back and forth of feet. |
| Tardive dyskinesia is? | protrusion and rolling of tongue, sucking and smacking lips,chweing motion,facial dyskinesia, and involuntary body moevement. |
Created by:
cdanella
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