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22 Cards in this Set
- Front
- Back
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? is not a first choice for antidepressant therapy, but it is often given along with another agent for sedation which is one of its common S/E.
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Trazadone(deseryl)
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A pt tell his doctor that he is having trouble falling asleep what Benzo will the nurse expect to prepare teaching material for, for this pt?
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Halcion(short 1/2 life)
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A pt tells her Dr. that she wakes up in the middle of the night and cannot stay asleep most nights. What Benzo does the nurse think the Dr. will prescribe?
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Restoril(intermediate 1/2 life)
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A pt tells her Dr. that she is having trouble falling asleep and staying asleep what Benzo do you expect to teach the pt about?
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Dalmane (long 1/2 life)
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An older male pt tells the nurse that he has been told that he has been acting out his dreams while sleeping and has even kicked his wife. What parasomnia do you suspect? What medicines should the Dr. not prescribe? b/c they may exacerbate this problem. What med will the Dr. choose to help with this problem?
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RSBD (REM Sleep behavior disorder),
SSRI's, SNRI's, Restoril( intermediate Benzo) |
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Parasomnias are Unusual or undesirable behaviors or events that occur during ?/? transitions, ? stages of sleep, when a pt is ? from sleep. Parasomnias are usually reported by the ?
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sleep/wake,
certain, aroused, sleep partner |
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A pt tells the nurse that she is having unpleasant sensations in her legs that give her the urge to move around. She say that the feeling is relieved by walking, stretching, or flexing. What does the nurse suspect the Dx will be? What meds can the Dr. prescribe for this?
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Restless leg syndrome,
Mirapex or Requip |
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An older pt presents with S/S of anxiety he has been given an SSRI, but is still expressing physical complaints and fears of illness, the Dr. wants to prescribe an antianxiety med Ativan to lessen the anxiety. What does the nurse know can happen when prescribing this med?
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Parodoxical reaction,
confusion, oversedation |
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Old people in general under report ?
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pain
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A pt tells the nurse that she has been experiencing wakefullness during the night and taking naps during the day for 1 month and doesn't have any other medical problems. What does the nurse know that this is a sign of?
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primary insomnia
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An epileptic pt in your care is having a seizure you understand that you need to ? the seizure so we know what category of seizure it may be.
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time
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An epileptic pt has been having a seizure for more than 30 minutes the nurse know that this is categorized as ? and is an emergency.
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Status epilepticus
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A pt tells the nurse that he has a pretty good idea of when his seizures are going to happen because he gets the smell of strawberries in his nose right before the seizure happens. This unexplained smell of strawberries before his seizure is known as an ?
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aura
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If a pt is suddenly withdrawn from or quits taking an anticonvulsant what can the nurse expect will happen to that pt?
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He may have a seizure.
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A pt reports having a seizure, he remained conscious during the seizure but reports having a feeling of deja-vu, he has an increased HR, skin flushing, and epigastric pain. What type of seizure does the nurse believe this to be?
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simple partial seizure
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A pt in the ER has a seizure with LOC that last 1-3 minutes, he is picking at his clothes and his lips are smacking. When he awakens he doesn't remember the event. What type of seizure does the nurse believe this to be?
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Complex partial seizure
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Seizures that occur for no reason, and do not fit into a generalized category or partial seizure category account for ? of all seizures.
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1/2
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A child has a seizure with a brief LOC and blank staring. This type of seizure is known as an ? seizure.
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absence
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A pt has a seizure with brief jerking and stiffening of the extremeties that lasts for a few seconds. What type of siezure is this?
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Myoclonic seizure
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A pt drops to the floor and has a seizure and has post ictal confusion. What type of seizure is this?
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Atonic
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A seizure that has and abrupt increase in muscle tone is a ? seizure.
A seizure that lasts several minutes and is characterized by muscle contractions and relaxation is a ? seizure. |
Tonic,
Clonic |
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What meds does the nurse expect to be ordered to stop the motor movements during a seizure ? and ? What meds can be given to prevent recurrence of seizures ?, ?, ?
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Ativan and Valium,
Dilantin, Cerebyx, and General anasthesia as a last resort |
