Medication Summative Quiz Nur202/203

Front 1

When a patient has been on a benzodiazepine for several months and indicates a desire to stop the medication, what instruction should the nurse give the patient (besides talk to your doctor).

Back 1

Instruct the patient not to stop abruptly but to taper off gradually under the direction of a physician.

Front 2

List Benzodiazepines giving generic and trade names:

Back 2

Generic Name / Trade Name
Chlordiazepoxide / Librium
Diazepam / Valium
Oxazepam / Serax
Alprazolam / Xanax
Lorazepam / Ativan

Front 3

Generic Name: Chlordiazepoxide

Back 3

Trade Name: Librium

Front 4

Generic Name: Diazepam

Back 4

Trade Name: Valium

Front 5

Generic Name: Oxazepam

Back 5

Trade Name: Serax

Front 6

Generic Name: Alprazolam

Back 6

Trade Name: Xanax

Front 7

Generic Name: Lorazepam

Back 7

Trade Name: Ativan

Front 8

List the primary nonbenzodiazepine:

Back 8

buspirone (BuSpar) and hydrolazine (Vistaril)

Front 9

Generic Name: buspirone

Back 9

Trade Name: BuSpar

Front 10

Generic Name: hydrolazine

Back 10

Trade Name: Vistaril

Front 11

List the common tricyclics giving the generic and trade names:

Back 11

Generic Name / Trade Name
Amitriptyline / Elavil
Desipramine / Norpramin
Imipramine / Trofranil

Front 12

Generic Name:
Amitriptyline

Back 12

Trade Name: Elavil

Front 13

Generic Name:
Desipramine

Back 13

Trade Name: Norpramin

Front 14

Generic Name:
Imipramine

Back 14

Trade Name: Trofranil

Front 15

What is a common set of side effects of these tricyclic drugs:

Back 15

Anticholinergic side effects

Front 16

List five common anticholinergic side effects:

Back 16

dry mouth, blurred vision, constipation, urinary retention, vaginal dryness, (some texts include orthostatic hypotension, and tachycardia).

Front 17

Instructions to give the patient starting on antidepressants:

Back 17

it takes 4-6 weeks to achieve full therapeutic effects.

Front 18

MAOI : List generic and trade names

Back 18

Generic / Trade Names:
Isocarboxazid / Marplan
Phenelzine / Nardil
Tranylcypromine / Parnate

Front 19

Generic Name:
Isocarboxazid

Back 19

Trade Name: Marplan

Front 20

Generic Name:
Phenelzine

Back 20

Trade Name: Nardil

Front 21

Generic Name: Tranylcypromine

Back 21

Trade Name: Parnate

Front 22

What is the amino acid that interacts with MAOIs and what are some foods to teach the patient to avoid?

Back 22

Amino acid: tyrami
Foods: (HESI= aged cheese, red wine, beer, beef and chicken liver, yeast, soy sauce, chocolate, bananas. fermented products.
Other books: smoked and processed meats, raisins, fava beans, flat Italian beens, MSG, corned beef

Front 23

What happens if a MAOI is combined with a high tyramine food or OTC cold medication?

Back 23

Hypertensive crisis

Front 24

What happens if MAOI is combined with a SSRI?

Back 24

Serotonin Syndrome

Front 25

SSRIs: List any five SSRIs including generic and trade name:

Back 25

Generic / Trade Name
Fluoxetine / Prozac
Paroxetine / Paxil
Sertraline / Zoloft
Escitalopram / Lexapro
Citalopram / Celexa

Front 26

What is a common side effect of SSRIs:

Back 26

sexual side effects

Front 27

How long do you have to wait between administering a MAOI and SSRI?

Back 27

Two weeks

Front 28

Is there a difference in the timeframe with fluoxetine (prozac)?

Back 28

Yes, Five weeks

Front 29

Generic Name:
Fluoxetine

Back 29

Trade Name:
Prozac

Front 30

Generic Name: Paroxetine

Back 30

Trade Name: Paxil

Front 31

Generic Name: Sertraline

Back 31

Trade Name: Zoloft

Front 32

Generic Name: Escitalopram

Back 32

Trade Name: Lexapro

Front 33

Generic Name: Citalopram

Back 33

Trade Name: Celexa

Front 34

What are the drugs of choice for EPS and how do these drugs work:

Back 34

Artane, Benadyl 50 mg and Cogentin 1-2 mgs lowers acetylcholine/ Symmetrel increases dopamine

Front 35

What is the therapeutic level of lithium and depakote?

Back 35

Lithium =0.4-1.3 Depakote= 50-100

Front 36

What is the toxic blood level of lithium?

Back 36

Some give 1.5mEq/L as mildly toxic; toxicity continues to increase with Neuroleptics

Front 37

What is the toxic blood level of Neuroleptics?

Back 37

approaching 2 mEq/L as definitely toxic; death at 2.5-3.0

Front 38

How is Haldol D and prolixin D administered?

Back 38

Z-track deep IM

Front 39

What is Neuroleptic Malignant Syndrome?

Back 39

Life threatening adverse reaction to neuroleptics

Front 40

What is the cause of Neuroleptic Malignant Syndrome?

Back 40

Cause: Antipsychoics lower dopamine & cause an imbalance of Dopamine (low) & AcH (higher)

Front 41

What are 5 S/S of Neuroleptic Malignant Syndrome?

Back 41

Five S&S: High fever; muscle rigidity, tachycardia, stupor, lachypnea; leucocytosis and elevated CPK (CK)

Front 42

Typical Antipsychotics?

Back 42

Haldol / Haldol D
Thorazine
Prolixin / Prolixin D

Front 43

Atypical Antipsychotic

Back 43

Clozaril Invega / Sustena
Risperdal (M-tab) (Consta)
Geodon Fanapt
Seroquel
Zyprexa / Zuprexa Zydis
Abilify