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50 Cards in this Set
- Front
- Back
Action of Setraline(Zoloft)? |
Inhibits uptake of serotonin in the CNS, increasing activity of serotonin |
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Therapeutic & Pharmacologic class of Sertraline(Zoloft)? |
T: Antidepressant P: Selective Serotonin Reuptake Inhibitor |
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Dosage of Sertraline(Zoloft) |
50mg daily single dose morning and evenings |
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Action of Donepezil (Aricept) |
Inhibits acetlycholinsterase this improving acetylcholine |
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Therapeutic & Pharmacologic class of Donepezil(Aricept) |
T: Anti Alzheimer's P: Cholinergics |
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Dosage of Donepezil (Aricept) |
PO 5mg daily (4-6 weeks may ^ to 10mg) |
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Action of Quetiapine (Seroquel) |
Acts by serving as an antagonist of dopamine & serotonin & histamine H |
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Therapeutic class of Quetiapine (Seroquel) |
Antipsychotics/mood stabilizers |
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Dosage of Quetiapine (Seroquel) |
PO 25mg daily on day 1 (then 50mg 2-3 times a day) |
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Side effects of Quetiapine (Seroquel) |
Seizures, dizziness, cognitive impairment |
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Action of Haloperidol (Haldol) |
Alters affect of dopamine in CNS. Also on anticholengenic & alpha adrenergic |
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Therapeutic & Pharmacologic class of Haloperidol (Haldol) |
T: Antipsychotic P: Butyriphones |
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Side effects of Haloperidol (Haldol) |
Extrapyramidal reactions, constipations, confusion |
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Patient teaching for Haloperidol (Haldol) |
Take medications as soon as remembered |
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Patient teaching with Donpezil (Aricept) |
Missed doses should be skipped |
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Which drug has limits of grapefruit intake? |
Sertraline (Zoloft) |
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What type of antidepressant should you not give to kids because of the risk of suicidal thoughts? |
Selective Serotonin Reuptake Inhibitor |
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How often do you reassess a person for falls? |
Every 8 hours |
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If seizure last more than 6 minutes what do you administer? |
Diazepam (Valum) |
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Used for neuropathic pain |
Lidocaine patch |
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Two main antiglaucomal medication categories |
Prostaglandin analogues & beta adrenergic |
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Action of prostaglandin analogues |
Increased ilveoscleral pathway (alternate airway of aqueous humor flow) - First line in open glaucoma |
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Latanprost (Xalatan) action & adverse effects & recommendations |
-Decreases pressure in open angle -Not recommended for patients with trauma - do not wear contacts until 15 minutes after admin -Adverse effects include change of eye color,darkening of eyelids |
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Cholinergic Agents actions |
Causes miosis (constriction of pupils) widens trabecular mesh work which increases outflow |
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What straightens iris? |
Cholinergic Agents (helps narrow angle glaucoma) |
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Beta blockers, Alpha Adrenergic and Carbonic Anhdrase Inhibitors with Glaucoma |
Decrease production of aqueous humor but all have different adverse effects |
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Eye medication used in emergency and post op? |
Osmotics- decreases vitreous humor -made for acute closed angle |
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Beta blockers for glaucoma adverse effects |
Bradycardia , heart failure and prevention of bronchdialtion |
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Adverse effects of Alpha Adgreneric eye medication? |
Burning, stinging, blurred vision |
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Adverse effects for Carbonic Anhdrase Inhibitors? |
Lethargy, drowsiness, seizure |
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Adverse effects for osmotics |
Headache, nausea, vomiting |
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Diet for macular degeneration? |
Eat more orange vegetables - no cure |
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Dry macular degeneration? |
Blockage of retinal capillaries -macula becomes necrotic |
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Wet macular degeneration? |
Can occur at any age -growth of new blood vessels which leaks |
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Cataracts & common causes |
Opacity in the eye that impairs vision -age related -traumatic -toxicity -associated (diabetes) |
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Physical findings of cataracts |
Blurred vision Double vision Cloudy eyes (painless) |
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Anticholienergic for Cataracts |
Medication prevents pupil constriction (relaxes) -has long duration + fast onset -causes photosensitivy |
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Regular measures of intraocular pressure ? |
10 - 21 |
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Glaucoma surgery |
Laser trabcultomy (placement of a shunt) increases flow of aqueous humor |
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Sensorneural hearing loss caused by? |
Damage to VIII cranial nerve |
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3 types of medications that cause tinnitus? |
NSAIDS Antibiotics Diuretics |
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What decreases platelet aggregation? |
Cox 1 inhibition |
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NSAID Ketorolac |
Use cautiously w/ patients with kidney disease -not to be used with others -should not be given for more than 5 days - First given paternally then oral |
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Second generation NSAIDS recommendations |
Should be given cautiously to people with cardiovascular disease. (increases risk for heart attack) |
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Opiates with Urinary Retention & Constipation |
Patient should void every 4 hours - Anticholinergic & opiates inrecrease constipation |
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Agonist- Antagonist vs. Agonist |
-provides less potential for abuse -less respiratory depression -less analgesic effect |
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Therapeutic Uses of Agonist - Antagonist |
Relief labor pain Moderate to severe pain Balances anesthesia Treats opioid dependence |
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What is abstinence syndrome? |
Vomiting, cramping, fever, anxiety -happens to people who are dependent of opioids |
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Butorphanol |
Causes abstinence syndrome in opioid dependent clients |
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The combination of Diazepam (Valum) and Fentynal ? |
Causes extreme sedation (do not use together) |