Pharm Lecture 4 Exam Ii

Front 1

CNS stimulants are only approved for which kinds of medical treatment

Back 1

Attention Deficit, Narcolepsy, Obesity, Respiratory distress reversal

Front 2

Name three common CNS stimulants

Back 2

Cocaine, Caffeine, Amphetamines

Front 3

When Lisa falls asleep in class she might have? And signs of paralysis accompany this condition

Back 3

Narcolespy

Front 4

A dysregulation of neurotransmitters such as serotonin, dopamine and norepi are associated with ADHD, or ADD, or Narcolepsy

Back 4

ADHD/ ADD

Front 5

If alertness is intended and norepinephrine and dopamine are release from the cerebral cortex to the reticular activating system what type of drug has been prescribe to treat ADD/ADHD & Narcolepsy

Back 5

Amphetamines

Front 6

If a PT is taking Adderall what are some Patient Teaching items

Back 6

Take 1st dose when pt wakes, last does 6 hrs before bed. Take on empty stomach 30 -60 ac. Increased affects noted with caffeine.

Front 7

If a PT is taking Amphetamines what things should be monitored

Back 7

CBC, UA, Blood Glucose, V/S, Growth, Mental Status, Mood, Sensorium Affect

Front 8

What two groups need to have an EKG done before and Amphetamine regiment is started

Back 8

Children, PT w/ HX of CHD

Front 9

True or False Patients taking Amphetamines should not consume ETOH, increase caffeine or stop/dc abruptly

Back 9

True

Front 10

PT taking amphetamines have increased their risk for ________________? This threshold is significantly decreased in PT that have this preexisting __ disorder

Back 10

Seizure , Sz

Front 11

In order to manage the obesity epidemic within society, _______________ have been successful along with behavioral modification implementation

Back 11

Anorexiants

Front 12

True or False Anorexiants act similar to amphetamines as indirect parasympathomimetic amines with muscurinic activity

Back 12

False ….. sympathomimetica amines and alpha and beta adrenergic activity

Front 13

Anorexigenic inhibit the lateral hypothalamic appetite center and should be indicated for people with BMI of >= 15, >20, >=30 without risk factors

Back 13

>=30

Front 14

List Common Anorexiants

Back 14

Didrex, Proprion, Meridia, Xenical Orlistate (fat stool) Taco Grease), Phentermine

Front 15

This off label SSRI is used to control weight is it Topicort or Topamax

Back 15

Topamax

Front 16

True or False PT should take Anorexiants 1 hour before bed to help with digestion and weight loss.

Back 16

False, take 6 hours before bed to avoid insomnia

Front 17

An individual taking Anorexiants might have which of the following S/E

Back 17

HA, Inc. B/P, Palpations, Insomnia, Inc. HR

Front 18

True of False PT with HX of MI, CHF, CVA should take Anorexiants on a regular bases to control weight gain, in order to support good cardiac function?

Back 18

False

Front 19

Nursing Considerations for PT taking Anorexiants:

Back 19

Assess BP, HR, WT, BMI, Encourage Diet, Exercise Changes, Monitor Abuse, Evaluate Response

Front 20

True or False A PT taking Anorexiants should also be prescribed a MAOI to stimulate the CNS system for a therapeutic sympathomyometic response?

Back 20

False, MAOI should not be used with Anorexiants

Front 21

_____________ are cause by inflammation and dilation of the blood vessels in the cranium

Back 21

Migraines

Front 22

These are preventive treatments for Migraines Hint: B ___ C___ T___A___ _ A____

Back 22

Beta adrenergic blockers, Calcium Channel Blockers, Tricyclic Antidepressants, Anticonvulsants

Front 23

Analgesics, Ergot Alkaloids & SSRI (5-HT) are all _____________ Treatment so Migraines

Back 23

Abortive

Front 24

_________ is a nonspeicific serotonin agonist and vasoconstrictor and are taken early in the migraine.

Back 24

Ergots

Front 25

True or False Ergots can be give IV, Oral, Topical (Nasal)?

Back 25

True

Front 26

5-HT1’s or _____________ are the most effective treatment for Migraines.

Back 26

Triptans

Front 27

Triptans cause Vasoconstriction or Vasodilatation?

Back 27

Vasoconstriction

Front 28

Triptans all end in what similar ending?

Back 28

Sumatriptan, Naratriptam, Rizatriptan, Zolitriptan,

Front 29

Triptan belongs in what drug category A B C D X?

Back 29

C Category

Front 30

True or False Imitrex is a drug used to treat antipsychotic episodes

Back 30

False, Migraine

Front 31

Name a few of the classifications that treat CNS depression?

Back 31

Anti psychotics, Anti depressants, Anti convulsants, narcotics, sedative , general & locals

Front 32

This drug is a Schedule II drug and should only be used for two weeks or less to avoid abuse.

Back 32

Barbiturates

Front 33

This Anti-anxiety med is used to also decrease CNS, but is used to increasing GABA to aid Grief insomnia and SZ disorders?

Back 33

Benzodiazepine : Xanax, Ativan

Front 34

True or False A Child of 2 months presents to the ER, the doctor prescribes grape Tylenol for fever?

Back 34

False, Child must be at least 4 months of age

Front 35

Signs of Liver Failure:

Back 35

Jaundice, Yellowing of Scelara, Clay colored stool, urine dark yellow, Adb pain

Front 36

Name the three A’s associated with ASA?

Back 36

Anti-platelet, Anti inflammatory, Anti pyurtic

Front 37

Hepatoxtoxicity is notes at >= gm/d of acetylcysteine?

Back 37

4g or 4000mg

Front 38

Children under the age of 12 should never be given ASA as it caused _________________?

Back 38

Reye Syndrome

Front 39

Individuals over the age of 40 should take ______mg per day of ASA for heart health?

Back 39

81 mg

Front 40

When a patient is taking Restoril you should expect your patient to

Back 40

sleep for 7 hours without waking

Front 41

What is an adverse S/E related to Ativan?

Back 41

Ataxia, limping gait.

Front 42

Name Benzodiazepine Antagonist used in overdosage

Back 42

Flumazenil