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39 Cards in this Set
- Front
- Back
Question
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Answer
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What are the antiparkinson drugs...3
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dopaminergic, anticholinergic, MAO-B inhibitors
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What are the drugs for sleep/anxiety... 2
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barbiturates and nonbariturates-benzodiazepines, nonbenzodiazepines
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What are the drugs taken for depression... 4
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SSRI's, Tricyclics, MAO Inhibitors, Monocyclic
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What are the drugs taken for seizures...5
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Barbiturates, hydantoins, benzodiazepines, gabapentin, valporic acid
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What are the antipsychotic drugs...3
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phenothiazines, lithium, haloperidol
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What are the actions of Cholinergic Drugs
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stimulate the PSNS by acting like acetylcholine
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What are the uses for Cholinergic drugs
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Glaucoma, Myasthenia Gravis, Urinary retention
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What are the side effects of Cholinergic drugs
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N/V/D, H/A, abdominal cramping, excessive salization, lacrimation, bradycardia, hypotension, bronchoconstriction,
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What are eh nursing implications for Cholinergic drugs and urinary retention
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Given specifically for inability to urinate, accurate output, check after 5-15 mins after SQ
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What are the side effects of Anticholinergic drugs
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dry mouth, difficulty swallowing, blurred vision, photophobia, constipation, drowsiness, confusion, urinary retention
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atropine, scopolamine transdermal patch, glycopyrolate (Robinul)
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Anticholinergic drugs
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What are the nursing implications for Anticholinergic drugs
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Good mouth care, Saftey precautions, FF and fiber, check for urinary retention, wear sunglasses because of photophobia
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Sedative
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produces relaxation
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Hypnotic
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induces sleep... Sleeper
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What is the physiological actions of barbiturates
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CNS depression via inhibitory effect on nerve impulses
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How do pt. respond to barbiturates
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decreased perception of stimuli, Decrease REM sleep, Slows GI motility, Large doses will depress RR
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What are the common side effects of barbiturates
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Drowsiness, hypersensitivity, paradoxiacal reactions, decreased RR, B/P
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What are barbiturates used for
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Antianxiety/sleeper, anticonvulsant (epilepsy and seizures), augment anesthesia
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Short acting barbiturates
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"pentothal- ultra short acting (truth serium)
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Long acting barbiturates (seizures)
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"Phenobarbital
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What are the actions of Nonbarbitureates
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CNS depression, provide claming effect
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What are the uses of nonbarbitureates
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hypnotic, preoperative medication, sedative/tranquilizer
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What are the side effects of nonbarbitureates
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"vertigo, dizziness, oversedation,
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benzodiazepines (nonbarbitureates)
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"flurazepam (Dalmane)
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nonbenzodiazepines (nonbarbitureates)
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"chloral hydrate (Noctec)
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What are the nursing implications for nonbarbitureates
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Orthostatic hypotension, withdraw slowly, contraindicated w/pregnancy and breast feeding
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What are the actions of anticonvulsants
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reduce seizure activity by reducing excitability of neurons
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What are the nursing implications for the use of Hydantoins for seizures
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poorly absorbed IM- so give PO or IV, may develop anemia, hypertophy of gums, w/no sedation
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Benzodiapepines for seizures
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"diazepam (Valium)
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Other antiseizure menications for long-term control
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"valporic acid(Depakene, Depakote)
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What are the nursing implications for anticonvulsants
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Do not discontinue suddenly- medical monitoring and lab tests, medi-alert tag, restrictions of activities, Good oral hygiene and dental care
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What is the action of Dopaminergic agents as a Antiparkinsonian
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Invrease the amount or potentiate action of dopamine
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What are the side effects of dopaminergic agents as a antiparkinsonian
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orthostatic hyptenstion, cardiac dysrrhythmias, N/V/A, mental confusion,
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What are the most serious side effects for dopaminergic agents as a antiparkinsonian
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dystonic movements- muscle spasm, choreiform movements- muscle twitching (face/limbs)
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What are the dopaminergic agents as a antiparkinsonian
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"levodopa (Dopar)
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What are the nursing implications for dopaminergic agents as an antiparkinsonian
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Educate about dietary restictions, monitor side effects and B/P and P, saftey issures
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What are the actions for MAO-B inhibitors as an antiparkinsonian
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decrease MAO-B from catabolizing dopamine and there for increase dopamine
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What are the side effects for MAO-B inhibitors as an antiparkinsonian
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mild nausea, lightheadedness, insomnia and confusion
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