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100 Cards in this Set
- Front
- Back
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name the 5 antipsychotic drugs on the list for nur 220
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haldol, abilify, risperdal, invega, geodon
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trade name for haloperidol
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haldol
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trade name for aripiprazole
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abilify
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trade name for risperidone
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risperdal
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trade name for paliperidone
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invega
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trade name for ziprasidone
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geodon
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indications of use for haldol or haloperidol
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acute and chronic psychotic disorders, schizophrenia, manic states and induced drug pychoses
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indications of use for abilify or aripiprazole
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schizophrenia, acute mania, mixed mania, bipolar and depression
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indications of use for risperdal or risperidone
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treat schizophrenia in adults and bipolar mania
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indications of use for invega or paliperidone
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schizophrenia
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indications of use for geodon or ziprasidone
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schizophrenia, bipolar mania
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mechanism of action for haldol or haloperidol
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alters the effects of dopamine in the CNS, anticholinergic and alphaadrenergic blocking activity
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mechanism of action of abilify or aripiprazole
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psychotropic activity may be due to agonist activity at dopamine 2 and serotonin 5-ht receptors
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mechanism of action of risperdal or risperidone
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antagonizing dopamine and serotonin in CNS
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mechanism of action of invega or paliperidone
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antagonzing dopamine and serotonin in CNS
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mechanism of action of geodon or ziprasidone
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antagonism of dopamine type 2 and serotonin type 2. antagonizes alpha 2 adrenergic receptors
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classification of haldol or haloperidol
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antipsychotic, butyrophenones
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classification of abilify or aripiprazole
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antipsychotic, dihydrocarbosytril
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classification of risperdal or risperidone
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antipsychotic, mood stabilizers
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classification of invega or paliperidone
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antipsychotic, benzisoxazoles
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classification of geodon or ziprasidone
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antipsychotic, piperazine derivative
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3 nursing implications for haldol or haloperidol
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1. PO; admin with food 2. IM; inject via Z track, not to exceed more than 3 mL 3. monitor pts mental status b4 and after giving
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3 nursing implications for abilify or aripiprazole
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1. admin once daily w/o regard to meals 2. IM; solution should be clear and colorless 3. teach pt to avoid extremes in temperatures
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3 nursing implications for risperdal or risperidone
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1. teach pt to change positions slowly 2. teach pt to use sunscreen/ avoid sunlight 3. monitor pt for mood changes
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3 nursing imlications for invega or paliperidone
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1. admin once daily in am 2. teach pts to swallow tablets whole 3. use sunscreen to prevent photosensitivity reactions and avoid temperature extremes
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3 nursing implications for geodon or ziprasidone
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1. admin with food 2. swallow capsules whole 3. take even if feeling well
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3 side effects for haldol or haloperidol
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1. blurred vision 2. respiratory depression 3. dry mouth
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3 side effects for abilify or aripiprazole
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1. drowsiness 2. decreased heat regulation 3. increased salivation
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3 side effects for risperdal or risperidone
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1. aggressive behavior 2. cough 3. arrhythmias
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3 side effects for invega or paliperidone
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1. dyspnea 2. palpitations 3. dry mouth 4. dyskinesia 5. drowsiness
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3 side effects for geodon or ziprasidone
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1. orthostatic hypotension 2. drowsiness 3. resltessness 4. seizures
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what are the 5 antidepressants listed for nur 220
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cymbalta, lexapro, elavil, effexor, prozac
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what is the trade name for duolextine
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cymbalta
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what is the trade name for escitalpram
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lexapro
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what is the trade name for amitriptyline
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elavil
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what is the trade name for venlafaxine
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effexor
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what is the trade name for fluoxetine
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prozac
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what is the indication of use for cymbalta or duolextine
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major depressive disorder, management of diabetic peripheral neuropathic pain
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what is the indication of use for lexapro or escitalopram
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treat major depressive disorder
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what is the indication of use for elavil or amitriptyline
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depression
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what is the indication of use for effexor or venlafaxine
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major depressive illness or relapse often in conjunction with psychotherapy
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what is the indication of use for prozac or fluoxetine
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various forms of depression, OCD, bulimia, panic
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what is the mechanism of action for cymbalta or duolextine
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inhibits serotonin and norepinephrine reuptake in the CNS, (SSNRI)
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what is the mechanism of action for lexapro or escitalopram
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selectively inhibits the reuptake of serotonin in the CNS (SSRI)
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what is the mechanism of action for elavil or amitriptyline
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potentiates the effect of serotonin and norepinephrine in the CNS (tricyclic)
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what is the mechanism of action for effexor or venlafaxine
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inhibits serotonin and norepinephrine reuptake in the CNS
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what is the mechanism of action for prozac or fluoxetine
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selectively inhibits the reuptake of serotonin in the CNS (SSRI)
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what is the classification for cymbalta or duolextine
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antidepressant (SSNRI)
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what is the classification for lexapro or escitalopram
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antidepressant (SSRI)
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what is the classification for elavil or amitriptyline
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antidepressent (tricyclic)
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what is the classification of effexor or venlafaxine
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antidepressant
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what is the classification of prozac or fluoxetine
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antidepressant (SSRI)
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what are 3 nursling implications for cymbalta or duolextine
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1. admin w/o regard to meals 2. take at same time q day 3. do not dc use abruptly
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what are 3 nursing implications for lexapro or escitalopram
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1. take missed dose on same day, ASAP 2. avoid alcohol 3. do not use for at least 14 days after dc use of MAO inhibitors
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what are 3 nursing implications of elavil or amitriptyline
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1. take in pm 2. admin w/ or after meals 3. usrine may turn blue/green color
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what are 3 nursing implications for effexor or venlafaxine
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1. admin w/ food 2. ER capsules may be opened and mixed with apple sauce if needed 3. take at same time q day
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what are 3 nursing implications for prozac or fluoxetine
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1. admin as single dose in am 2. admin with food 3. provide/teach frequent oral hygiene for pt
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what are 3 side effects for cymbalta or duolextine
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1. drowsiness 2. fatigue 3. insomnia 4. nightmares 5. increased intraoccular pressure
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what are 3 side effects for lexapro or escitalopram
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1. insomnia 2. increased sweating 3. hyponatremia
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what are 3 side effects for elavil or amitriptyline
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1. lethargy 2. blurred vision 3. dry eyes/mouth 4. arrhythmias
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what are 3 side effects for effexor or venlafaxine
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1. rhinitis 2. chest pain 3. hypertension 4.tachycardia 5. urinary retention
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what are 3 side effects for prozac or fluoxetine
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1. seizures 2. abnormal dreams 3. tremor
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what are the 3 anxiolytics listed for nur 220
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librium, ativan, xanax
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what is the trade name for chlordiazepoxide
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librium
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what is the trade name for lorazepam
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ativan
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what is the trade name for alprazolam
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xanax
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what is the indication of use for librium or chlordiazepoxide
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adjunct management of anxiety treatment of alcohol withdrawal, and anxiety assoc w/ acute MI
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what is the indication of use for ativan or lorazepam
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anxiety disorder, preop sedation, decreases preop anxiety, provides amnesia
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what is the indication of use for xanax or alprazolam
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treatment of generalized anxiety disorder, panic disorder
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what is the mechanism of action for librium or chlordiazepoxide
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potentiating GABA, an inhibitory neurotransmitter
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what is the mechanism of action for ativan or lorazepam
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potentiating GABA = depresses CNS
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what is the mechanism of action for xanax or alprazolam
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acts at many levels in the CNS to produce anxiolytic effect
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what is the classification for librium or chlordiazepoxide
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anxiolitics, sedative/hypnotics
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what is the classification for ativan or lorazepam
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anxiolitics
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what is the classification for xanax or alprazolam
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anxiolitics
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what are 3 nursing implications for librium or chlordiazepoxide
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1. Iv admin is usually the preferred route for parenteral admin 2. have equipment to maintain patent airway available after IV admin 3. admin after meals with PO admin
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what are 3 nursing implications for ativan or lorazepam
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1. stay supine for 8 hours following parenteral admin 2. do not stop abruptly 3. assess fall risk/ anxiety level before admin
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what are 3 nursing implication for xanax or alprazolam
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1. admin w/ food 2. admin greatest dose hs to prevent daytime sedation 3. tablets can be crushed, but not ER
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what are 3 side effects of librium or chlordiazepoxide
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1. mental depression 2. dizziness 3. blurred vision 4. weight gain
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what are 3 side effects of ativan or lorazepam
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1. dizziness 2. lethargy 3. apnea 4. cardiac arrest
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what are 3 side effects of xanax or alprazolam
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1. dissiness 2. lethargy 3. blurred vision 3. physical dependence
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what is the trade name for lithium carbonate
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lithobid
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what is the indication of use for lithobid or lithium carbonate
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manic episodes of manic depressive illness
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what is the mechanism of action for lithobid or lithium carbonate
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alters cation transport in nerve and muscles, may also influence reuptake of neurotransmitters
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what is the classification of lithobid or lithium carbonate
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mood stabilizer
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what are 3 nursing implications for lithobid or lithium carbonate
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1. admin with food 2. monitor sodium levels - low levels may predispose pt to toxicity 3. avoid excessive coffee/tea/colas
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what are 3 side effects of lithobid or lithium carbonate
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1. seizures 2. fatigue 3. aphasia 4. tinnitus 5 arrhythmias 6. polyuria
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what are the 2 anticonvulsants listed for nur 220
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klonopin and depakote
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what is the trade name for clonazepam
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klonopin
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what is the trade name for valproic acid
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depakote
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what is the indication of use for klonopin or clonazepam
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prophylaxis of petit mal, petit mal variant, akinetic, myoclonic seizures and panic disorders
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what are the indications of use for depakote or valproic acid
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manic episodes associated with bipolar disorder prevention of migraine headaches
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what are the mechanisms of action for klonopin or clonazepam
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anticonvulsant effects may be due to presynaptic inhibition
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what are the mechanism of action for depakote or valproic acid
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increase levels of GABA an inhibitory neurotransmitter in CNS
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what is the classification of klonopin or clonazepam
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anticonvulsant/ mood stabilizer
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what is the classification of depakote or valproic acid
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anticonvulsant/ mood stabilizer
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what are 3 nursing implications of klonopin or clonazepam
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1. admin w/ food 2. can crush tablets 3. admin largest does HS to prevent daytime sedation
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what are 3 nursing implications of depakote or valproic acid
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1. admin HS to prevent daytime sedation 2. admin w/ or immediately after meals 3. do not admin w/ milk or carbonated beverages
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what are 3 side effects of klonopin or clonazepam
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1. drowsiness 2. increased secretions 3. palpitations
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what are 3 side effects of depakote or valproic acid
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1. agitation 2. dizziness 3. insomnia 4. visual disturbances 5. tremor 6. hepatotoxicity
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