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42 Cards in this Set
- Front
- Back
CNS stimulants are only approved for which kinds of medical treatment
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Attention Deficit, Narcolepsy, Obesity, Respiratory distress reversal
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Name three common CNS stimulants
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Cocaine, Caffeine, Amphetamines
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When Lisa falls asleep in class she might have? And signs of paralysis accompany this condition
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Narcolespy
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A dysregulation of neurotransmitters such as serotonin, dopamine and norepi are associated with ADHD, or ADD, or Narcolepsy
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ADHD/ ADD
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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
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Amphetamines
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If a PT is taking Adderall what are some Patient Teaching items
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Take 1st dose when pt wakes, last does 6 hrs before bed. Take on empty stomach 30 -60 ac. Increased affects noted with caffeine.
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If a PT is taking Amphetamines what things should be monitored
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CBC, UA, Blood Glucose, V/S, Growth, Mental Status, Mood, Sensorium Affect
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What two groups need to have an EKG done before and Amphetamine regiment is started
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Children, PT w/ HX of CHD
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True or False Patients taking Amphetamines should not consume ETOH, increase caffeine or stop/dc abruptly
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True
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PT taking amphetamines have increased their risk for ________________? This threshold is significantly decreased in PT that have this preexisting __ disorder
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Seizure , Sz
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In order to manage the obesity epidemic within society, _______________ have been successful along with behavioral modification implementation
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Anorexiants
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True or False Anorexiants act similar to amphetamines as indirect parasympathomimetic amines with muscurinic activity
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False ….. sympathomimetica amines and alpha and beta adrenergic activity
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Anorexigenic inhibit the lateral hypothalamic appetite center and should be indicated for people with BMI of >= 15, >20, >=30 without risk factors
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>=30
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List Common Anorexiants
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Didrex, Proprion, Meridia, Xenical Orlistate (fat stool) Taco Grease), Phentermine
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This off label SSRI is used to control weight is it Topicort or Topamax
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Topamax
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True or False PT should take Anorexiants 1 hour before bed to help with digestion and weight loss.
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False, take 6 hours before bed to avoid insomnia
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An individual taking Anorexiants might have which of the following S/E
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HA, Inc. B/P, Palpations, Insomnia, Inc. HR
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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?
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False
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Nursing Considerations for PT taking Anorexiants:
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Assess BP, HR, WT, BMI, Encourage Diet, Exercise Changes, Monitor Abuse, Evaluate Response
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True or False A PT taking Anorexiants should also be prescribed a MAOI to stimulate the CNS system for a therapeutic sympathomyometic response?
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False, MAOI should not be used with Anorexiants
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_____________ are cause by inflammation and dilation of the blood vessels in the cranium
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Migraines
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These are preventive treatments for Migraines Hint: B ___ C___ T___A___ _ A____
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Beta adrenergic blockers, Calcium Channel Blockers, Tricyclic Antidepressants, Anticonvulsants
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Analgesics, Ergot Alkaloids & SSRI (5-HT) are all _____________ Treatment so Migraines
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Abortive
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_________ is a nonspeicific serotonin agonist and vasoconstrictor and are taken early in the migraine.
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Ergots
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True or False Ergots can be give IV, Oral, Topical (Nasal)?
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True
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5-HT1’s or _____________ are the most effective treatment for Migraines.
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Triptans
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Triptans cause Vasoconstriction or Vasodilatation?
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Vasoconstriction
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Triptans all end in what similar ending?
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Sumatriptan, Naratriptam, Rizatriptan, Zolitriptan,
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Triptan belongs in what drug category A B C D X?
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C Category
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True or False Imitrex is a drug used to treat antipsychotic episodes
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False, Migraine
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Name a few of the classifications that treat CNS depression?
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Anti psychotics, Anti depressants, Anti convulsants, narcotics, sedative , general & locals
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This drug is a Schedule II drug and should only be used for two weeks or less to avoid abuse.
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Barbiturates
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This Anti-anxiety med is used to also decrease CNS, but is used to increasing GABA to aid Grief insomnia and SZ disorders?
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Benzodiazepine : Xanax, Ativan
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True or False A Child of 2 months presents to the ER, the doctor prescribes grape Tylenol for fever?
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False, Child must be at least 4 months of age
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Signs of Liver Failure:
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Jaundice, Yellowing of Scelara, Clay colored stool, urine dark yellow, Adb pain
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Name the three A’s associated with ASA?
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Anti-platelet, Anti inflammatory, Anti pyurtic
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Hepatoxtoxicity is notes at >= gm/d of acetylcysteine?
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4g or 4000mg
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Children under the age of 12 should never be given ASA as it caused _________________?
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Reye Syndrome
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Individuals over the age of 40 should take ______mg per day of ASA for heart health?
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81 mg
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When a patient is taking Restoril you should expect your patient to
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sleep for 7 hours without waking
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What is an adverse S/E related to Ativan?
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Ataxia, limping gait.
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Name Benzodiazepine Antagonist used in overdosage
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Flumazenil
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