Anxiolytics
Name the biggest difference between Benzodiazepines and Barbiturates
Barbiturates have longer lasting effects on the body due to the GABA receptor site channel staying open longer. Benzos has an antidote for overdose where are barbiturates do not.
What is serotonin syndrome?
drug toxicity due to too much serotonin in the body
Pepto-Bismol claims to relieve 5 symptoms. What are they? Bonus is you sing hehe
nausea, heartburn, indigestion, upset stomach, diarrhea
List 2 of the negative outcomes associated with Antacids.
drug dependence, short lasting relief
Which of the following drugs are classified as anxiolytic?
Lorazepam Nitrogyclerin
Diazepam Altace
lorazepam and diazepam
What are the 2 most common side effect when taking antidepressants?
Dry mouth, weight gain
Why would an individual be prescribed an antidiarrheal?
sudden onset of diarrhea
IBS
Your patient is prescribed Pantoprazole post operatively. What patient education is crucial during first dose teaching?
Although this medication isn't something the patient would have been taking at home, it is important to educate the patient on why this medication is ordered. Pantoloc is used as ulcer prophalatic therapy, meaning we use it to prevent the development of ulcer that can appear do to the stress of hospitalization.
Your patient is prescribed amobarbital (Amytal). What education is critical regarding dosages?
The patient must adhere to the prescribed dose as taking more than the prescribed dose can lead to coma or death.
Your patient is a 18 year old female who suffers from depression. Zoloft is the prescribed medication to help manage symptoms. What do you that is HIGHLY important regarding antidepressants and young adults?
INCREASED RISK FOR SUICIDE; antidepressants give people more energy and more motivation, this may work negatively and may motivate them to carry out poor choices
What is the mechanism of action for an antidiarrheal?
works by absorbing excess water to allow for stool to form
You are to administer Milk of Magnesia to your patient for acid reflux. What is important to include in teaching regarding side effects of this particular antacid?
It can cause diarrhea
Barbiturates have a very low therapeutic level, what does this mean?
This means that there is a small threshold for what provides therapy to the individual and what becomes a toxic dose
Your patient sees a naturopath physician to treat her depression. She is now looking for a second opinion and comes to your clinic. She discloses that she has been taking St. Johns Wort to treat her depression homeopathically. The doctor has prescribed Zoloft. What patient education is necessary before staring new medication regime?
This patient must stop taking St. John Wort for at least 2 weeks before starting this new antidepressant. St. John Wort should never be taken with SSRIs and needs a wash out period prior to.
All of the following medications are used to promote elimination from the bowels except which one?
Senokot Loperamide
Lactulose Metamucil
Loperamide- this is an antidiarrheal. works by absorbing excess water to allow for stool to form
You patient is ordered calcium carbonate at 0800hr as part of the morning medications. What is important to note when administering calcium carbonate with other medications.
this is contraindicated. best practice would be to administer calcium, wait 1 hour, then administer rest of medications.
You are the nurse for a patient who is prescribed Ativan. When providing education to the patient during first dose teaching, what might you want to include as potential side effects for your patient to be aware of? List 3.
drowsiness, light headedness, confusion, dizziness, unsteadiness, slurred speech, muscle weakness.
The physician has prescribed Selegiline (Emsam) and Citalpram to manage Mrs. Smiths depression. What further investigation/ education is required?
A conversation needs to be had with the physician as Selegiline (MAOI) and Citalopram (SSRI) should not be taken together.
Your patient has been diagnosed with an acute episode of diarrhea. They have been prescribed Imodium. Given what you know about Imodium, what is important for the nurse to track as drug therapy continues?
bowel patterns; we need to make sure our patient does not become constipated.
Your patient, 75 year old male, is diagnosed with GERD. They have been prescribed lansoprazole to help manage symptoms. What is important to include for follow up care while on this medication?
BONE DENSITY SCREENING TEST!!