Identify The Medication & Class
What medication increases serotonin and norepinephrine in a patient with depression and neuropathic pain?
What is the class of that medication?
duloxetine
SRNI
A patient taking bupropion has insomnia, weight loss, and a reports a seizure
bupropion adverse effect (lowers seizure threshold)
Before administering lithium, which lab is the most important to review?
lithium levels
Lithium: 1.8 mEq/L
Symptoms: nausea and tremors
hold
A patient on lithium becomes severely confused with uncontrolled tremors.
severe lithium toxicity
What medication is associated with the following symptoms, dry mouth, blurred vision, constipation, and orthostatic hypotension but, will improve patients mood?
What is the class of this medication?
amitriptyline
TCA
A patient taking MAOI’s has a BP of 210/110 and just ate aged cheese.
hypertensive crisis
A patient taking carbamazepine (tegretol), which labs require monitoring?
CBC and liver function tests
A patient on MAOI’s reports eating pepperoni pizza last night and BP is 190/100.
hold and notify provider
A patient on TCA’s overdoses and develops widened QRS and arrhythmias.
TCA toxicity
What medication is prescribed to patients with bipolar disorder and is associated with tremors, polyuria, and mild nausea as reported symptoms?
lithium
A patient on clozapine develops a fever, sore throat, and has a WBC of 2,000/mm^3.
arganulocytosis
clozapine
Medication: carbamazepine
WBC: 2,800/mm^3
hold
A patient taking MAOI’s and SSRI’s together develops hyperthermia and agitation.
serotonin syndrome
What medication is prescribed to a patient with seizures and a bipolar disorder and can cause a rash?
lamotrigine
What are symptoms of a patient on antipsychotics with neuroleptic malignant syndrome (NMS)?
high fever, lead-pipe rigidity, autonomic instability, and altered mental state
Which medication is cardiac history and ECG the most important assessments before administering?
amitriptyline
Medication: risperidone
Side effects: weight gain and elevated glucose
Vitals are stable
give (monitor metabolic effects)
A patient on clozapine collapses with signs of infection.
What is the class of this medicine?
haloperidol or chlorpromazine
1st generation antipsychotic
Name at least 3 symptoms associated with lithium toxicity.
vomiting, diarrhea, coarse tremors, confusion
A patient on antipsychotics presents with muscle stiffness and fever. Which of the following is the nurse’s first priority?
A. administer a muscle relaxer in the pts chart
B. stop medication and notify provider
C. give tips on how to reduce fever
B. stop medication and notify provider
lamotrigine
A patient on antipsychotics has diaphoresis, BP fluctuations, and rigidity.
neuroleptic malignant syndrome (NMS)