If a patient is struggling with periods of mania and then depression, what could they most likely benefit from?
Lithium
A patient is suffering from an opoid addiction for 5 years and has started to have withdrawal symptoms. What medication do you anticipate the physician putting the patient on?
Buprenorphine.
A patient has a new perscription for Sumatriptan for migraine headaches. What would you educate the patient about this med?
How long does it take for Naloxine to take effect? What is Naloxone for? What class of medication is Naloxone?
What medication has been found to help with ADHD?
Methylphenidate, Adderall, Stratera, Vyvanse
What is Amitriptyline? What is the number one side effect?
Elavil (TCA) - Major side effect is orthostatic hypotension.
Seizures
A patient is taking Ergotamine for migraines. What symptoms would the patient experience if their ergotamine level was elevated?
Muscle pain, paresthesia in fingers and toes, and peripheral edema.
A client is taking succinylcholine. What is this medication? They begin to experience malignant hyperthermia syndrome. What medication would we expect to give to handle those symptoms?
Neuromuscular blocking agent.
Skeletal muscle relaxant. Used to treat muscle stiffness associated with malignant hyperthermia syndrome. Symptoms are increased fever (108), massive muscle contractures.
If a patient is addicted to xanax (alprazolam) and appears to be overdosing, what will the patient look like? What is the antidote?
temp low, BP low, Resp rate low.
Flumazenil antidote - for benzodiazepines.
What is venlafaxine? What is it used for? What are the adverse effects that we need to have our patients monitor themselves for?
Effexor (SNRI) for depression.
Adverse effects - withdrawal syndrome, suicide, decreased libido, dizziness.
A patient is on Sertraline. What is Sertraline and what is it used for? What are we concerned with these types of meds?
Zoloft for depression. We are concerned about serotonin syndrome because it is an SSRI. Confusion and seizures.
What are adverse effects of Phenytoin?
What is cisatracurium? Why do we use it?
Cisatracurium is a neuromuscular blocking agent that will be used to cause paralysis for mechanical ventilation.
If a patient has a new diagnosis of migraines, what is the first med the physician may try for this patient?
Sumatriptan
What do we have patients implement to avoid lithium toxicity.
Increase fluid intake to 3500 ml daily.
What is a common adverse effect with fluoxetine?
Weight loss
What is succinylcholine? What is the most dangerous complication?
Neuromuscular blocking agent.
Malignant hyperthermia
What is the goal for general anesthesia?
To achieve the best effect with the fewest number of adverse effects as possible. Normally used for surgical situations.
Teaching for a patient who is starting Phenytoin
Monitor dosing and drug levels closely. Take the same time every day, don't vary the times of when you take this medication. Take it with meals if there is GI upset.
Shuffling gait, bradykinesia, stooped over posture, tremors.
ADverse effects of using narcotics include:
addiction, constipation, respiratory depression
What do we do for a patient that has malignant hyperthermia?
Cooling blanket on patient, administer oxygen at 100%, iced IV fluids, apply ice to axilla and groin, monitor core body temp to prevent hypothermia and to determine progress, with treatment measures.
After beginning anesthesia, what is the next phase of anesthesia?
Maintenance
Recovery after general anesthesia refers to the period when?
Anesthetic is DC'd, and the patient has regained full consciousness, movement and can communicate.