psych
What are 4 that signs might indicate neuroleptic malignant syndrome in a patient taking an SSRI?
Fever, respiratory distress, tachycardia, and severe muscle stiffness –
What is a common adverse effect of citalopram on the cardiovascular system?
Torsades de pointes
What is amiodarone used for?
Ventricular arrhythmias unresponsive to less toxic agents
How often should serum lithium levels be monitored during the initiation of therapy?
Twice weekly during initiation, then every 2 months – Lithium levels should be monitored frequently at the start of therapy.
What complication can occur if sodium polystyrene sulfonate is mixed with orange juice?
Hyperkalemia – Mixing sodium polystyrene sulfonate with high-potassium liquids like orange juice counteracts its potassium-lowering effect.
What is the primary therapeutic effect of donepezil in patients with Alzheimer’s disease?
Improved cognitive function – Donepezil helps to slow cognitive decline in Alzheimer’s patients.
A patient on propofol infusion for sedation is at risk for propofol infusion syndrome. Which laboratory findings would be most concerning?
A. ALT 38 and potassium 3.3
B. Potassium 6.1 and metabolic acidosis
C. Calcium 11.4 and metabolic alkalosis
D. Hgb of 9 and sodium of 150
B
Hyperkalemia and metabolic acidosis are hallmark signs of propofol infusion syndrome, a potentially fatal condition requiring prompt intervention.
Dopamine overdose causing HTN that does not respond to discontinuation will be given what drug
Phentolamine
A patient is receiving quetiapine for bipolar mania and reports new onset severe abdominal pain radiating to the back, nausea, and vomiting. what adverse effect is the patient likely experiencing and what levels will you test?
Pancreatitis. Amylase lipase
In relation to food how shoul mycophenolate mofetil be taken
1 hr before or 2 hrs after
What over-the-counter medication should patient taking benztropine avoid within the two hours after administration
Antidiarrheals and antacids
What lab level should be monitored in patient’s taking duloxetine
AST alt
Adverse effects of propofol
Bradycardia, hypotension, apnea
In a patient receiving vasopressin for DI what would the nurse see if treatment is effective?
Answer these as increased or decreased: Blood pressure? Urine output? Urine osmolality level?Decrease in urine output
Increased urine osmolality
Increase in BP
How much water do you add to sodium polystyrene sulfonate powder before administering
3-4ml
The potentially irreversible extrapyramidal side effect of haloperidol that causes repetitive, involuntary movements of the face and limbs.
tardive dyskinesia
Signs and symptoms of lithium toxicity and therapeutic range
Vomitting, diarrhea, muscle weakness
0.5-1.5
what medication are you administering for severe bradycardia related to levophed overdose
Atropine
Therapeutic effects of mycophenolate mofetil and when should the first dose be given
Prevention of organ rejection in heart kidney and liver pts
Within 24 hrs post transplant
What is the correct way to admin haloperidol IM
IM 2in needle no more than 3 mls
Adverse reactions of lamotrigine
SJ’s, nausea, diarrhea
What condition might hyperreflexia and tachycardia in a patient taking SSRIs indicate?
Serotonin syndrome
A nurse is administering dopamine to a patient in shock. The nurse notes a sudden drop in the patient's blood pressure despite increasing the infusion rate. What should the nurse consider as a potential cause of this change?
a) The patient's body may be developing a tolerance to the drug.
b) The dose of dopamine may have exceeded the patient’s capacity to respond.
c) The patient may be experiencing an allergic reaction to the drug.
d) The patient may have a decrease in fluid volume or increased vascular resistance
d) The patient may have a decrease in fluid volume or increased vascular resistance.
A patient with depression and diabetes is started on duloxetine. Which laboratory finding would be most concerning for the nurse?
A. Blood glucose of 180 mg/dL
B. AST of 75 U/L
C. Hemoglobin of 13.5 g/dL
D. Creatinine of 1.2 mg/dL
B
When giving naloxone for opioid overdose what is the initial dose to be administered
0.5 mcg/kg q 2 min