How Much is Too Much
A Class of Their Own
Contrary to Popular Belief
Bad News Travels Fast
What Would Florence Do?
100
Therapeutic drug level of this naturally occurring salt:
What is -0.5-1.5mEq/L
100
The mechanism of action of beta-blockers on anxiety
What is the targeting the beta-adrenergic receptors in the sympathetic nervous system (fight or flight).
100
Growth rate and weight gain are concerns for children taking this drug regularly.
What is Ritalin (methylphenidate hydrochloride)?
100
Bupreophine/Naloxone is indicated in the treatment of this issue.
What is opiate withdrawal?
100
If WBC’s are less than 3500, Florence would refuse to start this medication
What is Clozaril?
200
1mg-2mg every 6 hours while detoxing from alcohol helps to keep the tremors, n/v and headaches away.
What is ativan?
200
Lorazepam helps to reduce this “stressful” emotion.
What is Anxiety?
200
What are the two FDA-labeled indications for alprazolam (Xanax)? -
What is anxiety and panic disorder (with or without agoraphobia)?
200
DAILY DOUBLE Abilify has the potential to cause this EKG change:
What is a Prolonged QT Interval?
200
One of Flo’s patients asked her how long it might take to feel some relief from her depressive symptoms such as sadness, difficulty sleeping and feelings of hopelessness.
What is 4-6 weeks
300
50mg-100mg/L is the therapeutic drug level of what mood stabilizing medication?
What is Depakote?
300
The first line of treatment for an anxiety disorder
What is an SSRI?
300
This medication class can easily change from a temporary fix to a dependent nightmare.
What are Benzodiazipines?
300
Cogwheeling, stiffness, inability to sit still.
What is EPS?
300
One of the things Florence reminds all nurses under her supervision is to never administer Disulfiram (Antabuse) when the patient is using or near.....
What is using alcohol or alcohol based products. or in a state of alcohol intoxication or using substances containing paraldehyde.
400
The maximum daily dose of Haldol should not exceed…
What is 100mg/day?
400
Prolixin is used for this devastatingmental illness….
What is Schizophrenia?
400
These positive symptoms seem to carry a negative connotation for those suffering from a psychotic disorder
What are delusions, hallucinations, clang associations, illusions, etc.
400
These symptoms are associated with tardive dyskinesia (list 3).
What is Repetitive involuntary movements of mouth, rapid eye blinking, chewing, lip smacking, puckering, pill rolling, abnormal finger movements, abnormal movement of trunk and extremities.
400
If a patient exhibited severe EPS, a temperature of 102, flushed face, drooling and an altered mental status, what would Florence suspect?
What is Neuroleptic Malignant Syndrome?
500
The dose of this medication neededTID to reign-in mania
What is Lithium 300mg-450mg TID
500
Imipramine, nortripyline,amitriptyline are members of this family of drugs
What areTricyclic Antidepressants?
500
The term used to describe irreversible neurologic s/s associated with the use of this classification.
What is Tardive dyskinesia?
500
This medication carries a black box warning for patients with dementia related psychosis (Sudden death due to cardiac complications or infections
What is Aripiprazole (Abilify)?
500
A patient is scheduled to begin titrating on olanzipine (Zyprexa). Florence believes this baseline assessment should be completed prior to initiation of this medication.
What is Body Weight. BMI should be monitored closely as a rapid increase in weight is a common side effect of Zyprexa.
M
e
n
u