Amphetamine-like drugs
-phenidate & -modafinil
Barbituate drugs end in the suffix:
-barbital
What benzodiazepine is given IV?
diazepam
Phenytoin is also known as:
Hydantoin
Phenobarbital and Valproate are _______ metabolized
hepatically
Amphetamine-like drugs are absorbed well from the GI tract, meaning:
they are best taken on an empty stomach
Use caution when a patient is taking phenobarbital because it has a:
narrow therapeutic index
What is the drug used for a benzodiazepine overdose?
Flumazenil
prophylaxis, status epileptics
What labs would you check for phenobarbital and valproate?
Side effects of amphetamine-like drugs include: (4)
- HTN crisis
- potentiates CNS stimulants
- growth suppression
- weight loss
What is the most important vital sign to monitor in a pt taking barbiturates?
respiratory rate
What is the suffix for benzodiazepine drugs?
-zepam
small intestine, urine
Assessments for phenobarbital include: (3)
- drug tolerance
- respiratory depression
- narrow therapeutic range
What should you teach your patient if they are taking amphetamine-like drugs?
- take on an empty stomach
- avoid alcohol
- avoid stimulants
What labs should you check on a pt taking barbiturates?
AST/ALT
What are some side effects of benzodiazepines?
- confusion
- ataxia (coordination deficit)
Side effects of hydantoins include: (5)
- mood changes
- hyperglycemia
- increased action of anticoagulants
- purple glove syndrome
- gingival hyperplasia
Assessments for Valproate include: (3)
- diplopia
- hepatotoxicity
- GI upset
What should you do in order to prevent the outcome of abuse for a patient taking amphetamine-like drugs?
Take a break from the drug to reduce the symptoms of dependence & tolerance
What should you teach a pt taking barbiturates?
- avoid alcohol
- avoid depressants
- only use as prescribed
- amnesia can occur
- dizziness
- monitor respiratory rate
What nursing assessments would you conduct on a pt taking hydantoins? (4)
- blood glucose levels
- swollen/bleeding gums
- purple hands
- baseline HR & BP