CNS Drug Classes
Sympathetic vs. Parasympathetic
Drug Mechanisms
Side Effects & Precautions
Real-Life Scenarios
100

This CNS drug class is commonly used to treat anxiety and includes medications like lorazepam.

Benzodiazepines

100

Which system is responsible for the "rest and digest" response?

Parasympathetic

100

How do cholinergic drugs affect the parasympathetic system?

They stimulate it by mimicking acetylcholine.

100

A common side effect of opioids that requires patient education.

Constipation, Nausea, Dizziness

100

What medication should be given to reverse opioid overdose?

Naloxone (Narcan)

200

This CNS drug class is most commonly used to treat ADHD.

Stimulants

200

Pupil dilation is a response of which system?

Sympathetic

200

How do Beta-blockers (Adrenergic Antagonists) work to lower blood pressure?

They block beta-adrenergic receptors to reduce heart rate and contractility. (Producing Rest and Digest)

200

What is a serious adverse effect of CNS stimulants?

Increased heart rate and hypertension

200

A patient with Parkinson’s disease is prescribed levodopa. What is its primary function?

Increase dopamine levels in the brain

300

SSRIs like fluoxetine are used to treat which mental health condition?

Depression

300

Beta-agonists, such as albuterol, stimulate which nervous system?

Sympathetic

300

What type of receptors do benzodiazepines work on in the CNS?

GABA receptors - which help slow down brain activity and make you feel more relaxed

300

Anticholinergic drugs may cause what common side effects?

Dry mouth, blurred vision, urinary retention

300

A patient taking an SSRi is instructed to take their medication every morning. Why?

Sleep disturbances can occur and this prevents disruption of nighttime sleep or daytime somnolence.
400

What CNS depressant is commonly used for seizure disorders?

Anticonvulsants

400

What effect does the parasympathetic system have on heart rate?

Decreases heart rate

400

What role does acetylcholine play in relation to how ANS medications work?

Some ANS medications work by either increasing or blocking acetylcholine to change how these body systems respond

400

What should be monitored when a patient is taking beta-blockers?

Blood pressure and heart rate

400

A patient is experiencing delusions, hallucinations, lack of insights and changes to their mood/affect. What will they likely be diagnosed with?

Psychosis

500

Opioid analgesics target which type of receptor in the CNS?

Opioid receptors (mu, kappa, delta)

500

What physiological response occurs when the sympathetic system is activated?

Increased heart rate, dilated pupils, bronchodilation

500

How do SSRIs increase serotonin levels in the brain?

By keeping more serotonin in the brain, which can improve mood. They do this by stopping the brain from taking serotonin back too quickly.

500

Which CNS medication class requires close monitoring due to the risk of serotonin syndrome?

SSRIs

500

The nurse knows that _____________ is a synthetic opioid agonist.

Fentanyl