prototype
contraindications / black box
Adverse/ pt education
True or false
Random
100

what is the two prototype for antipsychotic /neuroleptic drugs 

*haloperidol

* Clozapine 

100

what is the black box warning for haloperidol and clozapine

increased risk of death in elderly pt 

100

what are some adverse effects for haloperidol and clozapine 

Sedation, Weakness, Tremors, Constipation, Urinary retention, Impotence, Blurred vision, Photophobia,Drowsiness, Dry mouth, Nasal congestion, Weight gain,Development of diabetes mellitus

oMay turn urine pink to reddish brown

100

The characteristics of schizophrenia are Hallucinations, paranoia, delusions, speech abnormalities, and affective problems.

true 

100

Do psychotherapeutic agents cure mental disorders?

No 

Drugs do not cure the disorder – help patients function in a more acceptable manner and carry on activities of daily living

200
bipolar disorder 

Lithium 

200

what are the contraindications for lithium

pregnancy and lactation


200

what are adverse effects for lithium

typically happen because of increased drug levels-must have lithium levels drawn as ordered

oCNS symptoms-lethargy, slurred speech, N/V and tremors

200

these are types extrapryamidal effects Pseudoparkinsonism, Dystonia, Akathisia, Tardive Dyskinesia,Potentially irreversible neuroleptic malignant syndrome

true 


200

what are the nursing considerations for methylphenidate

EKG prior to beginning therapy

300

what is there prototype for central nervous system stimulants for attention deficit syndromes / narcolepsy

methylphenidate

300

Phenytoin contraindications and cautions

pregnancy and lactation

300

what is the pt education for lithium

oNeed for lab levels

oAdminister with food to help with GI upset

oMust maintain adequate & consistent sodium levels

oAvoid pregnancy

300

pt who have epilepsy do not have seizures and or loose control

false

300

what is the pt education for methylphenidate

Secure med in safe place

Schedule II information (no refills, ect)

Give in morning either with or after breakfast, if need second dose-give early afternoon (book says 6pm but really should be earlier)

Monitor height & weight due to potential anorexia and stunted growth

Drug holidays’ may be used but should be monitored by physician

400

hydantoins

phenytoin

***good if they can not tolerate sedation and drowsiness


400

Valproic acid (Depakene)  contraindication


Pregnancy Category X

     watch for ****     Associated with liver toxicity

400

methylphenidate adverse effects 

Nervousness, insomnia, dizziness, headache, blurred vision, anorexia, nausea, weight loss

400

gereralized is tonic clonic seizures

partial is absence seizures

true


400

Phenytoin pt education

don't drink Alcohol

Teach clients about needed lab levels to determine dosages

Do not abruptly stop medication-may cause status epilepticus

500

prototype for succinimides 

Ethosuximiden (Zarontin)

500

Carbamazepine (prototype)-Contraindications and Cautions-

Known allergy, severe hepatic  and renal dysfunction, pregnancy and lactation and decreased fertility with males


partial seizures medication

500

adverse for Phenytoin

Gingival hyperplasia, Steven-Johnson’s syndrome, Sedation-but not as bad as other anticonvulsants

500

is this general pt ed for seizure med 

Baseline EEG prior to administering meds

Administer with food to help with GI upset

Discontinue med slowly to help prevent rebound seizures

Take meds as ordered (may be multiple times/day)

Wear medic alert bracelet or jewerly


true

500

adverse effects for partial seizures

carbamazepine

oBlack box warning regarding potential increased risk for suicidal behaviors

oShould be tapered slowly due to risk of rebound seizures