You Okay?
Hodge Podge
Ouch my Head Hurts
Additional Fun
ADHD and Sleep disorders
100

If a patient is struggling with periods of mania and then depression, what could they most likely benefit from?  

Lithium

100

A patient is suffering from an opoid addiction for 5 years and has started to have withdrawal symptoms.  What medication do you anticipate the physician putting the patient on? 

Buprenorphine. 

100

A patient has a new perscription for Sumatriptan for migraine headaches.  What would you educate the patient about this med?

They need to monitor for symptoms of chest tightness and increased blood pressure.  
100

How long does it take for Naloxine to take effect?  What is Naloxone for?  What class of medication is Naloxone?

Opioid antagonist.  2 minutes to work if given IV, opioid overdose. 
100

What medication has been found to help with ADHD?

Methylphenidate, Adderall, Stratera, Vyvanse

200

What is Amitriptyline?  What is the number one side effect?

Elavil (TCA) - Major side effect is orthostatic hypotension. 

200
What is an adverse effect of lidocaine being given locally?

Seizures

200

A patient is taking Ergotamine for migraines.  What symptoms would the patient experience if their ergotamine level  was elevated?

Muscle pain, paresthesia in fingers and toes, and peripheral edema. 

200

A client is taking succinylcholine.  What is this medication?  They begin to experience malignant hyperthermia syndrome.  What medication would we expect to give to handle those symptoms? 

Neuromuscular blocking agent. 

Skeletal muscle relaxant.  Used to treat muscle stiffness associated with malignant hyperthermia syndrome.  Symptoms are increased fever (108), massive muscle contractures.  

200

If a patient is addicted to xanax (alprazolam) and appears to be overdosing, what will the patient look like? What is the antidote?

temp low, BP low, Resp rate low.  

Flumazenil antidote - for benzodiazepines.

300

What is venlafaxine?  What is it used for?  What are the adverse effects that we need to have our patients monitor themselves for? 

Effexor (SNRI) for depression.  

Adverse effects - withdrawal syndrome, suicide, decreased libido, dizziness. 

300

A patient is on Sertraline.  What is Sertraline and what is it used for?  What are we concerned with these types of meds?

Zoloft for depression.  We are concerned about serotonin syndrome because it is an SSRI.  Confusion and seizures. 

300

What are adverse effects of Phenytoin? 

Gingival hyperplasia, urinary retention, blood pressure changes can occur.  They are also at risk for Steven's Johnsons. 
300

What is cisatracurium? Why do we use it? 

Cisatracurium is a neuromuscular blocking agent that will be used to cause paralysis for mechanical ventilation.  

300

If a patient has a new diagnosis of migraines, what is the first med the physician may try for this patient? 

Sumatriptan 


400

What do we have patients implement to avoid lithium toxicity.  

Increase fluid intake to 3500 ml daily.  

400

What is a common adverse effect with fluoxetine?  

Weight loss

400

What is succinylcholine?  What is the most dangerous complication? 

Neuromuscular blocking agent. 

Malignant hyperthermia

400

What is the goal for general anesthesia?

To achieve the best effect with the fewest number of adverse effects as possible.  Normally used for surgical situations.

400

Teaching for a patient who is starting Phenytoin

Monitor dosing and drug levels closely.  Take the same time every day, don't vary the times of when you take this medication.  Take it with meals if there is GI upset. 

500
A patient has schizophrenia and is taking haloperidol.  The patient begins to exhibit psuedoparkinsonium symptoms.  What symptoms would you expect to see? 

Shuffling gait, bradykinesia, stooped over posture, tremors. 

500

ADverse effects of using narcotics include:

addiction, constipation, respiratory depression

500

What do we do for a patient that has malignant hyperthermia?  

Cooling blanket on patient, administer oxygen at 100%, iced IV fluids, apply ice to axilla and groin, monitor core body temp to prevent hypothermia and to determine progress, with treatment measures. 

500

After beginning anesthesia, what is the next phase of anesthesia? 

Maintenance

500

Recovery after general anesthesia refers to the period when?

Anesthetic is DC'd, and the patient has regained full consciousness, movement and can communicate.