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How Much is Too Much

A Class Difference
Contrary to Popular Belief
Bad News Travels Fast
What Would Florence Do?
100
The therapeutic drug level of this naturally occurring salt?
What is 0.5-1.5mEq/L.
100
In what classification might you find Haloperidol?
What is a traditional antipsychotic?
100
Growth rate and weight gain are concerns for children taking this drug regularly.
What is Ritalin?
100
This medication classification demonstrates an elevated incidence of decreased libido, reduced sexual arousal and impaired orgasmic disfunction.
What are SSRI's?
100
If WBC’s are less than 3500, Florence would refuse to start this medication.
What is Clozaril?
200
1mg-2mg of this benzodiazepine every 6 hours helps to keep the tremors, n/v and h/a away.
What is Ativan?
200
Anxiety disorders are generally treated with this medication classification.
What is an antidepressant?
200
These positive symptoms seem to carry a negative connotation for those suffering from a psychotic disorder
What are delusions, hallucinations, clang associations ?
200
The concomitant use of an SSRI within 14 days of this medication may result in an elevation of blood pressure and other potentially fatal reactions
What is Parnate, Nardil, Emsam or Marplan; the MAOIs?
200
A patient is scheduled to begin titration of olanzipine (Zyprexa) tomorrow. Zyprexa is often associated with an increase in this value.
What is body weight, or BMI? These should be monitored closely as a rapid increase in weight is a common side effect of Zyprexa.
300
50mg-100mcg/L is the therapeutic drug level of what mood stabilizing medication?
What is Depakote or Valporic Acid?
300
Prolixin is used for this devastating mental illness.
What is schizophrenia?
300
The calming effect on the CNS (tremors, tachycardia, increased BP) of this medication are often used to treat the physiologic symptoms associated with anxiety
What is Propranolol (Inderal)?
300
Bupreophine/Naloxone is indicated in the treatment of this issue.
What is opiate withdrawal?
300
How might Florence monitor the progress (success or failure) of a medication such as Paxil?
What is 1. reduction or reduction or resolution of symptoms. 2. worsening of depression 3. the presence of suicidal ideation 4. unusual changes in behavior, especially at initiation of therapy or when the dose in increased or decreased. 5. withdrawal symptoms (dysphoric mood, irritability, agitation) especially with abrupt d/c of therapy -abnormal bleeding
400
The maximum daily dose of Haldol should not exceed this amount.
What is 100 mg/day?
400
This strange class of medications has the potential to cause metabolic syndrome.
What are atypical antipsychotics?
400
An effective alternative treatment for manic episodes when lithium or valporic acid (depakote) is ineffective, contraindicated or not tolerated is: -
What is Tegretol?
400
Daily Double!!!! Abilify has the potential to cause this EKG change:
What is a prolonged QT interval?
400
One of the things Florence reminds all nurses under her supervision is to never administer Disulfiram (Antabuse) when the patients is using……..
What is alcohol, alcohol based products or products containing paraldehyde.
500
The specific labs that should be ordered stat if Neuroleptic Malignant Syndrome (NMS) is suspected.
CPK WBC
500
Cogentin, Artane and Akineton are members of this medication classification.
What are anticholinergics or antiparkinsonian agents?
500
Why are SSRI’s often preferred over TCA’s?
What is rapid onset and fewer side effects?
500
Cogwheeling, stiffness, inability to sit still are all examples of this neurologic syndrome.
What is extrapyramidal symptoms (EPS)?
500
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.