Stimulants
(Ch. 17)
(Ch. 17)
What are two primary uses for these types of drugs?
ADHD and Narcolepsy (Pg. 197 &198)
What are three uses for these types of drugs?
Insomnia
Anxiety
Anesthesia
(Pg. 208)
What are two other names used for this drug class?
anti-convulsants or anti-epileptic drugs (Pg. 217)
Name two reasons or conditions that would be treated with these drug types.
Psychosis
Schizophrenia
Pg. 252
What are two popular complementary therapies for depression?
St. John's Wort and Ginkgo Biloba Pg. 266
What is important monitor with children taking ADHD medication? Why?
Height and weight. Acts as a anorexiant and can suppress appetite too much and lead to stunted growth. Pg. 200
List three ways a nurse can provide non-pharmalogical methods to promote sleep.
Anything off pg. 206.
The nurse should teach the patient about good oral hygiene when taking which antiseizure drug?
Phenytoin (Pg 219)
*BONUS POINTS* What is the key term for the condition caused by this medication?
What should be the priority nursing assessment for patients that are taking Phenothiazines and/or non-phenothiazines?
Assess for symptoms of neuroleptic malignant syndrome (NMS). Pg. 257
*Bonus Points* What are the symptoms of NMS? (Pg. 253)
What assessment is priority when a nurse suspects a patient may have depression?
Suicidal Ideation Pg 272
What are four drug classes for this group of drugs?
Amphetamines
Amphetamine-like
Anorexiants
Methylxanthines
(Pg. 201-202)
Barbiturates
Benzodiazepines
Non-benzodiazepines
Melatonin Agonist
Opioid Agonist
Pg 207 -208
What are 6 drug classes that help treat seizures?
Barbiturates
Benzodiazepines
Hydantoins
Iminostilbene
Succinimides
Valproates
Misc.
PG. 222-223
What is the prototype drug for nonphenothiazines?
Haloperidol Pg. 256
What are the five groups of antidepressants?
Tricyclic
SSRI
SNRI
atypical
MAOIs
Pg 266
What is the therapeutic levels for Theophylline?
5-15 mcg/mL (Pg 202)
What should patients absolutely avoid at all costs while taking a benzodiazepine?
ALCOHOL! Why? (Pg 210.)
What is the difference between and tonic seizure and a clonic seizure?
Tonic = Tight muscles
Clonic = irregular Contractions
Pg. 218
Identify and explain the four characteristics of EPS.
Pseudoparkinsonism (shuffing gait/pill rolling of hand)
Akathisia (restlessness/feet in constant motion)
Acute dystonia (muscle spasms of head/face, laryngeal spasms)
Tardive dyskinesia (lip smacking and protrusion of tongue)
Pg. 253
What drug is the prototype drug for bipolar disorder? What is the therapeutic level for this drug?
Lithium and 0.8 to 1.2 mEq/L PG. 274
A nurse is teaching the parents of their school-aged child about a new prescription for Lisdeamfetamine for his ADHD. Which of the following should the nurse include in the teaching?
A. adverse effects that are caused by CNS stimulation
B. Administer before bedtime
C. Therapeutic effects will take 1 to 3 weeks.
D. This medication raises blood glucose levels
A: things like insomnia/anorexia/restlessness are all caused by the increase in CNS stimulation
*Bonus Points* When do stimulant medications start working?
A nurse working the ED has a patient who has come in after drinking alcohol and taking several xanax (a benzodiazepine) and has a respiratory rate of just 6. The nurse anticipates which reversal agent to be administered?
Flumazenil (Pg. 208)
The nurse receives labs for a patient taking Phenytoin. The lab results say their serum level is at 15 mcg/mL. What is the nurse's next action?
Administer next dose of medication as prescribed. Levels are within normal. It's 10-20 for a therapeutic level. Pg. 219.
A patient is experiencing facial grimacing, involuntary upward eye movements, and muscle spasms of the tongue and face. The nurse suspects the patient may have what condition?
Acute Dystonia Pg. 253
The nurse is gathering data from a patient who has been on an antidepressant fluoxetine. The patient reports headache, sweating and agitation. Which supplement do you suspect is causing her symptoms? Why?
St. John's Wort. This in combination with another SSRI can cause serotonin syndrome. Pg. 266.