UNIT 9A
Parkinson's Disease and Alzheimer's Disease are progressive and curable. TRUE or FALSE.
FALSE
Phenytoin causes what oral condition?
Gingival Hyperplasia
What position for a patient having a seizure?
How many weeks will antidepressants typically start taking effect?
2-4 weeks
What should you avoid when giving MAOIs?
Tyramine containing foods
AKA "Blue Pill"
Sildenafil
Taking levodopa will turn your urine into this color.
Dark-brown
What is the mechanism of action of anticonvulsants?
Decrease excitability in the brain.
What occurs when a seizure lasts more than 5 minutes?
Status Epilepticus
What neurotransmitter do SSRIs increase? Give one example.
Serotonin. Fluoxetine, Citalopram
Give an example of a Typical and Atypical anti-psychotic.
Haloperidol, Aripiprazole
What type of cancer is contraindicated in Estrogen Therapy?
Breast Cancer, Endometrial Cancer
This drug increases dopamine.
Therapeutic level of Phenytoin?
10-20 mcg/mL
Drug of choice for status epilepticus?
Lorazepam (or diazepam)
What neurotransmitters do SNRIs increase? Give an example of a drug under this class.
Serotonin, Norepinephrine. Venlafaxine
What group of symptoms are associated with antipsychotic use?
extrapyramidal symptoms
Sildenafil causes vasodilation. Give two (2) side effects you might expect.
Headache, nasal congestion, flushing, low blood pressure
What is the purpose of adding Carbidopa to Levodopa?
So more of levodopa reaches the brain (decreases peripheral conversion).
Valproic Acid hurts what part of your body?
Liver
Why should diabetics be careful when taking phenytoin?
Can cause hyperglycemia
What type of OTC medication should you avoid when taking MAOIs?
Decongestants
What is the irreversible adverse reaction of taking long term antipsychotics?
Tardive Dyskinesia
Which drug should not be given with sildenafil?
Nitroglycerin
What food should be decreased with levodopa?
High Protein Food (Pyridoxine/Vitamin B6)
Phenytoin turns your urine into what color?
Pink/Reddish
What is the drug used for chronic gout, and what foods do you avoid to prevent gout?
Allopurinol, high purine foods
Diazepam and Lorazepam are contraindicated in patients with which eye condition?
Glaucoma
How many days max can you take zolpidem?
10 Days
What adverse reaction associated with sildenafil could be a medical emergency?
Priapism
Levodopa is contraindicated in patients with which eye condition?
Glaucoma
Phenytoin causes what eye condition?
Nystagmus
Give two (2) nursing considerations when taking cyclobenzaprine.
What electrolyte imbalance should you watch out for when taking lithium?
Hyponatremia
Life-threatening reaction caused by dopamine blockade with antipsychotics?
Neuroleptic Malignant Syndrome
What do you use tamsulosin for?
What anticholinergic is used in conjunction with Levodopa to decrease tremors and extrapyramidal symptoms?
Benztropine
Phenytoin decreases synthesis of this micronutrient in the body.
Folic Acid/Folate
Give two (2) nursing considerations when taking alendronate.
Take on an empty stomach, do not lie down for 30 minutes, check for hypocalcemia
What is the mechanism of action of benzodiazepines?
What are the three types of EPS?
Acute Dystonia, Pseudoparkinsonism, Akathisia
Testosterone replacement is contraindicated in what type of cancer?
Prostate Cancer
Rapid withdrawal of levodopa will cause what?
What 3 blood dyscrasias are associated with phenytoin use?
Decreased RBC, WBC, Platelets
What is the mechanism of action of rivastigmine and what is it used for?
Therapeutic level of lithium?
0.5-1.2 mEq/L
What happens when you give TCAs with a MAOI?
Serotonin Syndrome
What happens to the blood when taking too much testosterone?
Increased hematocrit and hemoglobin, which can cause stroke or heart attack.