How Much is Too Much
A Class Difference
Contrary to Popular Belief
Bad News Travels Fast
What Would Florence Do?
100
Therapeutic drug level of this naturally occurring salt:
What is 0.5-1.5mEq/L?
100
The mechanism of action of beta-blockers on anxiety
What is targeting the beta-adrenergic receptors in the sympathetic nervous system (fight or flight)?
100
What are the two FDA-labeled indications for alprazolam (Xanax)?
What is a) anxiety & b) panic disorder (with or without agoraphobia)
100
The potential for a GI bleed with this medication when also using NSAID’s is significant
What is Aricept
100
If a patient exhibited severe EPS, a temperature of 102, flushed face, drooling and an altered mental status, what would Florence suspect?
What is Neuroleptic Malignant Syndrome
200
1mg-2mg every 6 hours helps to keep the tremors, n/v and h/a away.
What is Ativan?
200
This naturally occurring salt helps many to stabilize their mood
What is Lithium?
200
This medication class can easily change from a temporary fix to a dependent nightmare.
What are benzodiazepines?
200
Bupreophine/Naloxone is indicated in the treatment of what this condition.
What is opiate withdrawal
200
A patient is scheduled to begin a titration of olanzipine. Florence would insist that it is a priority regarding assessments that should be completed as a baseline prior to initiation of this medication -
What is monitor body weight and BMI closely as a rapid increase in weight is a common side effect of Zyprexa.
300
The amount/drug needed TID to reign-in mania S
What is Lithium 300mg-450mg TID?
300
In what classification might you find Haloperidol?
What is -Traditional Antipsychotic?
300
The calming effect on the CNS (tremors, tachycardia, increased BP) are often used to treat the physiologic symptoms of anxiety
What is Propranolol (Inderal)?
300
How might Florence monitor the progress (success or failure) of a medication such as Paxil? -
What is reduction or resolution of symptoms -worsening of depression -the presence of suicidal ideation -unusual changes in behavior, especially at initiation of therapy or when the dose in increased or decreased. -withdrawal symptoms (dysphoric mood, irritability, agitation) especially with abrupt d/c of therapy -abnormal bleeding
400
Slow to start (12.5 mg BID) to a maximum 450mg per day by day 14 for those people resistant to most antipsychotic medications.
What is Clozaril?
400
Lorazepam helps tor educe this “stressful”emotion.
What is anxiety
400
These positive symptoms seem to carry a negative connotation for those suffering from a psychotic disorder
What are delusions, hallucinations, clang associations, illusions
400
Abilify has the potential to cause this EKG change: -
What is Prolonged QT Interval
400
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-6 weeks
500
50mg-100mg/L is the therapeutic drug level of what mood stabilizing medication? What specific lab values might be important to evaluate when NMS is suspected? -Elevated CPK Myoglobinuria Increased WBC Metabolic Acidosis
What is Depakote?
500
Anxiety disorders are generally treated with this classification of medications
What are antidepressants?
500
If you have a history of subcortical brain hemorrhage or liver damage, this medication is not for you. -
What is Risperdal and/orProlixin?
500
List at least 3 symptoms of tardive dyskinesia? -
What is Repetitive involuntary movements of mouth, rapid eye blinking, chewing, lip smacking, puckering, pill rolling, abnormal finger movements, abnormal movement of trunk and extremities.
500
How might Florence determine how to dose Suboxone in an opiate dependent individual and what is the typical range?
What is adjust the dosage in 2mg-4mg increments/decrements to the level that holds the patient in treatment and suppress opioid withdrawal effects. -4mg to 24mg/day