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Nursing Exam 1

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juniperk's version from 2017-02-01 05:42

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Question Answer
How does SSRI work?inhibit serotonin reuptake
Name 4 SSRIs, generic and brand nameCitalopram/ Celexa, Escitalopram/ Lexapro, Fluvaximine/Luvox, Sertraline/Zoloft
Are SSRIs pre or postsynaptic?Postsynaptic
What are SSRIs indicated use?Use for major depression, panic disorders, anxiety disorders, impulse control disorders, PTSD symptoms, and bulimia.
How long does it take SSRIs to start working?3 to 4 weeks
How does SNRI work?Inhibit serotonin and norepinephrine reuptake
Name 3 SNRIs, generic and brand nameVenlafaxine/ Effexor, Duloxetine/Cymbalta, and Desvenlafaxine/ Pristiq
How does Tricyclic Antidepressants work? increase the amount of norepinephrine and serotonin by inhibiting the reuptake, antagonizes acetylcholine and histamine, inhibits sodium and calcium channel
Name 4 TCAs, generic and brandAmitriptyline/ Elavil, Clomipramine/ Anafranil, Imipramine/ Tofranil, Nortriptylline/ Pamelor
TCAs inhibit acetylcholine which in return can acetylcholinergic side effects. What are those symptoms? Remember mnemonic: Hot as a hare, Dry as a bone, Red as a beet. Blind as a bat, and Mad as a hatter
What is the antidote for TCAs?Bicarbonate
How does MAOIs work?Inhibits MAO, allowing norepinephrine, serotonin, and dopamine to accumulate in the synaptic cleft
Name 3 MAOIs, generic/ brand namePhenelzine/Nardil, Tranylcypromine/ Parnate, Selegiline/ Emsam transdermal patches
MAOIs can cause severe hypertensive crisis when eating foods containing what? What are the symptoms?Tyramine. Increase blood pressure. Severe pounding headache, tachycardia, flushing, stiff neck, chest pain,nausea and vomiting
What is Serotonin Syndrome? What are the symptoms?Occurs when taking any other drug that affects the metabolism of serotonin while taking SSRI. Mental changes, hypertension, tremors, sweating, hyperpyrexia, and ataxia
What are some contraindication for TCAs?known allergy, recent MI,risk for suicidality especially in children. Binds to plasma protein, may cause excessive bleeding.
A patient presents at the clinic with complaints of insomnia and anxiety attacks. What drug might the MD order?Desipramine. The sedative effects of the TCA drugs my help patients whose depression is characterized by anxiety and sleep disturbances.
How does Lithium work?Enhances the reuptake of norepinephrine and serotonin in the brain. Also, inhibits the release of norepinephrine and dopamine.
Name 2 anticonvulsants, generic and brand nameCalan/verapamil and olanzapine/ Zyprexa
Name 2 antiepilepsy medications, generic and brand nameCarbamazeprine/Tegretol and Depakote/divalproex
How does anti-epilepsy medications work?enhance the effects of GABA which calms the overexcited areas of the brain.
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