ATI The Neurological System Part 2

Pt ER spasms of face and back. Chlorpromazine to treat schizophrenia. adverse reactions suspected
Acute Dystonia

PT taking venlafaxine for major depression. Drug that can cause serotonin syndrome
Phenelzine (Nardil)

pt begining amitriptyline therapy for depression. instructuins
chg position slowly
don’t stop taking abruptly
drowsy
increase fiber/fluids

pt taking phenelzine(nardil) avoid tyrain food because what adverse reactions
hypertensive crisis
tyramine foods (aged cheese, processed meats) triggors severe HTN, while taking phenelzine (htn, ha,n)

bupropion hydrochloride (Wellbutrin) for depression. Contra in recent head injury…causes?
seizure activity

pcp should monitor
alprazolam (Xanax); adverse effects
tolerance, anxiety, sedation, respiratory depression

pt taking lithium carbonate (lothobid) for bipolar. pcp should test?
Thyroid function tests

a pcp would understand that bupropion hydrochloride (wellbutrin) is appropriate for
* seasonal affective disorder
* nicotine addiction
* depression

drug history, lithium carbonate (lithobid) bipolar. drug history that should alert pcp to lithium toxicity
Furosemide (lasix) for hypertension

echothiophate (Phospoline Iodine) for glaucoma; adverse effects
cataracts, halo’s
cholinesterase inhibitor

betaxolol (Betoptic) eye drops for glaucoma; expect following reactions
ocular stinging

timolol (Timoptic); PCP should question which disorder?
asthma

chlorpromazine (Thorazine); schizo affective disorder;
monitor for
bloodpressure

pcp intructions pilocarpine (Isopto Carpine)
Apply gentle pressure to nasolacrimal duct

do not touch tip

remove contacts

lithium carbonate (Lithobid); teach r/f lithium toxicity
avoid NSAIDS

alprazolam (Xanax) for anxiety (long term); teach pt if abruptly stopping… results in
withdrawals

betaxolol (Betoptic) eye drops for glaucoma; adverse effect
Bradycardia

pcp should queston alprazolam (xanax) for pt who
drink two glass wine each night

fluoxetine (Prozac); depression
report to PCP…
Suicidal thoughts

buspirone (Buspar); teach
allow 2-4 w feel therapeutic effects

fluoxetine (Prozac) pt admitted to ER w/agitation, confusion, . ? should PCP suspect (s/s of …)
serotonin syndrome

lithium carbonate (Lithobid); bipolar disorder; caution pt watch for lithium toxicity levels
tremors, confusion, nausea, muscle weakness

risperidone (Risperdal) for schizophrenia; monitor adverse effects
Polyuria

chlorpromazine (Thorazine); teach
sunscreen

adverse reaction of orthostatic hypotension occurs in which med
imipramine (Tofranil)

Mood Stabilizers Lithium Carbonate (Carbolith) Indications of Lithium bipolar disorder (esp. manic) WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample adverse reactions of Lithium nausea, fatigue, thirst, polyuria, fine …

Mood stabilizing Medications – Lithium carbonate (Carbolith) Lithium carbonate (Carbolith) (Indications) – Bipolar disorders, especially the manic phase WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample Lithium carbonate (Carbolith) …

Lorazepram Classification Benzodiazipine For acute anxiety Lorazepram – Action MOA not fully understood; Acts mainly at sub corticoid levels in CNS; Acts in the limbic system; inhibitory neuro transmitter WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY …

Anxiolytic Benzodiazepines medications Alprazolam (Xanax) Diazepam (Valium) Lorazepam (Ativan) contraindication for Benzodiazapine angle-closure glaucoma (causes mydriasis), and pregnancy (due to sedative properties). Hx of seizure is a relative contraindication WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY …

Clozapine (Clorzaril) class atypical Clozapine (Clorzaril) action/therapeutic effect … WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample Clozapine (Clorzaril) side effects … Clozapine (Clorzaril) toxicity … Clozapine (Clorzaril) nursing …

Alprazolam (Xanax), diazepam (Valium), lorazepam (Ativan), temazepam (Restoril) Notes – Benzodiazepine – schedule IV controlled substances Alprazolam (Xanax), diazepam (Valium), lorazepam (Ativan), temazepam (Restoril) Indications (Table 34-2) a. anxiety (drug of first choice) b. panic disorder c. insomnia d. seizures …

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