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NRSG 347 > Exam 2 > Flashcards

Exam 2 Flashcards

(51 cards)

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1
Q

intoxication of alcohol

A

Aggressiveness, impaired judgment/attention, irritability, euphoria, depression, emotional lability, slurred speech, incoordination, unsteady gait, nystagmus, flushed face

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2
Q

intoxication of amphetamines and related substances

A

Fighting, grandiosity, hypervigilance, psychomotor agitation, impaired judgment, tachycardia, pupillary dilation, elevated BP, perspiration or chills

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3
Q

withdrawal of alcohol

A

Tremors, nausea/vomiting, malaise, weakness, tachycardia, sweating, elevated BP, anxiety, depressed mood, irritability, hallucinations, headache, insomnia, seizures

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4
Q

comments of alcohol

A

Alcohol withdrawal begins within 3-6 hours after last drink, may progress to delirium tremens on 2nd to 3rd day. Use Librium or serax is a good substitution for therapy

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5
Q

withdrawal of amphetamines and related substances

A

Anxiety, depressed mood, irritability, craving for the substance, fatigue, insomnia, or hypersomnia, psychomotor agitation, paranoid and suicidal ideation

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6
Q

comments about amphetamines and related substances

A

Withdrawal symptoms usually peak within 2-4 days, although depression and irritability may persist for months. Antidepressants may be used

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7
Q

caffeine intoxication

A

estlessness, nervousness, excitement, insomnia, flushed face, diuresis, GI complaints, muscle twitching, rambling flow of thoughts and speech, cardiac arrhythmia, periods of inexhaustibility, psychomotor agitation

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8
Q

withdrawal of caffeine

A

headache

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9
Q

comments on caffeine

A

Caffeine is contained in many things – some cold medicines

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10
Q

intoxication of cannabis

A

Euphoria, anxiety, suspiciousness, sensation of slowed time, impaired judgment, social withdrawal, tachycardia, conjunctival redness, increased appetite, hallucination

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11
Q

withdrawal of cannabis

A

Restlessness, irritability, insomnia, loss of appetite, depressed mood, tremors, fever, chills, headache, stomach pain

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12
Q

comment of cannabis

A

Intoxication occurs immediately and lasts about 3 hours. Oral ingestion is more slowly absorbed and has longer-lasting effects

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13
Q

Cocaine intoxication

A

Euphoria, fighting, grandiosity, hypervigilance, psychomotor agitation, impaired judgment, tachycardia, elevated blood pressure, pupillary dilation, perspiration or chills, nausea/vomiting, hallucinations delirium

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14
Q

cocaine withdrawal

A

Depression, anxiety, irritability, fatigue, insomnia or hypersomnia, psychomotor agitation, paranoid or suicidal ideation, apathy, social withdrawal

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15
Q

cocaine comments

A

Large doses of the drug can result in convulsions or death from cardiac arrhythmias or respiratory paralysis

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16
Q

Inhalants intoxication

A

Belligerence, assultiveness, apathy, impaired judgment, dizziness, nystagmus, slurred speech, unsteady gait, lethargy, depressed reflexes, tremor, blurred vision, stupor or coma, euphoria, irritation around eyes, throat, and nose

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17
Q

inhalants comments

A

Intoxication occurs within 5 minutes of inhalation, symptoms last 60-90 minutes. Large doses can result in death from one CNS depression or cardiac arrhythmia

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18
Q

Nicotine withdrawal

A

Craving for the drug, irritability, anger, frustration, anxiety, difficulty concentrating, restlessness, decreased HR, increased appetite, wt. gain, tremor, headaches, insomnia

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19
Q

comments on nicotine

A

Symptoms of withdrawal begin within 24 hours of last drug use and decrease in intensity over days , weeks or sometimes longer

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20
Q

opioids intoxication

A

Euphoria, lethargy, somnolence, apathy, dysphoria, impaired judgment, pupillary constriction, drowsiness, slurred speech, constipation, nausea, decreased RR and BP

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21
Q

withdrawal of opioids

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A

Craving for the drug, nausea/vomiting, muscle aches, lacrimation or rhinorrhea, pupillary dilation, piloerection or sweating, diarrhea, yawning, fever, insomnia

22
Q

comments of opioid

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A

Withdrawal symptoms appear within 6-8 hours after last dose and peak in 2-3 days and subside in 5-10 days
Times are shorter for meperidine and longer for methadone

23
Q

Phencyclidine and related substance intoxication

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A

Belligerence, assaultiveness, impulsiveness, psychomotor agitation, impaired judgment, nystagmus, increased HR and BP, diminished pain response, ataxia, dysarthria, muscle rigidity, seizures, hyperacusis, delirium

24
Q

Phencyclidine and related substance COMMENTS

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A

Delirium can occur within 24 hours after use of phencyclidine, or may occur up to a week following recovering from an overdose of the drug

25
Sedatives, hypnotics, and anxiolytics intoxication
Disinhibition of sexual or aggressive impulses, mood lability, impaired judgment, slurred speech, incoordination, attention or memory disorientation, confusion
26
Sedatives, hypnotics, and anxiolytics Withdrawal
Nausea/vomiting, malaise, weakness, tachycardia, sweating, anxiety, irritability, orthostatic hypotension, tremor, insomnia, seizures
27
Sedatives, hypnotics, and anxiolytics comments
Withdrawal may progress to delirium, usually within 1 week of last use. Long-acting barbiturates or benzodiazepines may be used in withdrawal substitution therapy
28
schizophrenia positive symptoms: content of thought
- Delusions - Religiosity - Paranoia - Magical thinking
29
schizophrenia positive symptoms: form of thought
- Associative looseness - Neologism - Concrete thinking - Clang associations - Word salad - Circumstantiality - Tangentility - Mutism - Preservation
30
schizophrenia positive symptoms: perception
- Hallucinations | - Illusions
31
schizophrenia positive symptoms:sense of self
- Echolalia - Echopraxia - Identification and imitation - Depersonalization
32
schizophrenia negative symptoms- affect
- Inappropriate affect - Bland or flat affect - Apathy
33
schizophrenia negative symptoms- volition
- Inability to initiate goal directed activity - Emotional ambivalence - Deteriorated appearance
34
schizophrenia negative symptoms- imterpersonal functioning and relationship to external world
- Impaired social interaction | - Social isolation
35
schizophrenia negative symptoms- psychomotor behavior
- Anergia - Waxy flexibility - Posturing - Pacing and rocking
36
schizophrenia negative symptoms- associated features
- Anhedonia | - regression
37
side effects of Tricyclics
- Blurred vision - Constipation - Urinary retention - Orthostatic hypotension - Reduction of seizure threshold - Tachycardia / arrhythmias - Photosensitivity - Wt gain
38
Selective Serotnin Reuptake Inhibitors SSRI side effects
- Insomnia/agitation - Headache - Weight loss - Sexual dysfunction - Serotonin syndrome o Change in mental status, restlessness, myoclonus, hyperflexia, tachycardia, labile BP, diaphoresis, shivering, and tremors o Discontinue immediately
39
Monoamine Oxidase Inhibitors (MAOIs) side effects
``` - Hypertensive crisis- cannot eat foods containing tryamine o Occipital headache o Palpitations o Nausea o Vomiting o Fever o Seating o Chest pain - Application site reaction ```
40
Heterocyclics side effects
- Bupropion is associated with relatively high seizure incidence - Blurred vision - Constipation - Urinary retention - Orthostatic hypotension - Reduction of seizure threshold - Tachycardia / arrhythmias - Photosensitivity - Wt gain Trazodone- priapism- prolonged penile errection - May require surgery Nefazodone- may cause hepatic failure
41
Serotonin Norepinephrine Reuptake inhibitors (SNRIs) side effects
- Insomnia/agitation - Headache - Weight loss - Sexual dysfunction - Serotonin syndrome o Change in mental status, restlessness, myoclonus, hyperflexia, tachycardia, labile BP, diaphoresis, shivering, and tremors Discontinue immediately
42
examples of Serotonin Norepinephrine Reuptake inhibitors (SNRIs)
Desvenlafaxine (Pristiq) Duloxetine (Cymbalta) Venlafaxine (Effexor)
43
examples of heterocyclics
``` Bupropion (Wellbutrin) Maprotiline Mirtazapine Nefazodone Trazodone ```
44
examples of MAOI
Isocarboxazid (marplan) Phenelzine (Nardil) Tranylcypromine (parnate) Selegiline Transdermal System (ensam)
45
examples of SSRI
``` Citalopram (celexa) Escitalopram (Lexapro) Fluoxetine (Prozac; sarafem) Fluvoxamine (luvox) Paroxetine (paxil) Sertraline (Zoloft) Vilazodone (viibryd) ```
46
examples of tricyclics
``` Amitriptyline Amoxapine Clomipramine (Anafranil) Desipramine (Norpramin) Doxepin Imipramine (Tofranil) Notriptyline (Aventyl; Pamelor) Protiptyline (Vivactil) Trimipramine (surmontil) ```
47
what contains tryamine
- Aged cheses, raisins, fava beans, red wines, smoked and prcessed meeds, caviar, pickled herring, corned beef, chicken or beef liver, soy sauce, brewer’s yeast, MODERATE TYRAMINE beer, white wine, coffee, tea, hot chocolate , yogurt, bananas, sour cream, tea, hot chocolate
48
Antimanic side effects
1. ) Drowsiness, dizziness, headache 2. ) Dry mouth; thirst 3. ) GI upset; nausea/vomiting 4. ) Fine hand tremors 5. ) Hypotension, arrhythmias, pulse irregularities 6. ) Polyuria; dehydration 7. ) Weight gain
49
side effects with anticonvulsant
1. ) Nausea/vomiting 2. ) Drowsiness; dizziness 3. ) Blood dyscrasias 4. ) Prolonged bleeding time (with valproic acid) 5. ) Risk of severe rash (with lamotrigine) 6. ) Decreased efficacy with oral contraceptives (with topiramate) 7. ) Risk of suicide with all antiepileptic drugs
50
side effects of Calcium Channel Blockers
1. ) Drowsiness/ dizziness 2. ) Hypotension/ bradycardia 3. ) Nausea 4. ) Constipation
51
side effects of Antipsychotics
1. ) Drowsiness/ dizziness 2. ) Dry mouth, constipation 3. ) Increased appetite, weight gain 4. ) ECG change 5. ) Extrapyramidal symptoms 6. ) Hyperglycemia and diabetes

NRSG 347 (1 decks)

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