Exam III CH 16

Question 1

Know how anti-migraine agents act, by which mechanism?

Answer 1

Constricting and dilating of cerebral arteries

Question 2

Know how a Nurse would instruct a pt about the use of an oral anti-migraine agent, regarding the best effective action of the drug

Answer 2

Med should be given as soon as pain begins

Question 3

Why would a physician prescribe dihydroergotamine to a woman who is pregnant and has migraines?

Answer 3

Doesn’t have oxytocin effect

Question 4

Know what the s/s of barbiturate overdose are

Answer 4

Shock, coma, death, tachycardia, CNS depression, pupil dilation, slow shallow respiration’s.

Question 5

Know what the choice drug for tx status epilepticus is

Answer 5

Valium - diazepam

Question 6

Know the duration and effects on the brain of Phenobarbital (Luminal)

Answer 6

Long duration and sedative effect on brain

Question 7

Know what the Nurse should include in teaching regarding an adult pt about an anti-vertigo agent, if med is being used for travel.

Answer 7

take it 30-60 mins before departure and 30 mins before meals.

Question 8

Know what the side effects of “Compazine” IM are and what the nurse should educate the pt on to avoid

Answer 8

May turn urine pink or brown, avoid sunlight, may cause drowsiness so do not drive or operate machinery

Question 9

Know what the long term use of “dopaminergic drugs” can lead to (which condition)

Answer 9

Tardive Dyskanesia

Question 10

Know the classifications (names) of meds that are called “Venzodiazepines”

Answer 10

Anti-anxiety (ativan, Xanax, Valium)

Question 11

Know page 274 table 16-7

Answer 11

Be familiar with anti-anxiety meds

Question 12

Know some of the serious side effects of “Benzodiazepines”

Answer 12

sedation, confusion, hallucination, addictive

Question 13

Know when an anti-depressant drug reaches its desired effect

Answer 13

3-4 weeks

Question 14

Know why a Dr would prescribe a “sedative hypnotic” drug

Answer 14

For sleep

Question 15

Know what the “main action” of benzodiazepines is, and how the med works

Answer 15

CNS depressant

Question 16

Know what the drug “Lithium” is used to tx, what psychiatric condition?

Answer 16

Bi-polar disorder (manic depressive illness)

Question 17

If a Nurse is working w a pt that states they hear voices and the pt has a history of taking phenothiazine’s, know what psychotic disorder the pt has.

Answer 17

Schizophrenia

Question 18

If a pt is taking an “MAO inhibitor”, know what certain foods the pt should avoid and why

Answer 18

tyramine (may cause sudden hypertension) (eggs, cheese, wine, beer, yogurt, sour cream)

Question 19

Know what type of seizures “Clonazepam (Klonopin) is used for

Answer 19

Petite Mal

Question 20

Know what conditions “Diphenhydramine” (Benadryl) is used for

Answer 20

Allergic reactions

Question 21

Know what the s/s of toxicity are w a “Dopaminergic Agent”

Answer 21

Muscle twitching and eye spasms