Pharm ATI

Question 1

Benzodiazepines

Answer 1

First line treatment of alcohol withdrawal

Maintain vitals
Decrease seizure risk
Decrease intensity of withdrawal

Watch vitals

Question 2

Disulfiram

Answer 2

Behavioral therapy

Nausea, vomiting, weakness, sweating, palpations, hypotension

Avoid alcohol
Liver function tests

Question 3

Naltrexone

Answer 3

Opioid antagonist

Suppresses craving of alcohol

Take with meals

Monthly IM- if not PO

Question 4

Acamprosate

Answer 4

Decrease unpleasant effects from abstinence

SE: diarrhea

3x daily with meals

Avoid when pregnant

Question 5

Methadone substitution

Answer 5

Oral opioid

Taper

Question 6

Clonidine

Answer 6

Assist with withdrawal effects (diarrhea,nausea,vomiting )

DOES NOT reduce craving for opioids

Observe vitals
Chew gum
Avoid alert activities

Question 7

Buprenorphine

Answer 7

Agonist-antagonist opioid used for withdrawal and maintenance

Substituted for opioid

Decrease craving

Maintain adherence

Question 8

Bupropion

Answer 8

Decrease nicotine craving

Dry mouth

Avoid caffeine and CNS stimulants to control insomnia

Avoid for those increased risk of sierzures

Question 9

Nicotine lozenge

Answer 9

Dissolve 20-30min

Avoid oral intake 15 min prior /during

Limit 5 in 6hrs or max 20/day

Question 10

Nicotine gum

Answer 10

No longer than 6 mo

Chew slowly over 30 min

Avoid eating and drinking 15 min prior

Question 11

Nicotine patch

Answer 11

Once per day

Remove prior to MRI scan, replace when scan completed

Question 12

Nicotine nasal spray

Answer 12

One spray per nostril =1 cig

Contrain: upper respiratory, chronic sinus, allergies, asthma

Question 13

Nicotine inhaler

Answer 13

Menthol

Sensation in throat similar to smoking

Taper 2-3 mo

Avoid with asthma

Question 14

Varenicline

Answer 14

Nicotine receptor agonist

Promotes release of dopamine

Reduces craving

Take after meal

Monitor: BG

BANNED: bus drivers, air traffic controllers, airplane pilots

Question 15

Decreased libido

Answer 15

Decreased sexual desire

Common side effect of MAOIs
Antidepressant meds

Question 16

Haloperidol adverse effect

Answer 16

Neck spasms

Question 17

Clazapine monitoring for?

Answer 17

Weekly WBC count

Question 18

Respiridone side effect

Answer 18

Breast enlargement
(Gynecomastia)

Increased prolactin levels

Question 19

Asenapine side effect

Answer 19

Temporary numbness in mouth

Question 20

Lisdexamfetamine side effects

Answer 20

CNS stimulation (insomnia, restlessness)

Monitor blood pressure

Raises norepinephrine and dopamine

Question 21

-am

Answer 21

Alcohol withdrawal medications

Question 22

Clonidine

Answer 22

Opioid withdrawal

Dry mouth

Obtain baseline vitals!!

Question 23

Nepstigmine

Answer 23

Reverse effects of neuromuscular blockers

Used post anesthesia

Question 24

Dantrolene

Answer 24

Reduce metabolic activity of skeletal muscles

Hyperthermia

Question 25

Vecuronium

Answer 25

Immediate acting Non depolarizing neuromuscular blocker

Question 26

Pramipexole

Answer 26

Parkinson's SE: hallucinations

Question 27

Absense seizures

Answer 27

Ethosuximide Valproic acid Lamotrigine

Question 28

Angle-closure glaucoma

Answer 28

Severe pain around eyes 12 mm Hg expected

Question 29

Open-angle glaucoma

Answer 29

Gradual loss of peripheral vision

Question 30

Acute-angle glaucoma

Answer 30

Insidious onset Painful

Question 31

Ramelteon

Answer 31

Avoid high fat foods

Question 32

Ketamine contraindicated with

Answer 32

Schizophrenia

Question 33

Albuterol adverse effect

Answer 33

Tremors

Question 34

Misoprostol

Answer 34

PUD Contrain for preg women Can induce labor