Podcast
Questions and Answers
Which class of medication found in the patient's prescription is responsible for constipation and urinary retention in a patient who takes nortriptyline for depression?
Which class of medication found in the patient's prescription is responsible for constipation and urinary retention in a patient who takes nortriptyline for depression?
Which second-generation antidepressant medication interacts with non-steroidal anti-inflammatory drugs?
Which second-generation antidepressant medication interacts with non-steroidal anti-inflammatory drugs?
Serotonin and norepinephrine reuptake inhibitors (SNRIs)
What is the current indication for tricyclic antidepressants (TCAs)?
What is the current indication for tricyclic antidepressants (TCAs)?
Insomnia, childhood enuresis, neuropathic pain syndrome
Which anxiolytic medication might be a better option for a patient with an anxiety disorder who is taking lorazepam but finds the side effect of drowsiness to be interfering with life?
Which anxiolytic medication might be a better option for a patient with an anxiety disorder who is taking lorazepam but finds the side effect of drowsiness to be interfering with life?
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What instruction should the nurse include to educate a patient taking sertraline?
What instruction should the nurse include to educate a patient taking sertraline?
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Which mood stabilizing drug is used to treat bipolar disorder?
Which mood stabilizing drug is used to treat bipolar disorder?
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Which type of medication is indicated to help the patient manage withdrawal symptoms while detoxifying from alcohol abuse?
Which type of medication is indicated to help the patient manage withdrawal symptoms while detoxifying from alcohol abuse?
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Which condition would the nurse suspect that a patient on lithium has been diagnosed with?
Which condition would the nurse suspect that a patient on lithium has been diagnosed with?
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Which anxiolytic drug promotes agonistic activity at both the serotonin and dopamine receptors?
Which anxiolytic drug promotes agonistic activity at both the serotonin and dopamine receptors?
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Which theory states that depression and mania are caused by alterations in the concentration of neurotransmitters in the brain?
Which theory states that depression and mania are caused by alterations in the concentration of neurotransmitters in the brain?
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What does the nurse infer from a patient with increased blood glucose levels, increased blood pressure, and abnormal cholesterol levels?
What does the nurse infer from a patient with increased blood glucose levels, increased blood pressure, and abnormal cholesterol levels?
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Which cue is indicative of benzodiazepine overdose?
Which cue is indicative of benzodiazepine overdose?
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Which disorder is treated with mood stabilizers?
Which disorder is treated with mood stabilizers?
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Which drugs represent the largest class of conventional antipsychotic drugs?
Which drugs represent the largest class of conventional antipsychotic drugs?
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Which hypothesis postulates that depression results from a deficiency of neuronal and synaptic catecholamines?
Which hypothesis postulates that depression results from a deficiency of neuronal and synaptic catecholamines?
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Which cue is a common symptom of serotonin syndrome?
Which cue is a common symptom of serotonin syndrome?
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What activity should a patient be cautioned to avoid while taking a monoamine oxidase inhibitor (MAOIs)?
What activity should a patient be cautioned to avoid while taking a monoamine oxidase inhibitor (MAOIs)?
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Which atypical antipsychotic medication would the nurse anticipate a health care provider prescribing for treatment of refractory schizophrenia?
Which atypical antipsychotic medication would the nurse anticipate a health care provider prescribing for treatment of refractory schizophrenia?
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What information should the nurse include in patient education to promote adherence to a therapeutic regimen of fluoxetine for anxiety?
What information should the nurse include in patient education to promote adherence to a therapeutic regimen of fluoxetine for anxiety?
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Which drug may cause serotonin syndrome if given together with an antidepressant medication?
Which drug may cause serotonin syndrome if given together with an antidepressant medication?
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Which is the main receptor in the CNS that is blocked by conventional antipsychotic drugs?
Which is the main receptor in the CNS that is blocked by conventional antipsychotic drugs?
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Which drug is responsible for an adverse effect of involuntary wavelike movements of the legs in a patient with bipolar disorder?
Which drug is responsible for an adverse effect of involuntary wavelike movements of the legs in a patient with bipolar disorder?
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What is the maximum oral dose of diazepam a patient with an anxiety disorder can receive in a day?
What is the maximum oral dose of diazepam a patient with an anxiety disorder can receive in a day?
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What inquiry may the nurse make when reviewing a patient history for benzodiazepine use?
What inquiry may the nurse make when reviewing a patient history for benzodiazepine use?
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Why is monitoring blood sodium levels necessary in a patient with bipolar disorder who takes lithium citrate?
Why is monitoring blood sodium levels necessary in a patient with bipolar disorder who takes lithium citrate?
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Which phenomenon is recognized as a positive symptom of schizophrenia?
Which phenomenon is recognized as a positive symptom of schizophrenia?
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What time frame should the nurse include in patient teaching to explain how long it will take for escitalopram to be completely effective?
What time frame should the nurse include in patient teaching to explain how long it will take for escitalopram to be completely effective?
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Which adverse effects should the nurse monitor for in a patient prescribed alprazolam to treat panic disorder?
Which adverse effects should the nurse monitor for in a patient prescribed alprazolam to treat panic disorder?
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What are the adverse effects from antipsychotic drugs acting on alpha-adrenergic receptors?
What are the adverse effects from antipsychotic drugs acting on alpha-adrenergic receptors?
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What is a common symptom of serotonin syndrome?
What is a common symptom of serotonin syndrome?
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Which medication would the nurse expect to administer for a patient with a history of abusing opioid analgesics and needs an anti-anxiety agent?
Which medication would the nurse expect to administer for a patient with a history of abusing opioid analgesics and needs an anti-anxiety agent?
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Which medication should be monitored continuously for hypertension due to a drug interaction with buspirone?
Which medication should be monitored continuously for hypertension due to a drug interaction with buspirone?
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Which condition does the nurse monitor for while administering flumazenil for an overdose of diazepam?
Which condition does the nurse monitor for while administering flumazenil for an overdose of diazepam?
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What medication would a nurse suggest for a patient with psychosis who is experiencing extrapyramidal effects from conventional antipsychotic therapy?
What medication would a nurse suggest for a patient with psychosis who is experiencing extrapyramidal effects from conventional antipsychotic therapy?
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Which test will the nurse suggest to the health care provider before starting duloxetine for depression?
Which test will the nurse suggest to the health care provider before starting duloxetine for depression?
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Study Notes
Antipsychotic Drugs and Related Treatments
- Anticholinergics can cause constipation and urinary retention when used with nortriptyline, a tricyclic antidepressant (TCA).
- SNRIs (Serotonin and Norepinephrine Reuptake Inhibitors) may have interactions with non-steroidal anti-inflammatory drugs.
- Current indications for TCAs include insomnia, childhood enuresis, and neuropathic pain.
- Buspirone is an alternative anxiolytic that can reduce drowsiness compared to lorazepam.
Patient Education and Compliance
- Advise patients to take sertraline at the same time each day for consistency.
- Inform patients on fluoxetine that therapeutic effects may take an additional 2-4 weeks to manifest.
Mood Stabilizers and Their Uses
- Oxcarbazepine and lithium carbonate are commonly used mood stabilizers for bipolar disorder.
- Monitoring blood sodium levels in patients on lithium is essential to maintain therapeutic concentrations.
Treatment of Alcohol Abuse and Anxiety
- Benzodiazepines are indicated for managing withdrawal symptoms in alcohol detoxification.
- Maximum daily dosage of diazepam for anxiety disorder is 40mg, taken in divided doses of 2-10mg, 2-4 times a day.
Side Effects and Adverse Effects
- Patients taking benzodiazepines should be asked about oral contraceptive use, as it can reduce benzodiazepine elimination.
- Common adverse effects from antipsychotics include lightheadedness, reflex tachycardia, and postural hypotension related to alpha-adrenergic receptor activity.
- Monitor for signs of serotonin syndrome, including myoclonus and confusion.
Diagnosing with Medication
- A patient on lithium is likely diagnosed with bipolar disorder.
- Positive symptoms of schizophrenia manifest as delusions, hallucinations, and conceptual disorganization.
Drug Interactions and Monitoring
- Buspirone can lead to serotonin syndrome if combined with antidepressants.
- Continuous blood pressure monitoring is necessary when patients taking buspirone are also on MAOIs to prevent hypertension.
- Liver function tests should be conducted before initiating duloxetine due to risks of liver toxicity.
Extrapyramidal Effects
- Risperidone is recommended for patients experiencing extrapyramidal symptoms from conventional antipsychotic treatment.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on antipsychotic drugs and their effects with these flashcards. Each card includes a question and a detailed rationale to enhance your understanding of medications like nortriptyline and their interactions. Perfect for nursing and medical students preparing for exams.
