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Questions and Answers
A patient taking an SSRI is also prescribed linezolid for an infection. Which of the following conditions should the nurse monitor for most closely?
A patient taking an SSRI is also prescribed linezolid for an infection. Which of the following conditions should the nurse monitor for most closely?
- Increased risk for seizures due to lowered seizure threshold.
- Serotonin syndrome due to the drug-drug interaction. (correct)
- Severe hypertension due to increased norepinephrine levels.
- Increased risk of bleeding due to platelet inhibition.
A patient is prescribed a benzodiazepine for anxiety. Which receptor system is primarily affected by this medication?
A patient is prescribed a benzodiazepine for anxiety. Which receptor system is primarily affected by this medication?
- Dopamine Receptor
- Norepinephrine Receptor
- GABA Receptor (correct)
- Serotonin 1a Receptor
A patient is prescribed carbamazepine (Tegretol). The nurse notes that the patient's blood levels are consistently low despite adherence to the prescribed dose. Which property of carbamazepine best explains this observation?
A patient is prescribed carbamazepine (Tegretol). The nurse notes that the patient's blood levels are consistently low despite adherence to the prescribed dose. Which property of carbamazepine best explains this observation?
- Renal excretion leading to rapid elimination of the drug.
- High protein binding leading to decreased bioavailability.
- First-pass metabolism resulting in reduced drug concentration.
- Enzyme induction causing increased metabolism of the drug. (correct)
A patient who has been taking lithium for several years presents with coarse tremors, confusion, and persistent nausea. Which of the following is the most likely cause of these symptoms?
A patient who has been taking lithium for several years presents with coarse tremors, confusion, and persistent nausea. Which of the following is the most likely cause of these symptoms?
A patient is prescribed buspirone (Buspar) for the treatment of generalized anxiety disorder. The nurse knows that the primary mechanism of action for buspirone involves which of the following receptors?
A patient is prescribed buspirone (Buspar) for the treatment of generalized anxiety disorder. The nurse knows that the primary mechanism of action for buspirone involves which of the following receptors?
Flashcards
Benzodiazepines
Benzodiazepines
Medications that reduce anxiety by acting at the GABA receptor.
Buspirone (Buspar)
Buspirone (Buspar)
An anxiolytic that primarily acts at the Serotonin 1a receptor.
SSRIs
SSRIs
A class of antidepressants that act at the Serotonin receptor.
Bupropion (Wellbutrin)
Bupropion (Wellbutrin)
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Gabapentin (Neurontin)
Gabapentin (Neurontin)
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Study Notes
- NURS 615 Exam 2 Study Guide, Part 1
Anxiolytics
- Benzodiazepines act at the GABA receptor
- Be familiar with the names of drugs listed on the slides
- Buspar acts mainly at the Serotonin 1a receptor, but has some dopamine receptor activity
- Buspar's primary action is at the serotonin receptor
Antidepressants
- SSRIs act at the Serotonin receptor
- Focus on the names of SSRI drugs listed on the slides
- Know the adverse effects that all SSRIs have in common
- Understand the patient education needed when prescribing SSRIs
- Recognize symptoms of serotonin syndrome
- Be aware of the drug-drug interaction between SSRIs and linezolid (Zyvox), an antibiotic
- SNRIs act at the Serotonin and Norepinephrine receptors
- Focus on the names of SNRI drugs listed on the slides
- Tricyclic antidepressants
- Study the mechanism of action
- Study the contraindications of tricyclic antidepressants
- Atypical antidepressants
- Focus on Bupropion (Wellbutrin)
- Study the contraindications of atypical antidepressants
Anticonvulsants
- Carbamazepine (Tegretol)
- Focus on the reasons why a patient's blood level may be low and the drug characteristics
- Study the side effects of Carbamazepine (Tegretol)
- Gabapentin (Neurontin)
- Study the adverse effects of Gabapentin (Neurontin)
- Levetiracetam
- Focus on patient education related to Levetiracetam
- Lithium
- Study the symptoms of toxicity
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Description
Study guide for NURS 615 Exam 2, Part 1. Covers anxiolytics like Benzodiazepines and Buspar, including their mechanisms of action. Also covers antidepressants such as SSRIs, SNRIs, tricyclic antidepressants, and atypical antidepressants, focusing on drug names, adverse effects, and contraindications.
