Sumatriptan Use and Nursing Implications Quiz
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Questions and Answers

What is the advantage of the administration of triptans over the ergot alkaloids?

  • Triptans have a faster onset of action
  • Triptans have a more selective serotonin agonist receptor profile (correct)
  • Triptans have a higher protein binding capacity
  • Triptans have a longer half-life

    • What is the onset of action of oral preparation of sumatriptan?

  • 60 to 90 minutes (correct)
  • More than 4 hours
  • 2 to 4 hours
  • 30 to 45 minutes

    • Where does the metabolism of sumatriptan occur?

  • Liver (correct)
  • Kidneys
  • Stomach
  • Lungs

    • What is the action of sumatriptan in relieving the pain of a migraine headache?

    <p>Produces vascular constriction of cranial blood vessels</p> Signup and view all the answers

    What is a potential adverse effect of sumatriptan related to the central nervous system?

    <p>Dizziness</p> Signup and view all the answers

    Where does elimination of sumatriptan take place, requiring caution in patients with impaired renal function?

    <p>Renal system</p> Signup and view all the answers

    What is a contraindication for the use of sumatriptan?

    <p>Hypersensitivity reactions</p> Signup and view all the answers

    What is a specific nursing implication for administering sumatriptan to patients with impaired hepatic function?

    <p>Administer lower dosages</p> Signup and view all the answers

    What is an important patient teaching point regarding sumatriptan administration?

    <p>Avoid recent administration of ergot alkaloids</p> Signup and view all the answers

    What is a potential adverse effect of sumatriptan related to cardiovascular effects?

    <p>Chest pain</p> Signup and view all the answers

    What is the maximum allowable dosage of sumatriptan in a single dose?

    <p>50 mg</p> Signup and view all the answers

    Which class of medications should the nurse ask the patient about to prevent interactions with sumatriptan?

    <p>Ergot alkaloids</p> Signup and view all the answers

    What is an important nursing assessment related to the therapeutic effects of sumatriptan?

    <p>Assess for diminished pain and relief of migraine headaches</p> Signup and view all the answers

    What is a potential adverse effect of sumatriptan related to nasal administration?

    <p>Nasal congestion</p> Signup and view all the answers

    Which of the following conditions is a contraindication for sumatriptan use?

    <p>Cerebrovascular syndromes</p> Signup and view all the answers

    Which of the following medications is in the same class as sumatriptan?

    <p>Almotriptan</p> Signup and view all the answers

    Which triptan has a slow onset of action?

    <p>Naratriptan (Amerge)</p> Signup and view all the answers

    What is a contraindication for Naratriptan (Amerge) use?

    <p>Creatinine clearance less than 15 mL/min</p> Signup and view all the answers

    Which triptan is available in an orally disintegrating formulation?

    <p>Rizatriptan (Maxalt)</p> Signup and view all the answers

    What is an adverse effect commonly associated with Rizatriptan (Maxalt)?

    <p>Dizziness</p> Signup and view all the answers

    What is the onset of action for the intranasal preparation of Zolmitriptan (Zomig)?

    <p>15 minutes</p> Signup and view all the answers

    What is a BLACK BOX WARNING associated with Sumatriptan–naproxen sodium (Treximet)?

    <p>Cardiovascular risk from sumatriptan</p> Signup and view all the answers

    What is an important administration consideration for Sumatriptan–naproxen sodium (Treximet)?

    <p>Do not divide, chew, or crush the tablets</p> Signup and view all the answers

    What is the most commonly reported adverse effect of Zolmitriptan (Zomig)?

    <p>Dizziness</p> Signup and view all the answers

    What are the common adverse effects of Rizatriptan (Maxalt)?

    <p>Dizziness, fatigue, nausea, and somnolence</p> Signup and view all the answers

    What is a contraindication for Naratriptan (Amerge)?

    <p>Creatinine clearance less than 15 mL/min</p> Signup and view all the answers

    How should Sumatriptan–naproxen sodium (Treximet) tablets be administered?

    <p>Orally without dividing, chewing, or crushing</p> Signup and view all the answers

    What is the recommended initial dose of Zolmitriptan (Zomig) for acute migraine therapy?

    <p>2.5 mg</p> Signup and view all the answers

    What is a notable BLACK BOX WARNING associated with Sumatriptan–naproxen sodium (Treximet)?

    <p>Cardiovascular risk from sumatriptan</p> Signup and view all the answers

    What are the symptoms of serotonin syndrome?

    <p>Restlessness, hallucinations, fever, loss of consciousness, tachycardia, rapid change in blood pressure</p> Signup and view all the answers

    How should women of childbearing age use Naratriptan (Amerge) due to the risk of serious birth defects?

    <p>Use barrier contraceptives</p> Signup and view all the answers

    What is the onset of action for the intranasal preparation of Zolmitriptan (Zomig)?

    <p>15 minutes</p> Signup and view all the answers

    Study Notes

    Sumatriptan Use and Nursing Implications

    • Sumatriptan is used to treat acute migraine headache pain with or without an aura, as well as cluster headaches.
    • Caution is necessary when administering sumatriptan to patients with impaired renal function as elimination takes place in the renal system.
    • Impaired hepatic function requires caution when administering sumatriptan due to metabolism occurring in the liver.
    • Adverse effects of sumatriptan include CNS effects such as dizziness, vertigo, and headache, as well as cardiovascular effects and nasal administration side effects.
    • Contraindications for sumatriptan use include hypersensitivity reactions, existing cerebrovascular or peripheral vascular syndromes.
    • It is important to ask the patient about recent administration of ergot alkaloids to prevent interactions with sumatriptan.
    • Sumatriptan should be administered at the onset of migraine symptoms, and dosages should not exceed 100 mg in a single dose or 200 mg/day.
    • The nurse should assess for diminished pain and relief of migraine headaches as therapeutic effects of sumatriptan.
    • Assessing for adverse effects such as increased blood pressure, chest pain, and dizziness is important when administering sumatriptan.
    • Patient teaching for sumatriptan includes proper administration, disposal of autoinjectors, avoiding administration during pregnancy, and reporting symptoms of hypersensitivity.
    • Other drugs in the same class as sumatriptan include almotriptan, eletriptan, and frovatriptan, each with specific administration and interaction considerations.
    • Almotriptan, eletriptan, and frovatriptan have their own unique onset of action, dosages, and potential adverse effects, as well as interactions with other drugs.

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    Description

    Test your knowledge of sumatriptan use and nursing implications with this quiz. Explore its indications, contraindications, adverse effects, patient assessment, and patient teaching. Also, learn about related drugs in the same class and their unique considerations.

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