Pharmacology Week 3 (Mental Health)

What should you monitor a patient for that is taking donepezil (Aricept) for Alzheimer’s
nausea
A patient is newly diagnosed with Parkinson’s Disease- what should they tell them about how levodopa/carbidopa (Sinermet) will help with her symptoms?
IT will increase the amount of dopamine that can get to the brain through the blood brain barrier
A newly diagnosed patient is taking Valproic Acid (Depakote) for seizures. What should the healthcare provider tall the pt to look out for
-rash
-drowsiness
An alert that pt is having adverse side effects to Beta-B1 Betaseron is?
fatigue
If a pt is taking a memantine (Namenda) for alzheimer’s they should notify the doctor before…
taking any over-the-counter antacid
When taking modafinil (Provigil) healthcare provider should include for patient to:
Take in the morning
A patient is taking baclofen (Lioresal) which should they understand?
They should not drive until the effects of the drug are known
A patient is beginning to take valproic acid (Depakote) which should they be advise to monitor for
jaundice
PT is taking temazepam (Restoril) What should the healthcare professional include?
-Avoid alcohol and other depressants
-take 30 minutes before bedtime
-taper the drug to decrease effects from withdrawal
PT is beginning to take zolpidem (Ambien) what should they know Ambien can cause?
memory impairment
patients taking adderall should be monitored for…
tachycardia
What’s the antidote for fentanyl (Sublimaze)
Naloxone
When taking Avonex pt should…
premedicate with tylenol
When taking Sumatriptan (Imitrex) advise patient to be cautious if having…
chest pains
A health care professional is talking to a patient and her family about how methylphenidate (Ritalin) will help manage attention-deficit hyperactivity disorder (ADHD). Which of the following therapeutic effects should they expect?
increased focus
Because of the potential for adverse effects, which of the following should a health care professional recommend for patients who begin taking carbamazepine (Tegretol)?
begin taking at a low dosage
An anesthetist is about to administer lidocaine (Xylocaine) as part of the protocol for spinal anesthesia for a patient who is undergoing a surgical procedure. The health care professional should be aware that the patient could develop which of the following potentially serious effect?
hypotension
A health care professional should include which of the following instructions when talking with a patient about taking levodopa/carbidopa (Sinemet) to treat Parkinson’s disease?
change positions to prevent orthostatic hypotension
When reviewing the adverse effects of drug therapy with a patient, a health care professional should explain orthostatic hypotension is a common adverse reaction of which of the following drugs?
Imipramine (Tofranil)
A health care professional is caring for a patient who is about to begin amitriptyline therapy to treat major depression. The health care professional should include which of the following instructions when talking with the patient about taking the drug?
-change position slowly
-do not quit taking abruptly
-take at bedtime to prevent daytime drowsiness
-Increase fiber and fluid intake
A healthcare professional is caring for a patient who is taking lithium carbonate (Lithobid) to treat bipolar disorder. Which of the following diagnostic test should the health care professional recommend periodically for the patient?
Thyroid function test
A health care professional should question the use of alprazolam (Xanax) for a patient who
drinks two or more glasses of wine each night
A health care professional is obtaining a patient drug history when he finds that the patient is taking lithium carbonate (Lithobid) for bipolar disorder. Which of the following findings in the patients drug history should alert the health care professional to monitor him for lithium toxicity?
Furosemide (Lasix) for hypertension
A health care professional should monitor and older adult patient who is taking alprazolam (Xanax) for which of the following adverse effects?
-tolerance
-anxiety
-sedation
-respiratory depression
A health care professional is talking to a patient who is taking lithium carbonate (Lithobid). Which of the following instructions should be included to reduce the risk of lithium toxicity?
Avoid taking NSAIDS
Which of the following instructions should a health care professional include when advising a patient about instilling pilocarpine (Isopto Carpine) for managing open-angle glaucoma?
-do not touch the tip of the dropper
-apply pressure nasolacrimal duct for 1 minute after
-Remove contact lenses prior to inserting drops
A patient is admitted to the emergency department with spasms of his face and back. He has recently begun taking chlorpromazine to treat schizophrenia. Which of the following adverse reactions should the health care professional suspect?
acute dystonia
A health care professional is caring for a patient who is taking venlafaxine to treat major depression. The health care professional should recognize that which of the following drugs can cause serotonin syndrome when patient take it concurrently with venlafaxine
Phenelzine (Nardil)
A health care professional is caring for a patient who has been taking alprazolam (Xanax) for an extended period of time to treat anxiety. The health care professional should recognize that stopping alprazolam therapy suddenly can resulting which of the following?
withdrawal symptoms
Soon after beginning fluxetine (Prozac), a patient is admitted to the emergency department with agitation and confusion. The health care professional should suspect which of the following?
Seratonin Syndrome
A health care professional is caring for a young adult patient who is taking fluuxetine (Prozac) to treat depression. The health care professional should tell the patient and the patients family to report which of the following?
Suicidal Thoughts
While taking with a patient about taking chlorpromazine, which of the following instructions should the health care professional include?
wear sunscreen when exposed to light
When talking to a patient about buspirone, the health care professional should include which of the following instructions?
allow 2 to 4 weeks to notice effects
A health care professional should advise a patient who is taking phenelzine (Nardil) to avoid tyamine-enriched foods because of an increased risk for which of the following adverse reactions?
hypertensive crisis
When reviewing the indications for various antidepressants, a health care professional should understand that bupropion hydrochloride (Wellbutrin) is an appropriate choice for patients who have which of the following?
-depression
-seasonal affective disorder
-nicotine addiction
A health care professional is caring for a patient who is about to begin using betaxolol (Betoptic) eye drops to treat open-angle glaucoma. The health care professional should advise the patient to expect which of the following reactions?
Ocular Stinging
During and immediately following IV administration of chlorpromazine to a patient who has schizoaffective disorder, the health care professional should monitor which of the following?
blood pressure
A health care professional is caring for a patient who is about to begin taking echothiophate (Phospholine Iodid) to treat glaucoma. The health care professional should monitor the patient for the development of which of the following adverse effects?
cataracts
A health care professional is caring for a patient who is about to begin taking lithium carbonate (Lithobid) to treat bipolar disorder. The health care professional should caution the patient to watch for which of the following indications of litium toxicity?
-tremors
-confusion
-nausea
-muscle weakness
When caring for a patient who is taking risperidone (Risperdal) for schizophrenia, the health care professional should monitor for which of the following adverse effects of the drug?
polyuria
A health care professional should question the use of timolol (Timoptic) for a patient who has which of the following disorders?
asthma
A health care professional should expect which of the following adverse effects for a patient who is taking betaxolol (Betoptic) eye drops to treat glaucoma?
bradycardia
A health care professional is collecting data from a patient who is taking bupropion hydroooride (Wellbutrin) to treat depression. The health care professional notes that the patient has a recent history of a head injury. She should recognize that the drug is inappropriate for the patient because of the increase risk for which of the following?
seizure activity
]]>