Final Exam: NR546/ NR 546 Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner Final Exam Review | Complete Guide Questions and
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QUESTION
Paroxetine warning
Answer:
this antidepressant has the highest risk of discontinuation syndrome d/t serotonin transporter inhibition and anticholinergic rebound. If treatment course has lasted 8 weeks, discontinue over 1-2 weeks.
QUESTION
serotonin syndrome
Answer:
With any drug that increases 5HT (e.g., MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability, flushing, diarrhea, seizures.
QUESTION
serotonin syndrome treatment
Answer:
Cyproheptadine (5HT-2 receptor antagonist)
QUESTION
Paroxetine is contraindicated in
Answer:
antidepressant with risk of congenital defects including atrial septal defects
QUESTION
SNRI's
Answer:
breastfeeding infants should be monitored for irritability when mom is taking this type of antidepressant
QUESTION
citalopram and escitalopram
Answer:
antidepressant should be dosed at 1/2 because of risk for QT prolongation in older adults
QUESTION
history of falls/fracture
Answer:
older adults should not take paroxetine if they have a history of
QUESTION
TCA's
Answer:
older adults should avoid these antidepressants if they are prescribed other CNS depressants.
QUESTION
Children and young adults
Answer:
antidepressants increase the risk of suicide in this age group
QUESTION
Best tolerated SSRI
Answer:
Escitalopram (Lexapro)
QUESTION
medication classes used for BPD
Answer:
mood stabilizers, anticonvulsants, and atypical antipsychotics.
QUESTION
Lithium MOA
Answer:
this medication alters cation transport in the nerve and muscle
QUESTION
Lithium indications
Answer:
medication used to treat euphoric mania, rapid cycling, and for maintenance therapy.
QUESTION
Lithium adverse effects
Answer:
GI effects, polyuria, and tremor.
QUESTION
Lithium PEARLS
Answer:
Monitor plasma levels. Reduce dose by 50% in clients with renal failure. Use caution with concurrent diuretics.
Can be used to protect against suicide.
Levels can be increased by NSAIDs and ACE inhibitors. Levels can be decreased by caffeine and mania.
QUESTION
lamotrigine (Lamictal) indications
Answer:
Maintenance therapy for BPD. Monotherapy for BPD.
QUESTION
lamotrigine adverse effects [Show Less]