NUR 2474 Module 3 Review

NUR 2474 Module 3 Review Pharmacology for Professional Nursing

• Rasmussen

Chapters 31 - 35

What is used as a tool to watch for EPS or Dyskinesias?

• DISCUS and AIMS tool

How is Haldol different from the effect of Ativan?

• Ativan calms muscles and gives sense of euphoria

Haldol works on thought processes

What side effects would you expect after administering Haldol IM?

- Twenty minutes later: progressive quieting, somnolence, drooling,

emotional vacancy

What size of needle (length) would you need to use for the IM site dorso- gluteal?

• 1 1/4 to 1 1/2 depending on the size of the patient

What is the purpose of adding Trazadone to maintain control of combativeness?

• Trazadone is a SSRI, it doesn't contribute to EPS, it is more of an

adjunct medication than a stand-alone behavior medication 1 / 2

What are the pros and cons of switching from Haldol to Risperdal?

• As an atypical psychotropic risperidone is much less inclined to

cause dyskinesias. The down sides of Risperdal include cost and slow ramp up times. Haloperidol is a better medication for short term intervention because it takes effect quickly.

Seizures and arrhythmias are a real risk with Lithium True or False

• True

Low Sodium can cause Lithium?

• Toxicity

People should eat their normal amount of salt and water while on Lithium True or False?

• True

Antiemetic neuroleptic

• Compazine, Phenergan related to Haldol due to sedation affects

Atypical Neuro-leptics?

• Clozaril (clozapine)

Seroquel (quetiapine)

Risperdal (risperdone) Zyprexa (olanzapine) Geodon (ziprazidone)

Should you give Lithium with food and milk or on an empty stomach? Should you crush it?

• Always give with food or milk

NEVER crush it!

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