NURS 663 - Psychiatric Mental Health Diagnosis and Management II
Exam 4
Question:
Clonidine pt. ed
Answer:
Do not take more or less of it or take it more often than prescribed by your doctor. Swallow the extended-release tablets whole; do not split, chew or crush them.
Question:
Disulfiram (Antabuse) MOA
Answer:
Irreversibly blocks ALDH which prevents metabolism of alcohol and acetyl aldehyde builds up in the body. is given in daily doses of 250 mg before the patient is discharged from the intensive first phase of outpatient rehabilitation or from inpatient care. The goal is to place the patient in a condition in which drinking alcohol precipitates an uncomfortable physical reaction, including nausea, vomiting, and a burning sensation in the face and stomach. 1 / 4
Question:
Disulfiram side effects
Answer:
- purpose of the drug: skin flushing, increased pulse, diaphoresis, increased
respiration, hypotension, chest pain, nausea, copious vomiting, blurred vision
Question:
disulfiram pt education
Answer:
Never give to a patient in a state of alcohol intoxication or without the patient's full knowledge. The patient should not take for at least 12 hours after drinking. A reaction may occur for up to 2 weeks after it has been stopped
Question:
Flumazenil (Romazicon)
Answer:
Benzodiazepine antagonist, antidote
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Question:
Flumazenil SE
Answer:
nausea, vomiting; headache, mild dizziness; flushing (warmth, redness, or tingly feeling); increased sweating; blurred vision; or pain where the medicine was injected.
Question:
Flumazenil pt. ed
Answer:
cause seizures (convulsions), especially in people who have sedative- addiction withdrawal symptoms or recent antidepressant overdose, people who have recently received injectable benzodiazepines, or people who had symptoms of a seizure just before receiving flumazenil. Talk to your doctor if you have concerns about the risk of seizure.
Question:
Lorazepam MOA
Answer:
binds to benzodiazepine receptors; enhances GABA effects
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Question:
Lorazepam side effects
Answer:
- drowsiness
- lightheadedness
- hypotension
- increased salivation
4.hepatic dysfunction
Question:
Lorazepam pt. ed
Answer:
Advise patient to decrease dose gradually to minimize withdrawal symptoms; abrupt withdrawal may cause tremors, nausea, vomiting, and abdominal and muscle cramps. Teach other methods to decrease anxiety, such as increased exercise, support groups, relaxation techniques.
Question:
Methadone MOA
Answer:
long acting opioid agonist
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