Final Exam: NR566/ NR 566 Advanced
Pharmacology Care of the Family Exam |
Questions and Verified Answers (2023/
2024 New Update)- Chamberlain
QUESTION
Which sleep medication would help patients fall asleep if they don’t have trouble staying asleep?
Answer:
Zolpidem (ambien), zapelon (sonata), ramelteon (rozerem), triazolam (halcion)
QUESTION
Memantine – what to do when someone has an elevated creatine clearance?
Answer:
Dosage adjustment for patients with renal impairment having creatine clearance of less then 30
ml/min
QUESTION
Black box warning for antidepressants
Answer:
Antidepressants especially early on, risk of suicide may actually increase. These concerns apply
mainly to children, adolescents, and adults younger than 25
QUESTION
Benzodiazepine-like drugs examples
Answer:
Zolpidem (ambien), zaleplon (sonata), eszopiclone (linesta)
QUESTION
Melatonin-receptor- agonist examples
Answer:
Ramelteon (rozarem)
QUESTION
Which is the first line drug class for treating sleep disorders?
Answer:
Benzodiazepines (xanax, librium, ativan, valium)
QUESTION
Depression treatment options
Answer:
Ssris, snris, tcas, maois, and atypical anti-depressants
QUESTION
drug of choice for depression
Answer:
Ssris, snris, bupropion, and mirtazapine
QUESTION
What if the drugs of choice don’t work or aren’t tolerated by the patient?
Answer:
Older antidepressants (tcas and maois) have more adverse effects and are less well tolerated than
the first line agents and are generally reserved for patients who have not responded to the first
line drugs
QUESTION
Benzodiazepine drug examples
Answer:
-pam
Xanax (alprazolam), valium (diazepam), lorazepam (ativan), librium (chlordiazepoxide)
QUESTION
MAOI baseline data
Answer:
Monitor blood pressure
Therapeutic doses can cause hypotension also in combination with tyramine foods can cause
hypertensive crisis
QUESTION
Dietary restriction maois
Answer:
Avoid foods with tyramine
Avoid avocados, figs, bananas, meats, fermented foods, most cheese (except cottage and cream
cheese), yeast extract, imported beer, shrimp, soy sauce, protein dietary supplements
Have a lot of drug interactions, consult with provider before taking new medications or
supplements
QUESTION
What condition is maois the drug of choice for
Answer:
Atypical depression, often reserved for patients who do not respond well to ssris or tcas
Examples: isocaboxazid (marplan), phenelzine (nardil), selegiline (emsam)
QUESTION
tcas baseline data
Answer:
Prior to starting a TCA an EKG should be done
Especially in patients with known dysrhythmias or older than 40