Final Exam: NR 568 (NR568) |Latest 2023/ 2024| Advanced Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner| Guide with Verified Answers- Chamberlain

Final Exam: NR 568 (NR568) |Latest 2023/ 2024| Advanced Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner| Guide with Verified Answers- Chamberlain

Final Exam: NR 568 (NR568) |Latest 2023/
2024| Advanced Pharmacology for the AdultGerontology Primary Care Nurse
Practitioner| Guide with Verified AnswersChamberlain
Q: How to treat TCA toxicity?
Answer:
NaHCO3
Q: Examples of MAOIs
Answer:
phenelzine (Nardil)
Isocarboxazid (Marplan)
Tranylcypromine (Parnate)
Selegiline (Emsam)-transdermal MAOI
Q: Adverse effect of MAOIs
Answer:
hypertensive crisis
Q: Which medications increase risk of HTN with MAOIs?
Answer:
Sympathometics
TCA

SSRI/SNRI
Q: Baseline assessment before starting MAOIs? (*think: adverse reactions)
Answer:
Baseline BP
Q: Examples of atypical antidepressants
Answer:
bupropion, mirtazapine
Q: Adverse reactions of Bupropion
Answer:
Seizures
Psychotic effects
Q: Signs of Extrapyramidal effects
Answer:

1. Acute dystonia (abn. movements)
2. Parkinsonism
3. Akathisia (restlessness)
4. Tardive dyskinesia (wormlike tongue movement) *Late effect
   *2nd generation antipsychotics are less likely to cause EPS
   Q: 1st generation antipsychotics

Answer:
Haloperidol
Chlorpromazine
Q: 2nd generation antipsychotics
Answer:
clozapine, risperidone, olanzapine
Q: side effect of haldol
Answer:
QT prolongation, EPS
Q: Patients to avoid giving haldol to and why
Answer:
Pts with Parkinson’s, depression, dementia
Death can occur with dementia related psychosis
Q: Adverse reaction with 2nd generation antipsychotics (clozapine)
Answer:
Agranulocytosis (black box)
New onset diabetes
HLD
Seizures
Myocarditis
Q: Monitoring with 2n generation antipsychotics (*think side effects)

Answer:

• WBC & neutrophils must be WNL prior to starting and monitored throughout beginning of
  treatment
• Glucose levels
• Lipids
• Electrolytes
• Weight
• EKG
  Q: Would should antidepressants not be given alone with Bipolar Disorder?
  Answer:
  Can cause mania or hypomania
  Q: Why TCAs be avoided with Bipolar Disorder?
  Answer:
  Can worsen mania
  Q: Why should caution be taken when combining lithium with diuretics?
  Answer:
  Can cause dehydration and lead to lithium retention
  Q: Black box warning: Lithium
  Answer:
  Lithium toxicity
  Hepatotoxicity
  Pancreatitis
  Teratogenic
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