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3145 Exam 4
n/a
61
Nursing
Undergraduate 3
11/20/2014

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Cards

Term
what is another name for grand mal seizures?
Definition
tonic clonic
Term
Describe absence seizures
Definition
petit mal; when you stare into space
Term
Describe status epileptucis
Definition
prolonged seizure, series of repeated seizures that does not resolve on its own
Term
What are some common actions of seizure drugs?
Definition
makes patient groggy, sleepy with dry mouth
Term
Describe the use of anti seizure drugs
Definition
started one at a time, drug can be increased or changed if not effective; choice of drug depends on seizure type
Term
What is the purpose of first line seizure drugs?
Definition
decrease voltage frequency and spread of electrical impulses in motor cortex of the brain
Term
Patients taking carbamazepine should avoid what?
Definition
grapefruit and grapefruit juice.
Term
Valproic acid during pregnancy has been associated with what side efects?
Definition
developmental defects, low IQ, birth defects, congenital anomalies, and damage to the infant’s liver.
Term
What first line drug for absence seizures can make you sensitive to light?
Definition
Ethosuximide
Term
What is the function of second line seizure drugs?
Definition
increase threshold to stimuli, slowing electrical impulses, stabilize membranes of neurons
Term
Gabapentin should not be given with what? why?
Definition
antacid; toxicity risk
Term
What are the 3 forms of depressive disorder?
Definition
major depression, dysthymia, bipolar disorder
Term
What is the cause of psychiatric disorders?
Definition
imbalance of neurotransmitters; serotonin, dopamine, and norepi
Term
Describe dysthymia
Definition
less severe chronic form of depression; persistently low moods
Term
What are the 3 types of antidepressant drugs?
Definition
Selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs)
Term
What are the general side effects of antidepressants? Adverse effects?
Definition
hypotension, headache, dry eye dizziness, drowsiness; TCAs- cardiac, NDRIs- seizures, suicidal thoughts
Term
Depression may be caused by the depletion of ____
Definition
serotonin
Term
TCAs inhibit the reuptake of what?
Definition
serotonin, dopamine, norepi
Term
How long does it take for antidepressants to work?
Definition
8 wks
Term
Antidepressant drugs should not be used for ____ days after discontinuing _____ for risk of _______
Definition
14 day; MAOI drugs; serotonin syndrome
Term
Beta blockers also function as ___
Definition
anti anxitey meds
Term
What are two categories of antianxiety drugs?
Definition
benzodiazapines (CNS depressant) and SSRIs
Term
What are two other terms for antianxiety meds?
Definition
anxiolytics or minor tranquilizers
Term
Benzos should not be taken with ___
Definition
antacid; decreases absorption; avoid grapefruit juice
Term
Why should benzos be avoided in pregnancy?
Definition
fetus can becooe dependent and cause withdrawal symptoms after birth
Term
Chlordiazepoxide and clorazepate (Tranxene) are not recommended for older adults why?
Definition
long half life
Term
How do antipsychotic drugs work?
Definition
relax CNS, block dopamine receptors in the brain
Term
Taking antipsychotics clozapine or prochlorperazine can cause ____
Definition
neutropenia
Term
The antipsychotic Clozapine can cause ____
Definition
myocarditis
Term
Antipsychotics Quetiapine, risperidone, and ziprasidone should not be given to adults why?
Definition
increases COD with dementia
Term
What are the symptoms of parkinson's disease?
Definition
tremor at rest, rigidity, bradykinesia, abnormal gait
Term
How do drugs for parkinson's work?
Definition
increase dopamine activity in the brain
Term
What is the function of COMT inhibitors?
Definition
allow more levodopa to reach brain
Term
What is the function of MAO-B inhibitors?
Definition
inhibit monamine oxidase B that breaks down dopamine in brain
Term
Apomorphine for parkinson's can cause what?
Definition
life threatening CNS depression
Term
Bromocriptine stops the production of what?
Definition
breastmilk
Term
What is the most common type of glaucoma?
Definition
primary open angle, affects both eyes, chronic
Term
eye meds can also go where?
Definition
in the ear but not vice versa
Term
What are the 5 types of drugs that treat glaucoma?
Definition
prostaglandin agonists, beta blockers, adrenergic agonists, cholinergic, carbonic anhydrase inhibitors
Term
Describe the purpose of prostaglandin agonists to treat glaucoma
Definition
Bind to prostaglandin receptor sites, relax blood vessels;cause blood vessels to dilate, collect more fluid
Term
Describe the use of beta blockers to treat glaucoma
Definition
Block beta-adrenergic receptors, prevent adrenalin from binding to them
Term
Describe the use of carbonic anhydrase inhibiors to treat glaucoma
Definition
reduce production of aqueous humor to lower IOP
Term
What is the purpose of glaucoma drugs?
Definition
reduce IOP
Term
What are the systemic effects of beta adrenergic blocking agents for glaucoma?
Definition
slow HR and can lead to HF; narrow airways; can mask signs of hypoglycemia
Term
Adrenergic agonists for glaucoma are contraindicated in who?
Definition
those taking MAOIs
Term
What category of glaucoma drug is most likely o have systemic effects and why?
Definition
cholinergic; absorbed quickly; headache, flushing, increased saliva and sweat
Term
What are signs of overdose when using cholinergic drugs?
Definition
increased drooling or sweating
Term
Cholinergic drugs and carbonic annhydrase inhibitors should not be given to who?
Definition
those with sulfa drugs
Term
Define adjuvant therapy
Definition
chemo and radiation together for cancer treatment
Term
combination chemo is aka what?
Definition
protocol
Term
ID chemotherapy drug category:
damage cell's DNA and interrupt DNA/RNA synthesis
Definition
antitumor antibiotics
Term
ID chemotherapy drug category:
interfere with formation of tubules so cells can't separate during division
Definition
antimitotic agents
Term
ID chemotherapy drug category:
cross link DNA making them bind tightly inhibiting cell division
Definition
alkylating
Term
ID chemotherapy drug category:
disrupt enzyme needed for DNA synthesis and cell division
Definition
topoisomerase
Term
Define CINV
Definition
chemo induced n/v
Term
T/F:
minor infections in chemo patients can be ignored
Definition
true
Term
ID BRM:
stimulate immune system to destroy cancer cells
Definition
interleukins (ILs)
Term
ID BRM:
stimulate natural killer cells slow tumor division
Definition
interferons (INFs)
Term
ID BRM:
reduce formation of blood vessels in tumors
Definition
thalidomide
Term
ID BRM:
induce faster recovery of bone marrow after chemo
Definition
colony stimulating factors
Term
Describe targeted therapy in cancer treatment
Definition
combo of gene and immunotherapy; EGFR and VEGFR, not effective unless cancer cell over expresses the target substance
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