Term
| Specific Rx the elderly should avoid |
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Definition
| Amitriptyline (Elavil) Diphenhydramine (Benadryl) Clonidine (Catapres) flurazepam (Dalmane) carisoprodol (Soma) hydroxyzine (Vistaril) |
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Term
|
Definition
increased body fat (reduction in responses)
decreased lean body mass (increases effects of RX)
decreased total body water (increases effects of RX)
reduced serum albumin (increases effects of RX) |
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Term
| Mood Stabilizers Antiepileptic Medications for BPD |
|
Definition
Valproic Acid (Depakote)50-125mcg/ml
Carbamazepine (Tegretol)8-12g/ml
Lamotrigine (Lamictal) |
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Term
| Initial Treatment of Acute Mania Until Lithium Takes Effect |
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Definition
Antiphychotics
Antipsychotic or benzodiazepine to prevent:
exhaustion coronory collapse and death |
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Term
| First-line for mixed mania and rapid cycling (BPD) |
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Definition
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Term
| Lithium Drug Interactions |
|
Definition
Diuretics
(loss of sodium leads to lithium toxicity)
NSAIDS
(Increases renal reabsorption of lithium = increases toxicity)
Anticholinergics
(cause urinary hesitancy which combines with lithiums polyuria and results in discomfort) |
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Term
| Management of Otitis Media RX Prototype |
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Definition
| Amoxicillin for 5-10 days |
|
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Term
|
Definition
Mild topical glucocorticoids- Calcipotriene (Dovonex) (derivative of Vit. D)
Moderate- methotraxate (Trexall)-PO-systemic
Moderate-Severe- Alefacept (Amevive)-IM Tcell antagonist |
|
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Term
|
Definition
Antibiotics: doxycycline (Vibramycin)
Retinoid: Isotretinoin (Accutane) given for severe acne
|
|
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Term
| Topical management for ACNE Catagories |
|
Definition
Antibiotics, Benzoyl Peroxide-mild to moderate
Retinoids-mild to moderate Tretinoin (Retin-A)
Retinoid- Severe- Accutane |
|
|
Term
| Topical Retinoid management for Mild to Moderate ACNE |
|
Definition
| Tretinoin (Retin-A) Mild to Moderate ACNE |
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Term
|
Definition
Podofilox (Condylox)
Podophyllin (Podocon -25) |
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Term
| Agents used for Atopic Dermatitis (Eczema) |
|
Definition
1. skin moisturizers and glucocorticoids
2. immunosuppressants
topical-Tacrolimus (Protopic)
systemic-(Methotrexate) |
|
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Term
|
Definition
fluorouracil (Carac)
Disrupts DNA/RNA synthesis and is cytotoxic |
|
|
Term
|
Definition
Prostaglandin Analogs-Latanoprost (Xalatan)
Alpha 2 Agonist-brimonidine (Alphagan)-Long Term
apraclonidine (lopidine)-Short Term
Beta Blocker-betaxolol (Betoptic) |
|
|
Term
| Agents used to treat glaucoma |
|
Definition
prostaglandin analogs
Alpha 2 agnosts
Beta-blockers |
|
|
Term
| RX Management for conjunctivitis |
|
Definition
Mast cell stabilizers
antihistamines
NSAIDs
glucocorticoids |
|
|
Term
| Classes of Chemotherapeutics |
|
Definition
Cytotoxic
Hormone and hormone antagonists
Immuno-modulating agents
Targeted drugs for specific types of cancer |
|
|
Term
| Agents for dystonia and akathisia |
|
Definition
Antiparkinsonian drugs:
benztropine mesylate (Cogentin)
amantadine (Symmetrel) |
|
|
Term
| 2nd generation atypical antipsychotics |
|
Definition
clozapine (Clozaril)
only used for schizophrenia
serisous SE |
|
|
Term
| 2nd generation Atypical Antipsychotics (5) |
|
Definition
Clozapine (Clozaril)
Paliperidone (Invega)
Risperidone (Risperdal)
Olanzapine (Zyprexa)
Quetiapine (Seroquel) |
|
|
Term
|
Definition
Haloperidol (Haldol) - High potentcy
Loxapine (Loxitane) - Medium potency
Chlorpromazine (Thorazine) - Low potency
Haloperidol Decanoate (Haldol Decaoate)- Long acting aka Depot Antipsychotics |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Chlorpromazine (Thorazine) |
|
|
Term
| Long acting FGA aka Depot Antipsychotics |
|
Definition
| Haloperidol Decanoate (Haldol Decaoate) |
|
|
Term
|
Definition
Tricyclic antidepressants (TCAs)
Amitriptyline (Elavil)
Imipramine (Tofranil)
Selective serotonin reuptake inhibitors (SSRIs)
Fluoxazid (Prozac)
Monoxamine oxidase inhibitors (MAOIs)
Isocarboxazid (Marplan) |
|
|
Term
| Tricyclic antidepressants (TCAs) |
|
Definition
Amitriptyline (Elavil)
Imipramine (Tofranil) |
|
|
Term
| Selective serotonin reuptake inhibitors (SSRIs) |
|
Definition
|
|
Term
| Monoxamine oxidase inhibitors (MAOIs) |
|
Definition
|
|
Term
| If Mrs. Javanovich were on Hospice, would she receive chemo- why or why not? |
|
Definition
| Yes, it is a palliative treatment |
|
|
Term
| If Mrs. Javanovich were to receive two chemos in conjunction with each other, what would the RN expect the primary reason is for that? |
|
Definition
decrease of getting an intolerance,
Kill more of the cancer cells,
Kill less of the body cells |
|
|
Term
| What are some obstacles to chemo being effective? |
|
Definition
1. Toxic to all cells
2. Early detection
3. Doesn't work well with solid tumors
4. Cancer cells can become resistant
5. Heterogenesis
6. Not able to target the cancers cells easily, can't penetrate to center of dense tumors
5 |
|
|
Term
| What is the nadir? When does it occur? |
|
Definition
Nadir is the trough/low point, it is the lowest point of bone marrow suppression,
Double check this answer! |
|
|
Term
| What is the MOA of betoptic? |
|
Definition
| For Glaucoma-lowers IOP by decreasing production of aqueous humor by blocking B1 receptors, |
|
|
Term
| Many homeless people have untreated or undertreated mental illness. What would the RN consider to be the reason for erratic behavior in a homeless man, age 30, Caucasian, who is seen at the roadside talking to himself as if he is holding a conversation with an unseen person? Is this an example of a behavioral, physical, or cognitive s/s? |
|
Definition
| Cognitive-because he is responding to an hallucination |
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|
Term
| What would be the reason for the same man seen several months later, after having received treatment, standing at the clinic with his tongue "lolling" about in his mouth? |
|
Definition
|
|
Term
| A patient tells the NP that she stopped taking her Prozac 2 days ago because she had "no libido." She was on 40 mg daily. What is the immediate concern? |
|
Definition
|
|
Term
| 3 Stages of Teratogenesis |
|
Definition
Preimplantation/presomite period-conception-2weeks- =death or recovery
Embryonic Period- 3-8 weeks- =grose abnormalities
Fetal Period- 9weeks-fullterm- =function problems |
|
|
Term
| 3 Critera for Rx teratogen |
|
Definition
1. Acts during a specific time
2. Given set of malformations
3. abnorm. increase as dosage and duration of exposure does |
|
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Term
|
Definition
| acyclovir (antiherpes) because it is thought to correlate with herpes simplex virus |
|
|
Term
|
Definition
acetic acid (found in vinegar) mixed with alcohol
May require hydrocortisone or neomycin
Best Treatment- fluoroquinolones but expensive |
|
|
Term
| Rx for Fungal Otitis Externa |
|
Definition
acetic acid and cleansing sol.
antifungal- clotrimazole (Lotrimin) |
|
|
Term
|
Definition
| ranibizumab (Lucentis)-Injection into eye Newest- aflibercept (Eylea) |
|
|
Term
|
Definition
| Ocuvite PreserVision- antioxidants, zinc, Vit. C and E, Beta-Carotene, Copper |
|
|
Term
|
Definition
Prototype: Venlafaxine (Effecxor)-
Being researched-Levomilnacipran, milnacipran (Dalciprin)- |
|
|
Term
| What aminoacid interferes with MOAIs? |
|
Definition
| tyramine-in meats, cheeses, avocado, soy, beans |
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