5 Written Questions

1. - Rohypnol (benzodiazepine)
   - Gamma-hydroxybutyrate (euphoric & sedative effects)
   - Ketamine (dissociative general anesthetic)
   => all colorless, odorless and tasteless
   => can be fatal if mixed with alcohol
2. - research is limited
   - risks vary depending on the medication and the point of pregnancy
   - research showed SSRIs is safe with rare risk of birth defect
   - antidepressant can cross placental barrier => miscarriage
   - SSRIs in 3rd trimester may be born with withdrawal symptoms
   - Benzodiazepines cause birth defects and should not be used
   - Benzodiazepine and lithium: "floppy baby syndrome"
   - antipsychotic meds: birth defects (esp in 1st trimester)
   - small amt of psy med cross breastmilk => discuss
3. - Headache, which usually goes away within a few days
   - Nausea (feeling sick to your stomach), which usually goes away within a few days.
   - Sleeplessness or drowsiness, which may happen during the first few weeks but then goes away. Sometimes the medication dose needs to be reduced or the time of day it is taken needs to be adjusted to help lessen these side effects.
   - Agitation (feeling jittery).
   - Sexual problems, which can affect both men and women and may include reduced sex drive, and problems having and enjoying sex
4. - Second generation, or "atypical" antipsychotics
   - very effective medication that treats psychotic symptoms, hallucinations, and breaks with reality, such as when a person believes he or she is the president
5. - antidepressants
   - anti-anxiety medications
   - beta-blockers
   - benzodiazepines

5 Matching Questions

1. Indication of Haldol
2. FDA warning of anticonvulsant
3. Antidote for lead poisoning
4. Side effects of clonidine (Catapres)
5. Antidote for acetaminophen toxicity

1. a - may increase the risk of suicidal thoughts and behaviors
   - should be monitored for new onset of worsening symptoms of depression, suicidal thoughts or behavior, or any unusual changes in mood or behavior
   - should not change the medication regimen without consulting physician
2. b - Dry mouth
   - constipation
   - drowsiness
3. c - acetylcysteine (Mucomyst)
4. d - positive symptoms of schizophrenia
5. e - succimer (Chemet)

5 Multiple Choice Questions

1. - used to improve clients' memories
   - antiplatelet med => increased risk for bleeding
   - meds lowering seizure threshold => increased risk for seizure
   1. Parlodel
   2. Ginkgo biloba
   3. clozaril
   4. Dantrium
2. - Retrograde amnesia
   - Euphoria
   - Hypotension
   - Dysrhythmia
   - Cardiac arrest
   - Respiratory depression
   1. Indication for Midazalam (Versed)
   2. Side effects of Midazalam (Versed)
   3. Side effects of buspirone (BuSpar)
   4. Side effects of beta-blocker
3. - Patient Medication Guides
   - Possible heart problem: sightly higher risk of strokes, heart attach and sudden death in pts with heart conditions
   - Possible psychiatric problem: slightly higher risk of hearing voices, hallucination, paranoid and manic in pts without psychiatric history
   1. Examples of TCAs
   2. FDA warning of anticonvulsant
   3. FDA Warnings on antidepressants
   4. FAD warnings of ADHD meds
4. - Disulfiram (Antabuse)
   - Naltrexone (ReVia)
   - Acamprosate (Campral)
   1. Drugs to treat Bipolar Disorder
   2. Meds for mild to moderate Alzheimer's dementia
   3. Drugs for long-term management of abstinence
      from alcohol
   4. Drug action of newer atypical antipsychotics
5. - benzodiazepines
   - panic disorder and GAD
   1. alprazolam (Xanax)
   2. Acamprosate (Campral)
   3. Haloperidol (Haldol)
   4. Examples of TCAs

5 True/False Questions

1. Side effects from drugs treating ADHD → - decreased appetite: may be less hungry during the day but resume appetite at dinner time
   - sleep problems: may need to take at earlier of the day or add a low dose of antidepressant or clonidine
   - stomach ache and headache
   - uncommon: tics => repetitive movements or sounds; flat affect

   True        False

2. Drug interactions of Lithium → - NSAIDs reduce renal elimination of lithium => increase serum Lithium level => watch for OTC
   - concurrent usesof Lithium with antipsychotic drugs or benzodiazepines: uncommon as time is needed for lithium to take effect
   - antipsychotics: prescribed to produce a tranquilizing effects

   True        False

3. General side effects of atypical antipsychotics → - weight gain => diabetes and high cholesterol

   True        False

4. Contraindication of melatonin → - influences sleep-wake cycles (levels are high during sleep)
   - prevent and treat "jet lag" and insomnia

   True        False

5. Examples of TCAs → - Nardil
   - Parnate
   - Emsam (Selegiline transdermal)

   True        False