2023 NSG552 Wilkes University Pharmacology Exam 2 With Answers (75 Solved Questions)

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Nsg 552 Wilkes University EXAM 22023QUESTIONSANDANSWERSWITHCOMPLETESOLUTIONS|AGRADEAcuteanxiety-✔✔✨First line for acute panic may be short term benzo use.short acting benzos cause rebound anxiety and are the most abusedBenzodiazepines-✔✔✨Withdrawal can be dangerous, even deadly. Stopping abruptlyis not advised. Symptoms of agitation,tension, irritability, and sz. may occuranxiety disorders-✔✔✨psychological disorders characterized by distressing,persistent anxiety or maladaptive behaviors that reduce anxietyanxiety disorders treatment-✔✔✨-non-activating antidepressants area good place tostart. for this disorderfirst line treatment anxiety disorders-✔✔✨SSRI-Fluoxetine (Prozac), sertraline(Zoloft), and paroxetine (Paxil)TCAs often effective but with riskier SEmay interfere with psychotherapy in TX of AD-✔✔✨Benzodiazepines-short actingAlprazolam are most abusableRapid onset BZD-✔✔✨used for acute panic disorderBZD with long half-life (20-80 hours)-✔✔✨Diazepam (avoid in elderly)BEERS criteria-✔✔✨A list of medications that are generally considered inappropriatewhen given to elderly peopleBEERS criteria-✔✔✨Identifies High Risk Meds to Generate Wide List of Meds ThatShould be AvoidedThe "Beers Criteria for Potentially Inappropriate Medication Use in Older Adults",commonly called the Beers List, are guidelines for healthcare professionals to helpimprove the safety of prescribing medications for older adults.concomitant with pharmacological tx in AD-✔✔✨PsychotherapyFirst line for specific phobias like clowns, blood, animals-✔✔✨Psychotherapymedications not all that helpful for specific phobias

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OCD treatment-✔✔✨SSRI and CBTBZD in treatment of OCD-✔✔✨Xanax, Valium, KlonipinTrauma and Dissociative Disorders-✔✔✨Consider and treat and comorbid disordersas wellTrauma and Dissociative Disorders first line pharmocology-✔✔✨AntidepressantsPsychotherapy are treatment of choiceDissociative disorders-✔✔✨the degree of insight the patient has is crucial to theoutcome of psychotherapyDID-Dissociative identity disorder-✔✔✨may consider multi pronged approach totreatment but strongly linked to childhood trauma so treating underlying PTSD s/s isoften helpfulDID-✔✔✨discourage use of BZDDID-✔✔✨beta blockers and alpha blockers useful for reducing sympathetic nervoussystem activationPrazosin-✔✔✨alpha 1 blocker helpful for nightmares and flashbacksanorexia nervosa-✔✔✨An eating disorder characterized by an obstinate and willfulrefusal to eat, a distorted body image, and an intense fear of being fatMeds for anorexia-✔✔✨ProzacAnafranilPariactinThorazineZyprexaUsed in anorexia nervosA-✔✔✨atypical antipyschoticsbinge eating disorder-✔✔✨significant binge-eating episodes, followed by distress,disgust, or guilt, but without the compensatory purging, fasting, or excessive exercisethat marks bulimia nervosatreatment of binge eating disorder-✔✔✨Antidepressants and other medication,cognitive behavioral and interpersonal therapy.psychosomatic goal-✔✔✨reduce discomfort, improve depression, improve anxietiesor obsessive thoughts

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