INDIVIDUAL REQUIREMENT SUMMER 2011

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NCM 103 LECTURE PHARMACOLOGY

FOR SECTION 2,4 and 6n FOR FINALs REQUIREMENTS

Study Questions For Group 2,10,18

INDIVIDUAL

To be submitted before Final Exam exam

1. What is anti convulsants? Give example of this drugs

2. What is Phenytoin, what is the therpeutic serum range of Phenytoin? Is it considered to have a narrow or wide range? Why should it be closely monitored

3. What is gingival hyperplasia? Name the drug that may cause this. Give the nursing interventions that decrease this problem

4. What type of seizures are benzodiazepines effective in treating? What is another classification of benzodiazepines

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CRITICAL THINKING CASE STUDY

FOR GROUP STUDY PLEASE SUBMIT PER GROUP

Jessa Mae., 27 years old, takes phenytoin (Dilantin) 100 mg tid., to control grand mal seizures., Jessa Mae and her husband are comptemplating starting a family.

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1. What action should the nurse take in regard to client family planning?

Jessa Mae complaints of frequent upset stomach and bleeding gum when brushing

2. To decrease GI distress, what can be suggested?

3. To alleviate bleeding gums, what client teach for Jessa Mae may be included

4. Nurse Errol checks Jessa Mae serum phenytoin level. What are the indications of an abnormal serum level? What appropriate actions should be taken

Study Questions For Group 4,12,20

INDIVIDUAL

To be submitted before Final Exam exam

1. Client Marlon is taking Phenothiazine promazine. What side effects associated with Phenothiazines are simmilar to the side effect of anticholinergic and pseudoparkinsonism? Why should the blood pressure be closely monitored? What do you tell the client about the color of the urine?

2. What group of drugs has antiemetic properties? What is the route of administration for client who is vomiting

3. Haloperidol (Haldol) is a drug frequently used in Pychiatry. how is it different from other antipsychotics?

4. What is the major group of anxiolytics called? A client receiving a drug from this category should be observed for what side effects? Client teaching is important regarding the use of alcohol or OTC drugs and discontinuing the anxiolytics. Why?

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CRITICAL THINKING CASE STUDY

FOR GROUP STUDY PLEASE SUBMIT PER GROUP

Ace N. 75 years old, is receiving risperidone, 3mg b.i.d. to control a psychotic disorder. He has taken the drug for 6 months. He become agitated and is complaining of insomnia.

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1. What is the relation between Ace N. drug dose and his complaints?

2. What further assessment should be made concerning Ace and drug regimen?

3. How does the risperidone compare with other antipsychotics such as chlorpromazine and haloperidol regarding actions and adverse effect?

Study Questions For Group 6,14,22

INDIVIDUAL

To be submitted before Final Exam exam

1. Errol, a 5 year old boy is diagnosed with attention deficit/hyperactivity disorder (ADHD) What is ADHD? What drugs effectively control this disorder

2. What is the pharmacologic name for appetite suppresants? Why are amphetamines not recommended for the treatment of obesity

3. Client Aira has hypertension. Why are amphetamines not recommended for hypertensive clients? What are the side effects of amphetamines?

4. What drug groups are used for preventive treatment of migraine headaches and for aborting or treating migrain attacks? Differentiate between the ergot alkaloids and the triptans?

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CRITICAL THINKING CASE STUDY

FOR GROUP STUDY PLEASE SUBMIT PER GROUP

Michelle 45 years old, wants to lose 30lbs. She wants to take an OTC diet pill but does not want to exercise or be on diet.

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1. Would you suggest a diet pill? Why or why not?

2. What does the nurse need to assess concerning this clients physical status before suggesting a diet pill or weight loss program?

3. What behaviour modification may you suggest related to losing weight?

IN WHAT WAYS COULD DIET CONTROL AND EXERCISE HELP THE CLIENT? Explain?

Study Questions For Group 8,16,24

INDIVIDUAL

To be submitted before Final Exam exam

1.What are the advantages of using benzodiazepine hypnotics instead of barbiturates for sleep disorders

2. What should renal function be assesses by the nurse? What minimal daily urine output is considered adequate?What is a hangover resulting from a hypnotic

3. What is a hangover resulting from a hypnotic? What is the nursing intervention?

4. What is the meaning of withdrawal symptoms from hypnotic use? How can they be prevented? Wat are the symptoms and the nursing interventions for each?

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CRITICAL THINKING CASE STUDY

FOR GROUP STUDY PLEASE SUBMIT PER GROUP

Adonis, a 72 year old man, has difficulty staying asleep. He ask Nurse Faye whether he shpuld take Nytol or Sominex before bedtime.

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1. Before Adonis takes any sleep aid or hypnotic, what nursing assessments should be made?

2. Describe the nursing plan that should be presented to Adonis that might help his sleep disturbance?

3. Would Adonis be a candidate for taking a barbiturate or a benzodiazepine? Explain?


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