Ati Pharmacology Proctored Exam - 2023

Gastrointestinal Disorders: Prokenetic Agents {Ans: Metoclopramide: Treats nausea and vomiting, diabetic gastroparesis - C: GI perforation, GI bleeding, bowel obstruction, hemorrhage - AE: Tardive dyskinesia,EPS, sedation, diarrhea - NC: Monitor for CNS depression, may be given orally or IV}Medications Affecting the Nervous System: Antipsychotics (first gen) {Ans: Chlorpromazine, Haloperidol - acute & chronic psychotic disorders - C: Older patients with dementia, glaucoma, heart disorders - AE: Dystonia, parkinsonism, akathisia - NC: AIMS, 2-4 weeks for therapeutic effects}Complementary and Alternative Therapies: Gingko Biloba {Ans: Promotes vasodilation, decreased platelet aggregation, decreased bronchospasm, increased GI motility - Drug to drug interactions: Seizure-threshold lowering meds, coagulation}Medications for Infection: Carbapenems {Ans: Meropenem, Imipenem - fights infection - C: Penicillin allergy, renal issues - AE: GI upset, superinfection, allergies - NC: Monitor for allergic reactions}Medications Affecting Blood Pressure: Alpha Adrenergic Blockers {Ans: Prazosin, Doxazosin, Terazosin: Hypertension, BPH - C: Pregnancy/lactation, hypotension, renal insufficiecy - AE: Ortho. hypo, dysrhythmias, peripheral edema, toxicity, bradycardia - NC: Monitor for orthostasis, additive hypotensive effects with other antihypertensives}Medications Affecting the Nervous System: Antiepileptics {Ans: Phentynoin, Lamotrigine, Levitiracetam, Topiramate: Seizures - C: Pregnancy/lactation - AE: Skin rash (lamotrigine), CNS effects, toxicity, hepatotoxicity, drowsiness/sedation - NC: Monitor