Residents of a nursing home taking which medication(s) are at risk for sleep disturbances as an adverse effect of the medication?

a. Celecoxib (Celebrex)
b. Diltiazem (Cardizem)
c. Venlafaxine (Effexor)
d. Ipratropium (Atrovent)
e. Oxycodone (Oxy-Contin)
f. Guaifenesin (Robitussin)


A, B, C, D, E

a. Correct. Celecoxib (Celebrex), a COX-2 inhibitor, can cause insomnia.
b. Correct. Diltiazem (Cardizem), a calcium-channel blocker, can cause insomnia.
c. Correct. Venlafaxine (Effexor), an antidepressant, can cause insomnia.
d. Correct. Ipratropium (Atrovent), an anticholinergic bronchodilator, can cause insomnia. e. Correct. Oxycodone (Oxy-Contin), an opioid analgesic, can cause insomnia.
f. Incorrect. Guaifenesin (Robitussin) is not known to cause insomnia.

Nursing

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