ans cns learnign objecftives Flashcards
Anxiety and
sleep
Drug names lorazepam/fluoxetine
How does the
drug work? Binds to GABA receptors & F-inhibit reuptake of serotonin
Nursing considerations in using the drug
Risk for suicide
Watch elderly close
watch respirations
discontinue if adverse effects
Seizures
Drug names
phenytoin/lorazepam/phenobarbituate
How does the
drug work?
interferes with sodium channels in brain
alters cerebellar function to depress actions of sensory cortex
Nursing considerations in using the drug
narrow theraputic levels
may cause fetal harm
may cause depression
Depression
Drug names : fluoxetine /amitriptyline/ tranylcypromine
How does the
drug work?
inhibit reuptake of serotonin & inhibits reuptake of norepinephrine
Nursing considerations in using the drug
administer at bedtime
contradicted with MAOI
Bipolar disorder
Drug names
lithium
How does the
drug work?
alters sodium transport in nerve and muscle cells
Nursing considerations in using the drug
narrow therapeutic range
serum levels
manic episode may normalize in 1-3 week
ADHD
Drug names
methylphenidate
How does the
drug work?
Thought to block reuptake of norepinephrine and dopamin
Nursing considerations in using the drug
DO NOT CRUSH
do not after 4pm
high calorie food
Psychosis
Drug names
haloperidol/ risperidone
How does the
drug work?
Block dopamine receptors in the brain
Nursing considerations in using the drug
Monitor elderly patient with dementia-related psychosis closely for cardiovascular events and pneumonia
monitor lithium intake fot neurotoxicity
Parkinson’s
Disease
Drug names : carbidopa/levodopa
How does the
drug work?
restore the balance of dopamine and acetylcholine
Nursing considerations in using the drug
Use caution with positional changes and operating heavy equipment
contraindicated with MAOI
Identify the major types of anxiety disorders.
Generalized anxiety disorder
- Social anxiety disorder
- Specific phobias
- Separation anxiety disorder
Use the Nursing Process to care for patients receiving drug therapy for treatment of CNS disorders
Assessment
- Is it appropriate to give this medication?
- Assessment consists of subjective vs. objective data
- Diagnosis
- Anxiety r/t unmet security and safety needs AEB change in economic status
- Planning
- Patient will identify and verbalize symptoms of anxiety each day when symptoms are present.
- Implementation
- Administer anti-anxiety medication, demonstrate breathing exercises, etc.
- Evaluation
- Is the medication working?
Identify the common degenerative diseases of the CNS.
Parkinsons
huntingtons/alzheimers
Identify drugs used for treatment of attention deficit-hyperactivity disorder.
CNS Stimulants (methylphenidate)
Identify symptoms of attention deficit-hyperactivity disorder.
Hyperactivity
* Inability to concentrate
* Difficulty with self-control
* Lack of emotional control
Explain the symptoms associated with extrapyramidal side effects of antipsychotic drugs.
an inability to sit still, involuntary muscle contraction, tremors, stiff muscles, and involuntary facial movements.
Identify drugs used for treatment of psychoses.
Halosideral/Risperdal
Seroquel Zyprexa Clozaril others
Identify drugs used for treatment of mood disorders.
lithium
SSri-fluoxtine
amitriptlyne
Identify the two major categories of mood disorders and their symptoms.
Depression-Diminished interest / Weight loss insomnia/hypersomnia/Agitation/fatigue
BipolarRapid speech
* Hyperactivity
* Flight of ideas
* Grandiosity
* Poor judgement
* Aggression/hostility
* Risky sexual behavior
Compare the terms epilepsy, seizures, and convulsions.
E-recurring seizures not caused by another known condition
C- sudden, violent, irregular movement of a limb or of the body
S-Sudden, uncontrolled electrical disturbance in the brain.
Identify drugs used for treatment of anxiety disorders.
C
Sertraline and citalopram
Lorezopam
SSRI-
maybe fluextine
Identify indications, side effects, and potential drug interactions associated with the use of herbal supplements
allergic reactions, rashes, asthma, headaches, dizziness, agitation, dry mouth, seizures, fatigue, tachycardia, nausea, vomiting, and diarrhea
Identify considerations and implications of using central nervous system medications across the lifespan
younger kids could get addicted much easier due to less of knowledge of drugs
older people have much greater risk of toxic effects happening
Identify the side effects and special considerations associated with central nervous system drug therapy
park
phen
antisp
lith
moai
depres
meth
benzo
phone
antiparksinsons-dizziness/drowsiness
phenytoin-TEN and SJS
antipsychotics- tardive dyskenia / NMS
lithium-toxicity-diahria vomit bleeding
MAOI-severe hypertension
Antidepressents-increased suicide
meth-inc bp and hr
benzo-resp depression
coma/death
phenobarbital-suical thoughts
Give examples of when, how, and to whom central nervous system drugs may be administered
anxiety, panic, acute stress reactions, and sleep disorders
pill capsule or liquid form
Cite the classifications and actions of central nervous system drugs
barbituates
benzodiapzipenes
stimulate
tricyclic
SSRI
MAOI
Antimania
antipsychotics
anticovulsants
antiparkinsons
barbituates-depressant-seizures
benzodiapzipenes-depressant-anxiety,sedation
stimulate-adhd
tricyclic antidepressant-
SSRI-antidepresent
MAOI- antidepressants
Antimania-bipolar
antipsychotics-schizophrenia
anticovulsants- seizures
antiparkinsons
A
Define the autonomic nervous system.
a control system that acts largely unconsciously and regulates bodily functions such as the heart rate, digestion, respiratory rate, pupillary response, urination, and sexual arousal