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Clinical Rotations > Behavioral Health > Flashcards

Behavioral Health Flashcards

1
Q

lamictal (lamotrigine) SAE

A

SJS (if drug stopped then suddenly restarted, or if high dose)

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2
Q

SIGECAPS

A

SI, lack of interest, guilt, energy, concentration, appetite, psychomotor agitation, sleep

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3
Q

DIGFAST

A

distractibility, irresponsible, grandiosity, flight of ideas, activity/libido increased, sleep decreased, talkative

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4
Q

atypical antidepressant for appetite/sleep

A

mirtazapine

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5
Q

generic version of remeron

A

mirtazapine

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6
Q

serotonin syndrome is what

A

akathisia, tremor, hyperthermia, HTN, clonus, death

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7
Q

NT in migraine

A

seratonin- too low

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8
Q

inhibitory NT

A

GABA

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9
Q

excitatory NTs

A

glutamate and Ach

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10
Q

NT in Alzheimer’s

A

Ach is underactive

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11
Q

histamine originates in the

A

tuberomamillary nucleus of hypothalamus

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12
Q

what to give for muscle contractions d/t atypical antipsychotics

A

diphendramine IM

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13
Q

NT involved in DPN?

A

seratonin and NE are undersactive

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14
Q

NT in anxiety?

A

GABA and seratonin are underactive

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15
Q

NT in Parkinson’s

A

Ach - overactive, DA - underactive

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16
Q

NT in schizophrenia?

A

DA - hyperactive

17
Q

avoid in pg

A

fluoxetine, sertraline, amitriptaline

18
Q

fluoxetine, sertraline MOA

A

blocks SERT

19
Q

duloxetine MOA

A

blocks SERT + NET

20
Q

rasagline, selegine MOA

A

inhibit DA degradation by MAO-B

21
Q

carbamazepine MOA

A

inactiate NA channel to potentiate GABA response

22
Q

benzo MOA

A

binds to GABA-A site, enhance Cl influx

23
Q

clozapine, olanzapine, risperidone MOA

A

5HT2 block>D2 block
Facilitate DA release in cortex (less neg sx)
and
D2 antagonis in mesolimibc pathway (less pos sx w/o causing EPS)

24
Q

halperidol

A

D2 block»5HT2 block

25
Q

antipsychotic w/ high risk of agranulocyosis

A

clozapine

26
Q

atypical antipsychotic good for elderly (non-sedating)

A

risperidone (rise and shine)

27
Q

atypical antipsychotic w/ QT prolongation

A

ziprasidone

28
Q

drug for DPN + migraine

A

amytriptaline (trycyclic antidepressant)

29
Q

benzo approved as short term sleep aid

A

triazolam

30
Q

non-SSRI used for GAD that does not cause sedation

A

buspirone

31
Q

bipolar d/o drugs

A

lithium, valproic acid, lamoptrigine, olzanapine

32
Q

antidep ok to give kids <14 yo

A

fluoxetine

33
Q

antidep bad for anxiety b/c if can cause agitation, anxiety, seizure

A

buproprion - blocks DA uptake, MOA poorly understood

34
Q

cardiac toxicities of TCA

A

arrthymia, tachycardia, orthostatic HOTN, conduction block

tx w/ LIDOCAINE

35
Q

antiDPN class that can be easiest OD’d on - do not give to pt w/ SI

A

TCA

36
Q

anticonvulsant w/ high risk of TEN in Han Chinese

A

carbamezpine

37
Q

other indication of carbamezapine besides anticonvulsant

A

bipolar d/o, trigeminal neuralgia

Clinical Rotations (9 decks)

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