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MH Test #1 > Block 4 Psychotherpeutic Drug Therapy > Flashcards

Block 4 Psychotherpeutic Drug Therapy Flashcards

1
Q

psychiatric meds work on which part of the body?

A

the CNS

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2
Q

How do most psychiatric meds work?

A

they interrupt the chemical messenger(neurotransmitter) pathways within the brain

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3
Q

What three things must patients be monitored for if receiving psychiatric drugs?

A

effectiveness, side effects, and life-threatening adverse reactions.

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4
Q

these drugs reduce the tension of stress

A

antianxiety medications

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5
Q

name two benzodiazepines

A

Valium and Ativan,

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6
Q

What are benzodiazepines used for?

A

to decrease anxiety (antianxiety)

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7
Q

how long are patients usually on benzodiazepines?

A

a few months

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8
Q

why are patients usually on benzodiazepines for a short time?

A

because they can result in dependence

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9
Q

what is the main side effect of benzodiazepines?

A

drowsiness

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10
Q

What needs to happen if a patient is going to stop benzodiazepines?

A

they need to be tapered off

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11
Q

what kind of med is BuSpar?

A

antianxiety medication

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12
Q

what drug class does BuSpar belong to?

A

azaspirone

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13
Q

Why is BuSpar better than benzodiazepines?

A

because it does not cause the sleepiness that is associated with benzodiazepines

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14
Q

when are patients expected to notice therapeutic effects after taking BuSpar?

A

3-6 weeks after treatment

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15
Q

this drug possesses fewer side effects than most antianxiety drugs so patients are more likely to comply

A

Pregabalin(Lyrica)

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16
Q

What are two of the common side effects of Lyrica?

A

nausea and dizziness

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17
Q

when might antianxiety drugs cause CNS depression?

A

when combined with CNS depressants such as alcohol and narcotics

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18
Q

How do antidepressants act on the body?

A

by increasing certain neurotransmitter activities

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19
Q

what is the physicians first choice for the treatment of depression?

A

antidepressants

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20
Q

What three categories are antidepressants divided into?

A

tricyclics, MAOIs, SSRIs

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21
Q

which antidepressants class is the older class?

A

tricyclics

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22
Q

name a tricyclic

A

elavil

23
Q

name a SSRI

A

zoloft

24
Q

what is a common side effect of Zoloft?

A

dizziness

25
Q

what may an increased energy level in patients taking antidepressants indicate?

A

it could lead to suicide

26
Q

how long do antidepressants take before they start to relieve symptoms?

A

1-4 weeks

27
Q

name two MAOIs

A

Nardil and Parnate

28
Q

MAOIs such as Nardil and Parnate have which types of interactions?

A

many food and drug interactions

29
Q

what four food should be avoided while taking MAOIs such as Nardil and Parnate?

A

chocolate, bananas, wine, and aged cheese

30
Q

what needs to be monitored while taking MAOIs such as Nardil and Parnate?

A

BP

31
Q

what two things should be avoided while taking MAOIs such as Nardil and Parnate?

A

inhalers and weight loss pills

32
Q

what kind of side effects can MAOIs such as Nardil and Parnate have?

A

anticholinergic side effects

33
Q

What are three anticholinergic side effects?

A

blurred vision, sweating, and urinary retention.

34
Q

you may see anticholinergic side effect in which antidepressant class?

A

MAOIs such as Nardil and Parnate

35
Q

blurred vision, sweating, and urinary retention are what type of side effects?

A

anticholinergic

36
Q

a naturally occurring salt used to treat the manic phase of bipolar depression

A

Lithium

37
Q

What three things MUST be balanced while taking Lithium?

A

salt intake, fluid intake, and activity

38
Q

what is the toxic level of Lithium?

A

greater than 1.5 mEq/L

39
Q

how long does Lithium take before seeing clinical improvement?

A

3 weeks

40
Q

what is an important teaching of Lithium?

A

take at the same time each day

41
Q

if a paitent on Lithium is getting their levels drawn when should this be done?

A

8-14 hours after their dose

42
Q

What happens if a patient misses a dose of Lithium?

A

they need to wait till the next dose

43
Q

When must a patient on Lithium call the Dr,?

A

if they experience muscle weakness or diarrhea

44
Q

What are two other names for antipsychotic medications?

A

major tranquilizers or neuroleptics

45
Q

what are antipsychotics used for?

A

to treat major mental disorders such as schizophrenia, acute mania, and organic mental illnesses

46
Q

name one antipsychotic medication

A

Haldol

47
Q

name three common side effects of Haldol

A

hypotension, pacing, and dry mouth

48
Q

what is one interaction to antipsychotics such as Haldol?

A

antiacids

49
Q

why can’t a patient taking antipsychotics such as Haldol take antiacids too.

A

because it hinders the absorption of the antipsychotic

50
Q

these seven things can be fatal if mixed with antipsychotic drugs such as Haldol by causing severe CNS depression

A 
Alcohol
antianxiety medications
antihistamines
antidepressants
barbiturates
merperidine(Demerol)
morphine
51
Q

these five things must be done by someone who is administering psychotherapeutic drugs

A 
assess the client
coordinate care
administer the medication
monitor and evaluate response
provide client teaching
52
Q

an informed decision made by a client to not follow a prescribe treatment program=

A

noncompliance

53
Q

When a client is noncompliant what must happen?

A

the physician should be notified

54
Q

this states that the clients have the right to accept or refuse care and cannot be pushed, coerced, or talked into following a certain course.

A

Patient Self-Determination Act

MH Test #1 (4 decks)

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