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252 Midterm > Chapter 17 > Flashcards

Chapter 17 Flashcards

1
Q

Why are psychotherapeutic drugs used

A

To treat emotional and mental disorders

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2
Q

A patient taking Psychotherapeutic drugs also needs what for treatment to be effective

A

Psychotherapy

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3
Q

How long does it take for psychotherapeutics to work

A

4-6 weeks

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4
Q

What is the mental health assessment used to diagnose mental health disorders

A

DSM5

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5
Q

What are the 3 mental health disorders

A

Anxiety
Affective disorders
Psychotic disorders

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6
Q

What is experienced in depression

A

Guilt
Worthlessness
Loss of interest

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7
Q

Bipolar is a swing between

A

Depression and mania

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8
Q

What is experienced in mania

A

Grandiose
Poor sleep
Intense speech
Activities with consequences for pain

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9
Q

What is psychosis

A

Loss of contact with reality

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10
Q

What is experienced in psychosis

A

Hallucinations
Delusions

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11
Q

With what drug do children experience paradoxical effects

A

Benzodiazepines

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12
Q

What is the antidote for benzodiazepines

A

Flumazenil

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13
Q

Which anxiolytic makes oral birth control not effective

A

Alprazolam

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14
Q

Which benzodiazepine is short acting

A

Alprazolam

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15
Q

Which benzodiazepine is long acting

A

Diazepam

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16
Q

What population does not metabolize diazepam well and requires a lower dose

A

Asian

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17
Q

What is an intermediate acting benzodiazepine

A

Lorazepam

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18
Q

What is a wash out period

A

Wait for one med to be gone from the body before starting the next one

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19
Q

Busiprone hydrochloride cannot be given with

A

MAOIs

20
Q

Mood stabilizing drugs treat

A

Bipolar disorder

21
Q

What mood stabilizing drug needs blood monitoring due to its low therapeutic index

A

Lithium

22
Q

What is the normal sodium serum level

A

135-145

23
Q

If sodium levels in the body become low, what happens to lithium

A

It becomes toxic

24
Q

What is the adverse effect of lithium

A

Cardiac dysrhythmias

25
Q

Long term treatment of lithium can cause

A

Hypothyroidism

26
Q

What type of antidepressants are used first

A

Second generation

27
Q

What type of antidepressant cannot be used in pregnancy

A

Tricyclic

28
Q

How do you treat an overdose on tricyclic antidepressants

A

Activated charcoal

29
Q

MAOIs can cause a hypertensive crisis when taken with

A

Tyramine

30
Q

Serotonin syndrome occurs when what two drugs are taken at the same time

A

MAOIs and SSRIs

31
Q

What foods contain tyramine

A

Cheese
Smoked/Pickled/Aged meats, fish, poultry
Yeast
Red wine
Italian broad beans

32
Q

What antidepressant can also be used for smoking cessation

A

Bupropion hydrochloride

33
Q

When giving SSRI monitor for

A

Suicidal ideation

34
Q

Antipsychotic meds have a what effect

A

Sedating

35
Q

All antipsychotics improve which type of schizophrenia

A

Positive

36
Q

What type of antipsychotics treat positive and negative schizophrenia

A

Atypical

37
Q

What are the symptoms of positive schizophrenia

A

Hallucinations
Delusions
Disorganization

38
Q

What are the symptoms of negative schizophrenia

A

Apathy
Social withdrawal
Blunt
Loss of speech

39
Q

What is an adverse effect of antipsychotic drugs

A

Decrease WBC
Breakdown RBC

40
Q

What are the two syndromes caused by antipsychotic drugs

A

Neuroleptic malignant syndrome
Extrapyramidal syndrome

41
Q

How is extrapyramidal syndrome treated

A

Benztropine
Trihexyphenidyl

42
Q

What type of antipsychotics lower risk for RMS and tardive dyskinesia

A

Clozapine
Risperidone

43
Q

Grapefruit juice increases the effects of which antipsychotic

A

Clozapine

44
Q

Which atypical antipsychotic has less severe effect on WBC production

A
45
Q

What herbal product is used for anxiety and depression

A

St Johns Wort

46
Q

St Johns Wort interacts with what

A

Tyramine

47
Q

Why are only small amounts of meds dispensed at a time

A

Too minimize possible suicide

252 Midterm (12 decks)

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