class worksheets Flashcards
______ is an antipsychotic used to promote connection with reality. It also helps with delusions and hallucinations
chlorpromazine
chlorpromazine does NOT help with _______
motivation
______ helps pt take care of themselves and helps with delusions and hallucinations
risperidone
what 2 antipsychotics help with hallucinations and delusions?
chlorpromazine
risperidone
_______ is an SSRI used to decrease depression and long term anxiety
citalopram
_______ is used for short term anxiety
lorazepam
lorazepam is also called ______
Ativan
__________ is used for depression with high degree of lethality on overdose
amitriptyline
_______. treats the side effects of antipsychotics
benztropine
201 is ________
voluntary; sign self in
302 is _________
involuntary
a pt is 302ed if:
they are a danger to self or others
when is the nurse allowed to force meds?
if the pt is in clear and present danger to self or others
_______ can cause low sodium levels
antidepressants
antidepressents can cause _______(high/low) _____ levels
low sodium
normal sodium lab values
135-145
normal potassium lab values
3.5-5
normal total serum cholesterol lab value
<200 mg/dl
normal LDL lab value
<100 mg/dl
normal HDL lab values:
men: ______
women:_______
men: >40 mg/dl
women: >50 mg/dl
normal triglycerides lab
<150 mg/dl
an irritational thought pattern is a _____ _______
cognitive distortion
what does the nurse need to do before medicating?
assess the pt
normal WBC
5,000-10,000
normal hemoglobin:
males: _____
females: _____
males: 14-18
females: 12-16
normal RBC:
males:_____
females:______
males: 4.7-6.1
females: 4.2-5.4
PRN meds can occur only after what has been utilized
non medication means
acronym for 6 rights of med administration
PMDDTR
right Patient
right Med
right Dose
right Documentation
right Time
right Route
3 checks of med administration:
1.) check ______ ______with MAR when obtaining med
2.) check when ______ meds
3.) check ____ administering at bedside
1.) drug label
2.) preparing
3.) before
what 2 things to do before administering meds?
1.) assess pt
2.) check for allergies
only use _____-______ tie for restraints
quick-release
_______, _____, and ______ of restrained limbs needs to be assessed every 10-15 mins
sensation
pulse
movement
sensation, pulse, and movement of restrained limbs needs to be assessed every ___-___ minutes
10-15
medical order must be obtained within ______ of application of restraints
1 hour
______ _____ must be obtained within 1 hour of application of restraints
medical order
antipsychotics are _____ _____ soluble
highly lipid
antipsychotics have _______ half life
long
antipsychotics useful in _______
Tourettes
antipsychotics MOA:
block ______ _____ receptors leading to increase of the _______ concentration of 2nd messenger _______
-dopamine D-2
-intracellular
-cAMP
______ inhibits prolactin and regulates body movement
dopamine
dopamine inhibits _______ and regulates _____ ________
-prolactin
-body movements
antipsychotics can cause ______ from increased prolactin production
galactorrhea
antipsychotics can cause galactorrhea from increased _____ production
prolactin
________ ________ can occur from long term antipsychotic use
tardive dyskinesia
dopamine blockage can cause ______, _______ reactions, and _______ ______ syndrome
-akathisia
-dystonic reactions
-neoleptic malignant syndrome
______ blockage can occur from long term antipsychotic use
dopamine
_______ is the inability to remain still
akathisia
what type of reactions are reactions from thorazine
dystonic reactions
what is the rare, life threatening idiosyncratic reaction to neuroleptic meds?
neuroleptic malignant syndrome
neuroleptic malignant syndrome is characterized by:
______
muscle _____
altered ____ ____
_____ dysfunction
-fever
-rigidity
-altered mental status
-autonomic dysfunction
antipsychotics block _____ __ adrenergic receptors resulting in _______
-alpha 1
-hypotension
antipsychotics block _______ receptors
cholinergic
anticholergic symptoms caused by antipsychotics (2)
-dry mouth
-constipation
what level of anxiety:
-increased alertness
-heightened perception
mild
what level of anxiety:
-narrowed perception
-difficulty focusing
-shaking
moderate
what level of anxiety:
-ineffective problem solving
-automatic behaviors and thoughts
-hyperventilation
severe
what level of anxiety:
-hallucinations
-inability to function or communicate
panic attack
malignant hyperthermia is caused by genetic mutation of _______ receptor 1
ryanodine
malignant hyperthermia is treated with ______
dantrolene
neuroleptic malignant syndrome is caused by _________ meds
antidopiminergic
muscle breakdown is often seen with _______ _______ syndrome
neuroleptic malignanct
what is the treatment for neuroleptic malignant syndrome?
dantrolene
treatement for serotonin syndrome
cyproheptadine
ADPIE
Assessment
Diagnosis
Planning
Implementation
Evalutation
what are the most dangerous type of hallucinations?
command
