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Pharm > CNS Meds > Flashcards

CNS Meds Flashcards

1
Q

Tricyclic MOA

A

blocks reuptake of serotonin and norepi in presynaptic terminals

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2
Q

Tricyclic side effects

A

anticholinergic, weight gain, GI, sedating, dysrhythmias, tachycardia

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3
Q

Contraindications of tricyclic

A

recent MI or stent, heart issues, diabetes, seizures, MAOI use

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4
Q

Tricyclic nursing considerations

A

give at night, watch for suicidal thoughts, dont stop abrupty

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5
Q

SSRIs MOA

A

block reuptake of serotonin

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6
Q

SSRIs Side Effects

A

drowsiness, dizziness, sexual dysfunction, urinary retention, h/a

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7
Q

SSRIs contraindications

A

MAOIS

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8
Q

SSRI nursing considerations

A

give in morning, takes time to work and dont stop abruptly

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9
Q

MAOI’s MOA

A

blocks enzymes that break down norepi, dopamine and serotonin allowing it to reaccumulate

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10
Q

MAOI’s Side Effects

A

agitation, mania, insomnia, HTN, tachycardia

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11
Q

MAOI’s nursing considerations

A

dont eat cheese pickles or wine; monitor HTN CRISIS, renal/hepatic impairment

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12
Q

Most common MAOI

A

isocarboxazia (marplan)

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13
Q

SNRIs MOA

A

increase levels of serotonin and norepi

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14
Q

SNRI side effects

A

GI, sexual dysfunction, constipation, tachycardia

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15
Q

SNRI contraindications

A

pts with high bp

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16
Q

Atypical antidepressants MOA

A

works on norepi., dopamine and serotonin

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17
Q

Atypical antidepressants Side effects

A

agitation, increase risk for seizures

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18
Q

Atypical antidepressants contraindications

A

epilepsy

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19
Q

Atypical antidepressants can also be used for…

A

smoking cessation

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20
Q

Benzodiazepines endings

A

-pam or -lam

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21
Q

Benzodiazepines MOA

A

works to accentuate GABA

22
Q

Benzodiazepine uses

A

anxiety, alcohol withdrawals, anesthesia, seizures

23
Q

Benzodiazepine Side Effects

A

drowsiness, dependance and depression
3 D’s

24
Q

Benzodiazepine Reversal Agent

A

Flumazenil (romazicon)

25
Q

Barbiturates ending

A

-barbital

26
Q

Barbiturates MOA

A

enhances GABA

27
Q

Barbiturates side effects

A

drowsiness, DEPENDANCE, respiratory depression, confusion, urinary retention, libido

28
Q

Barbiturates toxic level

A

> 40 mcg/dl

29
Q

Buspar

A

anxiolytic used to treat low level anxiety

30
Q

Lunesta

A

anxiolytic sleep aid

31
Q

Precedex

A

used in hospitals IV, used to get pts off narcotics

32
Q

Hydantoins ending

A

-toin

33
Q

Hydantoins MOA

A

inhibit sodium to decrease neuro firing

34
Q

Hydantoins SE

A

lethargy, dysrhythmias, bone marrow suppression

35
Q

Hydantoins Toxic level

A

> 50 mcg/ml

36
Q

Hydantoins nursing considerations

A

teratogenic (D), watch liver fx

37
Q

Partial Seizure MOA

A

work on sodium and calcium channels to decrease neuro firing and increase GABA

38
Q

Partial Seizures SE

A

drowsiness, bone marrow supression

39
Q

Valporic Acid/ Sodium valproate MOA and SE

A

increases GABA, SE: pancreatitis, bleeding disorders

40
Q

Typical Antipsychotics MOA

A

blocks dopamine receptors

41
Q

Typical Antipsychotics SE

A

anticholinergic, dizziness, hypotension, agranulocytosis

42
Q

Which antipsychotic is higher risk for ESP

A

typical

43
Q

Atypical antipsychotic MOA

A

blocks dopamine and serotonin

44
Q

Atypical antipsychotic SE

A

sedation, weight gain, increased triglycerides/ LDL if used for long time, agranulocytosis

45
Q

CNS Stimulants MOA

A

increases catecholamines in brain

46
Q

CNS Stimulants uses

A

add/adhd; off label uses are narcolepsy and weight loss

47
Q

CNS Stimulants SE

A

insomnia, HTN, Tachycardia, anxiety, decreased appetite

48
Q

CNS Stimulant nursing considerations

A

avoid caffeine and alcohol and get a baseline EKG; HIGHLY REGULATED SUBSTANCE (2)

49
Q

Narcotic MOA

A

causes reaction/attachment to opioid receptors in body

50
Q

Narcotic SE

A

GI Motility, respiratory depression, urinary retention, orthostatic hypotension

51
Q

Narcotic reversal agents

A

narcan and revia

Pharm (6 decks)

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