Deck 2 Flashcards
Anticholinergic effects
DryBlu2ConUriTachy
Dry mouth Blurred vision Constipation Confusion Urinary retention Tachycardia
Pharmacodynamics vs pharmacokinetics
Pharmacodynamics: the biochemical and physiological effects of drugs on the body (*remember cause and effect)
Pharmacokinetics: how the boys handles drugs through various processes
Antipsychotics are also known as:
Neuroleptics or major tranquilizers
Typical (1st generation) antipsychotics:
Haldol (Haloperidol)
Meds ending in -zine
Atypical (2nd generation) antipsychotics:
Ability (ariprazol)
Clozaril (clozapine) * has lethal side effect of agranulocytosis, manifests as sore throat and fever occurring within hours to 12 was of admin.
Gordon (ziprazidone)
Risperdal (risperadone)
Seroquel (quetiapine)
Zyprexa (olanzapine)
(ACGESZ)*
When to use typical versus atypical antipsychotics:
Ps what should be prescribed for elderly patients why why?
Typical is for acute care (eg. agitation) but not good long term because of extrapyramidal side effects (eg, acute dystonia, akathisia, tardive dyskinesia)
Atypicals are best for long term bc of lesser side effects (except weight gain)
Elderly- use risperidone (less sedation)
Extra pyramidal symptoms
- Acute dystonia
- Akathisia
- Tardive dyskinesia
- Acute dystonia: muscle spasms
- Akathisia: restlessness, tremors
- Tardive dyskinesia (irreversible): chorea (jerky involuntary movements of shoulders, hips, face), involuntary movements esp. of facial muscles, jaw
- must switch to atypical antipsychotics but this sx will persist
Antipsychotics can cause
Neuroleptic Malignant Syndrome (NMS)
Sx: hypothermia, muscular rigidity, cramps, tremor, severe hypotension or hypertension, delirium, agitation, seizure activity
Immediately discontinue antipsychotic
Tricyclics may be prescribed after failure to respond to SSRI’s, but:
Suicidality should be first assessed due to the high mortality in overdose
MAOI’s are rarely used for depression due to the potential for hypertensive crisis if taken with tyrosine. What is is likely to be prescribed for?
Parkinson’s to increase dopamine
Commonly selegiline
Interpersonal therapy is:
Brief (12–16 sessions)
Treats depression
Focuses on current relationships
Frequently combined with antidepressant medication
Based on medical model (encourages client to adopt the “sick role”)
Regarding the impact of risk factors on development,
There is a positive correlation between number of risk factors and developmental psychopathology
Sandra Ben’s gender scheme theory suggest that gender roles are predominantly determined by:
Social learning
Schacter’s two factor theory of emotion states that:
After perceiving an event, we initially
1.have a physical (autonomic) reaction, then (internal)
- cognitively appraise the situation, (external) then
experience emotion
An agonist is a substance that binds to a cell receptor and:
Mimics, potentiates, or enhances the pharmacological effect of a neurotransmitter
***antagonist blocks