Deck 3 Flashcards
An example of Serotonin 5 (HT3) Receptor Antagonist
Ondansetron
Antipsychotic side effects can include what?
tardive dyskinesia(extrapyramidal movements)
Clozapine side effects?
type 2 diabetes, weight gain, hypercholesterolemia, agranulocytosis.
Chlorpromazine & Fluprotezine may have what kind of symptoms?
Extrapyramidal symptoms & NMS
Lithium is used to treat what?
to treat bipolar disorder, depression, & anxiety (mood stabilizer).
Therapeutic range for Lithium?
0.8-1.5
What puts a patient at a higher risk for lithium toxicity?
Low sodium or Hyponatremia
Symptoms of lithium toxicity include?
Nephrotoxicity, course tremors, confusion, hypotension, seizures, tinnitus, ataxia/unsteady gait, GI discomfort-nausea, vomiting, diarrhea.
MAOI is used for what?
The treatment of depression
With MAOI you need to avoid?
Be aware of foods containing tyramine/aged foods-wine, salami, cure meats/cured anything (olives) cheese, chocolate. (Avocados may also be included in this)
Taking Tyramine with MAOI can lead to?
hypertensive crisis & cause you to stroke out (ischemic or hemorrhagic)
To take a client out of hypertensive state who had tyramine and MAOI together you want to give what?
Hydralazine & administer IV push or Clonidine
What do you want to educate client on in regards to MAOI?
Takes up to 4 weeks to work, educate client on this(at increased risk for suicidal ideation.
What is an SSRI?
reuptake inhibitor, preventing reuptake & causing feelings of happiness.
What are the side effects of the SSRI?
can cause photosensitivity, can’t get sun. DO NOT TAKE W/ ST JOHNS WORT- can lead to : Serotonin syndrome-can build up and become very dangerous LOOK UP SEROTONIN SYNDROME, (can cause muscle rigidity), & can cause neuro malignant syndrome LOOK UP NEURO MALIGNANT SYNDROME.
How long do SSRIs take to work? And what are the patients at risk of?
May have heightened suicide idealtion waiting for it to take effect.
Examples of SSRIs include?
Prozac, & Fluoxetine-serotonin syndrome
An example of a Tricyclic given?
Amitriptyline
When should Amitriptyline be given?
give at night because it causes drowsiness.
Side effect of Amitriptyline?
Causes Arrhythmias(not given as much anymore)
What are two Dopamine Antagonists?
Carbidopa, and Levodopa
What does Levodopa do?
replaces what the clients don’t have with Parkinson’s disease.
Levodopa side effects include?
dark urine & sweat, dyskinesias, orthostatic hypotension, nausea/vomiting, psychosis, dizziness.
Carbidopa does what?
Helps Dopamine to cross the blood brain barrier.
Carbidopa side effects include?
dark urine & sweat, dyskinesias, orthostatic hypotension, nausea/vomiting, psychosis, dizziness.
With muscle relaxers you’re at increased risk for what?
At risk for falls because of dizziness from sedative effects.
