Deck 3 Flashcards

1
Q

An example of Serotonin 5 (HT3) Receptor Antagonist

A

Ondansetron

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2
Q

Antipsychotic side effects can include what?

A

tardive dyskinesia(extrapyramidal movements)

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3
Q

Clozapine side effects?

A

type 2 diabetes, weight gain, hypercholesterolemia, agranulocytosis.

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4
Q

Chlorpromazine & Fluprotezine may have what kind of symptoms?

A

Extrapyramidal symptoms & NMS

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5
Q

Lithium is used to treat what?

A

to treat bipolar disorder, depression, & anxiety (mood stabilizer).

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6
Q

Therapeutic range for Lithium?

A

0.8-1.5

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7
Q

What puts a patient at a higher risk for lithium toxicity?

A

Low sodium or Hyponatremia

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8
Q

Symptoms of lithium toxicity include?

A

Nephrotoxicity, course tremors, confusion, hypotension, seizures, tinnitus, ataxia/unsteady gait, GI discomfort-nausea, vomiting, diarrhea.

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9
Q

MAOI is used for what?

A

The treatment of depression

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10
Q

With MAOI you need to avoid?

A

Be aware of foods containing tyramine/aged foods-wine, salami, cure meats/cured anything (olives) cheese, chocolate. (Avocados may also be included in this)

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11
Q

Taking Tyramine with MAOI can lead to?

A

hypertensive crisis & cause you to stroke out (ischemic or hemorrhagic)

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12
Q

To take a client out of hypertensive state who had tyramine and MAOI together you want to give what?

A

Hydralazine & administer IV push or Clonidine

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13
Q

What do you want to educate client on in regards to MAOI?

A

Takes up to 4 weeks to work, educate client on this(at increased risk for suicidal ideation.

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14
Q

What is an SSRI?

A

reuptake inhibitor, preventing reuptake & causing feelings of happiness.

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15
Q

What are the side effects of the SSRI?

A

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.

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16
Q

How long do SSRIs take to work? And what are the patients at risk of?

A

May have heightened suicide idealtion waiting for it to take effect.

17
Q

Examples of SSRIs include?

A

Prozac, & Fluoxetine-serotonin syndrome

18
Q

An example of a Tricyclic given?

A

Amitriptyline

19
Q

When should Amitriptyline be given?

A

give at night because it causes drowsiness.

20
Q

Side effect of Amitriptyline?

A

Causes Arrhythmias(not given as much anymore)

21
Q

What are two Dopamine Antagonists?

A

Carbidopa, and Levodopa

22
Q

What does Levodopa do?

A

replaces what the clients don’t have with Parkinson’s disease.

23
Q

Levodopa side effects include?

A

dark urine & sweat, dyskinesias, orthostatic hypotension, nausea/vomiting, psychosis, dizziness.

24
Q

Carbidopa does what?

A

Helps Dopamine to cross the blood brain barrier.

25
Q

Carbidopa side effects include?

A

dark urine & sweat, dyskinesias, orthostatic hypotension, nausea/vomiting, psychosis, dizziness.

26
Q

With muscle relaxers you’re at increased risk for what?

A

At risk for falls because of dizziness from sedative effects.