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1
Q

Risperidone is used to treat-

A

Autism
Sleep Problems
BPD

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2
Q

Resperidone can cause what to happen to boys and girls?

A

Breast development in boys + girls

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3
Q

Resperidone can lead to -

A

Sexual Dysfunction (Because of Increased Prolactin)
Motor Difficulties
Orthostatic Hypotension

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4
Q

Don’t give Risperidone with-

A

Lorazepam

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5
Q

Risperidone has been approved for-

A

Acute Mania

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6
Q

Lurasidone is used to treat -

A

Bipolar Depression

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7
Q

Side effects of Lurasidone include-

A

Sedation
Extrapyramidal Symptoms/ EDS (Affected Motor Control + Coordination + Tardive Dyskenesia)

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8
Q

Tardive Dyskenesia is-

A

A disorder that causes involuntary facial tics after prolonged anti-psychotic use

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9
Q

What should you monitor for Lurasidone?

A

AIMS
Serum Glucose Levels
Liver Enzymes

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10
Q

Olanzapine is used for -

A

Schizophrenia

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11
Q

What are the side effects of Olanzapine?

A

Sedation
Weight Gain
Hyperglycemia
New Onset Type 2 Diabetes

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12
Q

Must monitor Olanzapine for-

A

New onset type 2 diabetes

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13
Q

Must monitor Olanzapine for-

A

Excess Sedation

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14
Q

What are the things that you must monitor for in general whenever it comes to 2nd Gen Anti-Psychotics?

A

Fall Risks
Metabolic Syndrome
Weight Gain

Risk of Stroke for Older PT’s

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15
Q

Amphetamine / Dextroamphetamine is used to treat -

A

ADHD + Narcolepsy

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16
Q

Atypical Antipsychotics include:

A

Olanzapine, Risperidone, Risperidone ER, Lurasidone, Paliperidone, Paliperidone ER, Quetiapine

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17
Q

Paliperidone + Paliperidone ER has the same SE and Treatments as-

A

Risperidone

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18
Q

Clozapine is a last resort due to-

A

WBC, especially Neutrophil Count

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19
Q

Clozapine treats-

A

Severely Ill PT’s with Schizophrenia

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20
Q

What should you monitor a PT taking Clozapine for?

A

Monitor their labs

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21
Q

When can clozapine be prescribed?

A

PT’s are put on a registry so they can’t take it until they’ve had lab results done

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22
Q

Quetiapine treats-

A

Bipolar Depression + Sleep Problems

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23
Q

Quetiapine PT’s should be monitored for-

A

Weight Gain,
Higher risk of Metabolic Syndrome,
Monitor Blood Sugar

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24
Q

Atypical Anti-Psychotics are-

A

2nd Gen Anti-Psychotics

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25
Q

Name off a buncha Stimulants:

A

Amphetamine/ Dextroamphetamine, Methylphenidate + Methylphenidate ER, Lisdexamfetamine, Dexmethylphenidate

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26
Q

Amphetamine / Dextroamphetamine treats-

A

ADHD + Narcolepsy

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27
Q

Amphetamine / Dextroamphetamine SE =

A

Higher Alertness, BP + HR, Vasoconstriction, Blood Sugar Level

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28
Q

What can long-term or high doses of amphetamines cause?

A

Heart Problems, Psychosis, Anger

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29
Q

Methylphenidate + Methylphenidate ER has the same SE and Treatment Uses as-

A

Amphetamine / Dextroamphetamine

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30
Q

Lisdexamfetamine Treats-

A

ADHD, Binge-Eating Disorder

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31
Q

Lisdexamfetamine SE =

A

Dry Mouth, Insomnia

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32
Q

Dexmethylphenidate Treats-

A

ADHD

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33
Q

What should you monitor in a PT taking Dexmethylphenidate?

A

Seizure, BP + Cardiac Status, Potential Abuse + Dependance on Drug

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34
Q

What lab tests should you expect from a PT taking Dexmethylphenidate?

A

Periodic CBC, Differential Platelet Counts, Abnormal Liver Function Test (LFT)

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35
Q

Atomoxetine is a-

A

Non-Stimulant

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36
Q

Atomoxetine is used to treat-

A

ADHD

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37
Q

Atomoxetine SE =

A

Lower Appetite, Weight Loss, Fatigue, and Dizziness

38
Q

What do you need to be able to take Atomoxetine?

A

Baseline liver function test & enzymes

39
Q

Atomoxetine is contraindicated for PT’s with-

Why?

A

Severe Cardiovascular Disease.

Because of it’s potential to raise BP + HR

40
Q

Aripiprazole is a -

A

3rd Generation Antipsychotic

41
Q

Aripiprazole has SE’s that are similar to Risperidone, but name a unique SE that this med has that Risperidone doesn’t.

A

Unique SE = Orthostatic Hypotension.

42
Q

Aripiprizole can be used to -

A

Improve Relatedness, Decrease Anxiety, Compulsive Behaviors, Agitation.

Helps improve irritability that’s expressed in sever temper tantrums, aggression, & self-injurious behavior

43
Q

1st Generation Anti-Psychotics are-

A

Typical Anti-Psychotics

44
Q

What generation of Anti-Psychotics are rarely used?

A

Typical Anti-Psychotics

45
Q

Name off some typical anti-psychotics:

A

Haloperidol, Chlorpromazine, Fluphenazine

46
Q

Haloperidol is used to treat-

A

Schizophrenia

47
Q

What are things that you do for a PT taking Haloperidol?

Why do you do these things?

A

You keep them hydrated, check their vitals, and test for muscle fragility.

Due to risk of Neuroleptic Malignant Syndrome

48
Q

What is Neuroleptic Malignant Syndrome?

A

A life-threatening neurological syndrome caused by anti-psychotics that can cause mental status changes, rigidity, fever, and dysautonomia (Autonomic Processes in the body stop working right)

49
Q

Chlorpromazine SE =

A

Very Sedating, Injections can cause pain, Hypotension

50
Q

Fluphenazine SE =

A

Higher risk of Extrapyramidal (Drug-Induced Movement Disorders) SE’s + Moderate change in prolactin

51
Q

What do you monitor in a PT taking Fluphenazide?

A

Monitor Kidney + Liver Function, BP, and I/O

52
Q

What is Fluphenazide used for?

A

Acute + Chronic Psychosis

53
Q

Typical Anti-Psychotic drugs all cause this symptom:

A

Causes Shuffling of Feet

54
Q

A PT taking any of the 3 groups of Anti-Psychotics needs to be monitored for-

A PT taking any of the 3 groups of Anti-Psychotics needs to have what labs monitored?

A

Parkinson’s-Like Symptoms (Lip-Smacking, Winking, Facial Twitching, Moving Arm Up & Down Involuntarily)

Labs (Liver Enzymes, High Cholesterol, High Blood Sugar)

55
Q

What is the black box warning for anti-psychotics?

A

Don’t give to dementia PT’s

56
Q

If someone is taking anti-psychotics, what precautions do they need to be put on?

A

Fall Precautions

57
Q

MAOI’s are-

A

Not prescribed often

58
Q

Black Box Warning for Atypical Anti-Psychotics?

A

Increased risk of dementia-related psychosis in older Pt’s

59
Q

Black Box Warning for Mood Stabilizers?

A

Suicide Risk in children and adolescents

60
Q

Black Box Warning for SNRI’s?

A

Suicide Risk in children and adolescents from certain antidepressants

61
Q

Black Box Warning for SSRI’s?

A

The use of certain anti-depressants to treat Major Depressive Disorder (MDD) in adolescents increases risk of suicidal ideations + behaviors

62
Q

Black Box Warning for Stimulants?

A

Potential for Abuse & Diversion (giving drugs out illegally)

63
Q

What do you need to avoid when taking an SSRI?

A

NSAID’s, Antiplatelets, Other Anti-Depressants, St John’s Wort

64
Q

What do you need to avoid when taking a mood stabilizer?

A

High-Fat Meals (Oils, Chicken Skin, Red Meats + Processed Meats, Dairy, Deep Fried Foods, Avocados, Eggs, Seeds + Nuts)

Caffeine

Bipolar Meds

65
Q

What do you need to avoid when taking an atypical psychotic?

A

Grapefruit, Nicotine, Caffeine

Antidepressants, Tricyclic Drugs, Anticholinergic Drugs

66
Q

What do you need to avoid when taking an SNRI?

A

MAOI’s
Foods + Drinks High in Caffeine
St. John’s Wort
Weight Loss Drugs
Blood Thinners
Central Nervous System Active Drugs

67
Q

Advil & Motrin are both -

68
Q

Coumadin & Jantoven are both-

69
Q

Ibuprofen & Warfarin are both -

A

Blood Thinners

70
Q

What do you need to avoid if taking stimulants?

A

Caffeine (Coffees, Teas, Chocolates, Caffeinated Drinks)

71
Q

IM Inj is at what degree angle?

72
Q

What are the IM injection sites for kids under 18 months old?

A

Vastus Lateralis

73
Q

What are the IM injection sites for kids that are 18 months to 3 years old?

A

Vastus Lateralis OR Deltoid

74
Q

These are often used as first-line pharmacotherapy for depression and numerous other psychiatric disorders due to their safety, efficacy, and tolerability =

75
Q

What do you need to monitor when a pt takes Duloxetine?

A

Liver Enzymes

76
Q

What are the side effects of Tricyclic Antidepressants (TCA’s)?

A

Dysrhythmias
Heart Block
Tachycardia
Myocardial Infarction

77
Q

What meds shouldn’t be taken with TCA’s?

A

MAOI’s
Benzodiazepines
Anti-Hypertensives
Anti-Coagulants
Oral Contraceptives
Abtabuse
Barbiturates
Phenothiazines

78
Q

What non-med things should a pt taking TCA’s avoid?

A

Tyramine & Alcohol

79
Q

Does Fluoxetine have a discontinuation syndrome?

80
Q

How can the Vagus nerve be stimulated?

A

By boosting neurotransmitters (Like Serotonin)

81
Q

What is stimulation of the Vagus Nerve used for?

A

Treating Depression

82
Q

What are the manifestations of Serotonin Syndrome?

A

Abdominal Pain
Diarrhea
Sweating
Fever
Tachycardia
Hypertension
Delirium
Muscle Spasms
Irritability
Hostility
High Fever
Cardiovascular Shock
Death

83
Q

When should you watch for Serotonin Syndrome?

A

When the pt is on Dual Serotonin Enhancing Agents

MAOI’s with SSRI’s are contraindicated

84
Q

How long should you stop taking an SSRI before taking a MAOI?

85
Q

Whenever an SSRI dose is rapidly increased, what can occur?

A

Serotonin Syndrome

86
Q

What’s the most effective treatment against acute treatment for depression?

A

Electroconvulsive Therapy

87
Q

What is Transcranial Magnetic Stimulation (TMS)?

A

The use of strong magnets to briefly interrupt normal brain activity as a way to study brain regions

88
Q

If a pt has brain metal implants, this process can’t be undone =

89
Q

What herbal treatment messes with all Psychotropic meds?

A

St. John’s Wort

90
Q

What meds are used for acute symptoms of anger and violence?

A

Anti-Anxiety Meds

Anti-Psychotic Meds

91
Q

What’s the most common Anti-Psychotic used during aggressive or violent incidents?

A

Haloperidol

Mental Health Drugs To Know (3 decks)

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