Drugs Flashcards
Atypical Antipsychotics
Clozapine (clozaril)
Quetiapine (Seroquel)
Olanzapine (Syprexa)
Atypical Antidepressants
Bupropion (wellbutrin) Venlafaxine (effexor) Mirtazapine (Remeron) Trazodone (Desyrel) Reboxetine (Edronax)
increases risk for toxicity if taken with bupropion (wellbutrin)
MAOIs
Manifestations of serotonin syndrome
- Mental confusion, difficulty concentrating
- Abdominal pain
- Diarrhea
- Agitation
- Fever
- Anxiety
- Hallucinations
- Hyperreflexia, incoordination
- Diaphoresis
- Tremors
drug that interacts with grapefruit juice (grapefruit juice increases effects of this drug by stimulating metabolism)
Carbemazepine (tegretol)
meds that control early EPS
anticholinergics, beta-blockers, and benzos
drug class that interacts with tyramine – must avoid foods with tyramine
MAOIs (phenelzine, isocarboxazid, tranylcypromine, selegiline)
severe spasm of the tongue, neck, face, and back; crisis situation that requires immediate treatment
acute dystonia
anticonvulsants
carbamazepine (Tegretol)
lamotrigine (Lamictal)
Valproic acid (depakote)
what tool do you use to screen for EPS?
AIMS (Abnormal Involuntary Movement Scale)
tyramine-rich foods
aged cheese, pepperoni, salami, avocados, figs, bananas, smoked fish, protein, some dietary supplements, some beers, red wine
relates to the quality of doing good and can be described as charity
EX. nurse helps a newly admitted client feel safe in environment of mental health facility
Beneficence
refers to clients right to make own decisions; client must accept consequences of the decisions and respect decisions of others
autonomy
relates to loyalty and faithfulness to client and one’s duty
fidelity
refers to being honest when dealing with client
veracity
seclusion and/or restraints must never be used for:
- convenience of staff
- punishment of client
- clients who are extremely physically or mentally unstable
- clients who cannot tolerate decreased stimulation of a seclusion room
organization with the goals of improving the quality of life for persons with mental illness and providing research to better treat or eradicate mental illness
NAMI (National Alliance on Mental Illness)
meds that can be used to control aggressive and impulsive behavior
Olanzapine (Zyprexa)
Ziprasidone (geodon)
Haloperidol (Haldol)
inability to sit or stand still; continual pacing and agitation
Akathisia
Late EPS, involuntary movements of the tongue and face, such as lip smacking and tongue fasciculations; involuntary movements of the arms, legs, and trunk
Tardive dyskinesia
bradykinesia, rigidity, shuffling gait, drooling, tremors
Parkinsonism
