DRUGS- Exam 2 Flashcards
Why are antihistamines discouraged for use of patients with insomnia?
Cholinergic side effects
Classes of drugs used for sleep disturbance disorders and habit forming or not:
Benzodiazepines (HABIT FORMING)
Benzodiazepine-like drugs (HABIT FORMING)
Melatonin Receptor Agonists (NON-HABIT FORMING)
Antidepressants (NON-HABIT FORMING)
Antihistamines (TOLERANCE DEVELOPED AFTER 1-2 WEEKS)
Dry mouth, urinary retention, constipation, blurred vision, photosensitivity, dry eyes, and sexual dysfunction are…
Anticholinergic symptoms
Dry mucous membranes, reduced/absent peristalsis, mydriasis, nonreactive pupils, hot/dry/red skin, hyperpyrexia without diaphoresis, tachycardia, agitation, unstable vitals, worsening of psychotic symptoms, delirium, seizure, repetitive movements, urinary retention are signs of… and the nurse should…
Anticholinergic toxicity, consult provider immediately (life-threatening)
Pseudoparkinsonism, acute dystonic reactions, akathisia, tardive dyskinesia, are….
EPSs (Extrapyramidal side effects)
Hypotension, postural hypotension, and tachycardia are…
Cardiovascular effects (A2 block)
Sore throat, fever, malaise, mouth sores, low WBCs are symptoms of
Agranulocytosis (discontinue the drug!)
The first-generation antipsychotics affect the _______ symptoms of schizophrenia
Positive
Second and third generation antipsychotics can improve _______ symptoms of schizophrenia
Negative
Antipsychotics take effect _________ weeks after being started.
2-6
All antipsychotics increase mortality in….
Elderly patients with dementia
True or False: Antipsychotics can be addictive and may result in lethal overdose
False: may be a rebound effect (temporary increase in psychotic symptoms)
__________ is an affect of antipsychotic meds due to dopamine blockage.
Impaired swallowing (risk for choking)
_______ and _______ may reduce akathisia.
Lorazepam, benzodiazepine
*as can relaxation exercises
First-generation antipsychotics are divided into…
low potency an high potency
