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Psych Nursing > Exam 1 Meds > Flashcards

Exam 1 Meds Flashcards

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1
Q

what are SSRIs

A

selective serotonin reuptake inhibitors

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2
Q

action of SSRIs

A

inhibit reuptake of serotonin

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3
Q

physiological effects of SSRIs

A

decreased depression*, control anxiety, and control obsessions

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4
Q

side effects of SSRIs

A

nausea, agitation, headaches, sexual dysfunction

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5
Q

what is the first med used for depression

A

SSRIs

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6
Q

names of SSRIs

A

Prozac, Lexipro, Zoloft, Celexa, Paxil

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7
Q

describe serotonin syndrome

A

increased serotonin levels

shivers, flu like symptoms

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8
Q

describe discontinuation syndrome

A 
occurs if SSRIs are stopped abruptly 
TAPER OFF (do not stop abruptly)
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9
Q

safety issues for antidepressants

A 
increased risk of suicidal ideation
increased sedation
orthostatic HTN
hyponatremia
blurred vision
constipation
 serotonin syndrome
discontinuation syndrome
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10
Q

what is an important consideration for SSRIs and other antidepressants

A

cause increased suicidal ideation so start at low dose

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11
Q

what is the action of MAO inhibitors

A

increased norepinephrine and serotonin

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12
Q

physiological effects of MAO inhibitors

A

decreased depression and control anxiety*

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13
Q

side effects of MAO inhibitors

A

sedation, dizziness, sexual dysfunction, HTN crisis

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14
Q

describe how a hypertensive crisis occurs

A

if eat the wrong foods while on MAO inhibitors

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15
Q

what foods have a lot of tyramine

A

cheese, meats, sauces, beans, alcoholic beverages, overripe fruit

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16
Q

what is an important consideration for MAO inhibitors

A

AVOID foods high in tyramine

SEVERE dietary restrictions (ie/ no cheese and wine)

17
Q

is the process of neurotransmitter inactivation

A

reuptake

18
Q

anxiety med

A

Buspirone

19
Q

SSNRI action

A 
increased norepinephrine (which increases BP)
increased serotonin
20
Q

physiological effects of SSNRI

A

decreased depression
relieve pain of neuropathy
relieve anxiety

21
Q

side effects of SSNRI

A

nausea, sweating, insomnia, tremors, sexual dysfunction

22
Q

SSNRI drugs

A

Pristiq, Cymbalta, Effexor

23
Q

what is used for chronic pain(like fibromyalga) and is also and antidepressant

A

Cymbalta

24
Q

these are older meds not used as much anymore

helpful with chronic pain

A

tricyclic antidepressants

25
Q

physiological effects of tricyclic antidepressants

A

decreased depression, relief of severe pain, prevent panic attacks

26
Q

side effects of tricyclic antidepressants

A

sexual dysfunction, sedation, weight gain, dry mouth, constipation, blurred vision, urinary retention, tachycardia

27
Q

nursing considerations for tricyclic antidepressants

A

a little is lethal

takes 4-6 wks to reach full therapeutic effect

28
Q

physiological effects of bupropion

A

decreased depression, aids in smoking cessation, decreased ADHD symptoms

29
Q

side effects of bupropion

A

insomnia, dry mouth, tremor, seizure

30
Q

tricyclic antidepressants drugs

A

amitriptyline and amoxapine

31
Q

what does bupropion work on

A

dopamine (addiction neurotransmitter)

32
Q

bupropion drug

A

wellbutrin

33
Q

nursing considerations for bupropion

A

watch for increased BP due to increased norepinephrine

cannot take med if eating disorder (will cause seizures)

34
Q

this is used to sleep/sedation

A

trazodone

35
Q

nursing consideration for trazodone

A

priapism (erection goes down)

36
Q

physiological effects of trazodone

A

decreased anxiety and depression

37
Q

side effects of trazodone

A

nausea, sedation, orthostasis, priapism

38
Q

trazodone drug

A

desyrel

Psych Nursing (21 decks)

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