Exam 2 Flashcards
Seizure Drugs
Carbamazepine
Divalproex
Gabapentin
Lamotrigine
Oxcarbazepine
Topiramate
Bipolar Mania Drugs
Lithium
Carbamazepine
Divalproex
Gabapentin
Lamotrigine
Oxcarbazepine
Topiramate
Lithium Category
Mood Stabilizer
Bipolar Mania
Carbamazepine Category
Mood Stabilizer
Bipolar Mania
Seizures
Divalproex Category
Mood Stabilizer
Bipolar Mania
Seizures
Gabapentin Category
Mood Stabilizer
Bipolar Mania
Seizures
Lamotrigine Category
Mood Stabilizer
Bipolar Mania
Seizures
Oxcarbazepine Category
Mood Stabilizer
Bipolar Mania
Seizures
Topiramate Category
Mood Stabilizer
Bipolar Mania
Seizures
Medication to treat enuresis
Imipramine (TCA)
Anorexia Meds
Cyproheptadine (antihistamine)
Amitriptyline (TCA)
Olanzapine atypical antipsychotic (bizarre body perceptions)
Fluoxetine (SSRI)
First line OCD meds
SSRI: sertraline and fluvoxamine
Naltrexone used for
opioid and alcohol
blocks effects of opioids and suppresses alcohol cravings
oniomania
compulsive buying
SSRI used for
Bulimia, anorexia, PTSD
PTSD treatment
SSRI and SNRI
exposure therapy
Adaptive disclosure: empty chair
Cognitive processing therapy
CBT
CNS stimulant drugs
Cocaine and amphetamines
Chlorpromazine vs Haloperidol
Chlorpromazine: predatory and acute psychosis
Haloperidol: chronic and low-level psychosis
CIWA Alcohol Withdrawal Drugs
Chlordiazepoxide
Diazepam
Lorazepam
OCD self-soothing behaviors
Trichotillomania: hair-pulling
Onychophagia: chronic nail biting
Excoriation: skin-picking
OCD reward-seeking behaviors
Kleptomania: compulsive stealing
Oniomania: compulsive buying
Cluster A Disorder
odd or eccentric
Paranoid
Cluster B Disorder
erratic or dramatic behaviors
antisocial, borderline, histrionic, narcissistic
Cluster C Disorder
anxious or fearful
avoidant
dependent
obsessive compulsive personality disorder
Borderline Disorder
Characteristics: unstable relationships, self-image, affect. Impulsive and self-mutilation. Splitting
Treatment: CBT and low dose antipsychotic
Monitoring: promote safety and teach how to build connections
Carbamazepine vs Divalproex
Anticonvulsant used as mood stabilizers
Carbamazepine:
side effects: dizziness, hypotension, ataxia, sedation, blurred vision, leukopenia, rashes
Divalproex:
side effect: ataxia, drowsiness, weakness, fatigue, menstrual change, dyspepsia, N/V, weight gain, hair loss
Administer with food
normal lithium levels
0.5-1.5
Cluster B Characteristics
unstable attachment
splitting
no motivation to change
self-mutilation
low self-esteem
Paranoid Characteristics and Nursing Actions
Cluster A
Mistrust and suspicious of others
Guarded and restricted affect
serious and straightforward approach
tech client to validate ideas before taking actions
involve client in treatment planning
Antisocial Characteristics and Nursing Actions
Cluster B
Disregard for rights of others, rules, and laws
Limit setting. Teach client to solve problems and manage emotions of anger or frustration
Histrionic Characteristics and Nursing Actions
Cluster B
Excessive emotionality and attention-seeking
teach social skills and provide factual feedback about behavior
Narcissistic Characteristics and Nursing Actions
Cluster B
Grandiose, lack of empathy, need for admiration
matter of fact approach. Gain cooperation with needed treatment. Teach client any needed self-care skills
Avoidant Characteristics and Nursing Actions
Cluster C
Social inhibitions and feelings of inadequacy. Hypersensitive to negative evaluation
Support and reassurance. Cognitive restructuring techniques. Promote self-esteem
Dependent Characteristics and Nursing Actions
Cluster C
Submissive and clinging behavior
Excessive need to be taken care of
Foster client self reliance and autonomy
teach problem-solving and decision making skills
cognitive restructuring techniques
Obsessive Compulsive Personality Characteristics and Nursing Actions
Cluster C
Preoccupation with orderliness, perfectionism and control
Encourage negotiation with others. Assist client making timely decision and completing work.
Cognitive restructuring techniques
CIWA
onset within 4-12 hours after cessation
usu peak 2nd day and complete 5 days
symptoms: coarse hand tremors, sweating, elevated pulse and BP, insomnia, anxiety
severe or untreated withdrawal: hallucinations, seizures, delirium
Thiamine, folic acid, B12
Dual Diagnosis
SUD and psychiatric illness
Hostility vs aggression
Hostility: verbal aggression
Aggression: physical
Assault Cycle
Triggering: incident initiate aggressive response
Escalation: moving toward loss of control; take control; seclusion
Crisis: client lost control; take charge; restraint
Recovery: client regain physical and emotional control; talk about triggers; debrief staff
Postcrisis: client attempt reconciliation with others and returns baseline. remove pt from seclusion/restraints
Acute Stress vs Adjustment vs PTSD
Acute Stress: 3 days to 1 month
Adjustment: 1 month to 6 months
PTSD: 3-6 months
PTSD Medications
SSRI and SNRI
Fluoxetine
Paroxetine
Sertraline
Venlafaxine
Dissociative Amnesia vs DID vs Depersonalization vs Derealization
DA: unable remember important personal information
DID: 2 or more distinct identifies
Depersonalization: detached from body
Derealization: dream-like sensation
Obsessions vs Compulsions
Obsession: recurrent and intrusive unwanted thoughts
Compulsives: behaviors and actions to neutralize anxiety
Delirium Causes
Electrolyte imbalances
Sepsis
HIV
Hypoxemia
UTI
PNA
Encephalitis
Dementia 4 A’s
Agnosia: unable recognize objects
Amnesia: memory impairment
Aphasia: language
Apraxia: motor
Dementia Medications
Cholinesterase Inhibitors
Donepezil
Memantine
ADHD Medications
Control motor activity with CNS stimulants
Methylphenidate
Dextroamphetamine
Clonidine
Bulimia Nervosa Medications
TCA Antidepressants
Fluoxetine
MAOI Antidepressant
Most common neurodevelopmental disorder in childhood
ADHD
Grief vs Bereavement vs Mourning
Grief: coping with loss
Bereavement: grieving period following a loss (time)
Mourning: expressing grief outwardly (how they grieve)
Elisabeth Kubler-Ross Stages of Grief
DABDA
Denial
Anger
Bargaining
Depression
Acceptance
Horowitz Stages of Grief
ODIWC
Outcry
Denial
Intrusion
Working through
Completion
Tasks of Grieving: Rando’s Six R’s
Mourning Tasks
Recognize
React
Recollect
Relinquish
Readjust
Reinvest
Abbreviated Grief
Moving through grieving process quickly
Delayed Grief
Moving through grieving process slowly
remain fixe din denial stage; linked to shock
Inhibited Grief
Repressing emotions; not displaying emotions
Cumulative Grief
Multiple losses in short time period
Collective Grief
Community grieving together
Complicated or prolonged grief
last longer than expected
loss of self-esteem
Disenfranchised Grief
grief over loss not acknowledged openly, mourned publicly or supported socially
Nursing Process for Grief
Adequate perception regarding loss
Adequate support while grieving for loss
Adequate coping behaviors during process
Characteristics of Violent Families
social isolation
abuse of power and control
SUD
intergenerational transmission process
Anorexia
Onset: 14-18Y
Underweight
Difficult treatment because denies problem
Bulimia Nervosa
Onset: 18-19Y
Normal weight
CBT treatment: aware eating behavior is pathologic and will go to great lengths to hide
