Final medications Flashcards

0
Q

Prozac

A

Peaks 2-8 weeks

Don’t take within 2 weeks of maoi

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1
Q

Depression med classes

A

Ssri
Snri (atypical)
Tricyclics
MAOI

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2
Q

Ssri s/e

A

Decreased libido and orgasm
Weight change
Insomnia

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3
Q

SES

A
Serotonin syndrome
Occurs when taken with maoi, tca
Elevated vitals
Restless, irrational, seizures
Fever shock death
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4
Q

SES tx

A

Dc
Ht5 blocker (cyrproheptadine propanol)
Cooling blankets
Muscle relaxants, anticonvulsants

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5
Q

Snri meds

A

Wellbutrin
Serzone
Effexor
Zyban

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6
Q

Snri interactions

A

Maoi (not within 14 days)
Virals
Fungals

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7
Q

Tca

A

ETOH/cocaine withdraw
2-12 weeks peak
Class D

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8
Q

Tca s/e

A

Orthostatic
Sedation
Retention constipation
Htn/tachy

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9
Q

Tca meds

A

Mine Line Pin

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10
Q

Maoi indications/NTK

A

3rd choice

Diet restrictions

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11
Q

Maoi s/e

A

Orthostatic
HTN crisis
Insomnia

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12
Q

HTN crisis maoi symptoms

A

Neck stiffness, occipital headache
Flushing
Palpitations

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13
Q

Maoi meds

A

Nardil and marplab

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14
Q

Maoi diet restrictions (not vegetables)

A

Fermented, pickled, processed
Chocolate
Cultured dairy
Livers

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15
Q

Maoi diet restrictions (fruits and veggies)

A

Avocados
Bananas
Dried

16
Q

Maoi interactions

A
Barbs
Antihistamines
Cms Depressants
Anti htn
Otc cold
17
Q

Lithium ntk

A

First choice
No abrupt DC
Watch rebound

18
Q

Lithium lab values to be monitored

A

Hydration 1.5-3L daily
Troughs bi, weekly, monthly
<1.5 level
Hypothyroid and renal

19
Q

Anticonvulsants antiepileptics meds

A

Lamictal
Carbmazepine
Depakote

20
Q

Anticonvulsant indications

A

Rapid cycling bipolar

ETOH/benzo withdrawal

21
Q

Carbmazepine indications

A

Aggressive PTs

22
Q

Depakote ntk

A

Liver values before and during

23
Q

Lithium early toxicity

A

Weak
Nvd
Thirst/polyuria
Slurred

24
Q

Moderate Lithium toxicity

A
1.5-2 levels
Tremors
Severe GI
Hyper irritable muscles
Ecg change
Loss of coordination
25
Q

Acute lithium toxicity

A
>2 levels
Ataxia
Blurred vision
Diluted polyuria
Seizures 
Hypotension 
Coma death
26
Q

Alzheimer’s meds

A
Ach inhibitors:
NT inhibitors
Antidepressants 
Atypical antipsychotics 
Agression
27
Q

Nicotinic acid

A

Niaspan
Lowers ldl and raises hdl
Start low and check Livers

28
Q

Lovaza

A

Omega 3 esters
TG > 500mg
Decreases plaque, inflammation, and clots