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PSychiatric Nursing > General Psychiatric Mental Health > Flashcards

General Psychiatric Mental Health Flashcards

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2
Q

The ability to bounce back from adversity.

A

Resilience

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3
Q

What are the 5 Axis?

A

Axis I: Clinical DisordersAxis II: Persoanlity DisordersAxis III: General Medical ConditionsAxis IV: Psychosocial/Enviromental ProblemsAxis V: Global Assessment of Functioning

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4
Q

What are the & rights of patients?

A
  1. Right patient2. Right medication3. Right Dose4. Right route5. Right time6. Right to refuse7. Right documentation
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5
Q

What are the neurotransmitters and what are the conditions they are related to?

A

Acetylcholine = Alzheimer’s Disease & ParkinsonismDopamine = Schizophrenia & ParkinsonismGABA = Anxiety DisordersNorepinephrine = Mania & DepressionSerotonin = Mania & Depression

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6
Q

Atypical Antipsychotic

A

Treats + & - symptomsRisperdone (Risperdal) 16 mgOlanzapine (Zyprexa) 30 - 45 mgAripiprazole (Abilify) 30 mgQuetiapine (Seroquel) 1000 - 1200 mgZiprasadone (Geodone) 240 mgLast option: Clozapine (clozaril)

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7
Q

what are positive symptoms?

A

Hallucinations, Delusions

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8
Q

What are negative symptoms

A

Alogia, Anhedonia, Avolition

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9
Q

Typical

A

Older drugsOnly treats + symptomsChlorpromazine (Thorazine)Thioridazine (Mellaril)Fluphenazine (Prolixin)Trifluoperazine (Stelazine)Haloperadol (Haldol)Thiothixene (Navane)Dibenzoxazepine (Loxapine)

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10
Q

Anticholinergic

A

Benztropine (Cogentin)Trihexyphenidyl (Artane)Diphenhydramine (Benadryl)Dry mouth, urinary retention, urinariy hesitation, blurred vision

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11
Q

NMS

A

Neuroleptic Malignant SyndromeHyperthermiaAltered LOC

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12
Q

EPS

A

Extrapyramidal Side EffectsAcute dystonic reactionsTardive dyskinesiatx: Dantrolene & Bromocriptine

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13
Q

Line of Defense for Mood Disorders

A

1st. SSRI :Selective serotonin Reuptake Inhibitors2nd. TCA: Tricyclic and Tetracyclic Antidepressants3rd. MAOI: Monamine Oxidase Inhibitors

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14
Q

SSRI :Selective serotonin Reuptake Inhibitors

A

fewest side effectsFluoxetine (Prozac) 80 mgFluvoxamine (Luvox)Paroxetine (Paxil) 40 - 60 mgSertraline (Zoloft) 200 mgCitalopram (Celexa) 40 -60 mgLexapro (Ecelexa) 40 mg

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15
Q

TCAs + antidote

A

Weight gain, EDantidote: Physostigmine (Antrilium)Amitriptylinee (Elavil)Amoxapine (Asendin)Desipramine (Norpramin)Doxepin (Sinequan)Imipramine (Trofanil)Maprotiline (Ludiomil)Nortriptyline (Aventyl, Pamelor)

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16
Q

MAOI

A

Avoid Tyramine foodsPhenelyzine (Nardil)Tranylcypromine (Parnate)Moclobemide (Manerix)

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17
Q

Novelty Antidepressants

A

1st line for DepressionBupropion (Welbutrin) 450 mgMirtazapine (Remeron) Insomnia Less is more 45 mgTrazodone (Desyrel) - Sleep Medication 600 - 800 mgVenlafaxazine (Effexor)

18
Q

Antimanic (Mood Stableizers

A

Lithium carbonate (Lithium) 0.6 - 1.2 mEq/LCarbamazepine (Tegrotol) 8 - 12 ug/mlValporic Acid (Depokote) 50 - 100 ug/mlOthers:Olanzapine (Zyprexa) 15 -45 mgAripiprazole (Abilify)

19
Q

Benzodiazepine

A

Lorazepam (Ativan)Clonazepam (Klonopin)Diazepam (Valium)Alprazolam (Xanax)Chlordiazepoxide (Librium)

20
Q

Alzheimers Medication

A

Tacrine (Cognex)Donepezil (Aricept)Galantamin (Reminyl)severe:Menmantine (Namenda)

21
Q

Hold for 72 hours and comes with _______

A

5150, Advisement

22
Q

14 days and comes with________

A

5250; probable cause hearing

23
Q

Additional 14 days, Tx

A

5250; acutely suicidal

24
Q

180 days, tx

A

5300; imminently dagerous

25
Q

30 days comes with ________

A

5352; Temporary Conservatorship Tcon

26
Q

on hold for full year comes with ______

A

5350 Full conservatorship

27
Q

reappointment of conservatorship

A

5361

28
Q

Substance abuse drugs.

A

Disulfiram(Antabuse) 250mgNaltrexone(Revia) 50mg

29
Q

Sigecaps

A

SleepInterestGuiltyEnergyConcentrationAppetitePsychomotor functionsSuicidal ideations

30
Q

Criteria negligence

A

Duty to careObligation of reasonable careBreach of dutyHarm due to breach of duty

31
Q

Hearing to strip patients of right to refuse medication

A

Reise hearing

PSychiatric Nursing (3 decks)

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