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NCLEX Review > Lecture nine- PSYCH MEDS > Flashcards

Lecture nine- PSYCH MEDS Flashcards

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1
Q

all psych drugs cause

A

low bp and weight changes

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2
Q

phenothiazines are

A

first gen antipsychotics

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3
Q

phenothiazines all end in

A

zine

“we use zines for the zaney (crazies)”

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4
Q

what should also be administered w phenothiazines?

A

sm dose antiemetics

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5
Q

phenothiazines are major

A

tranquillizers “big guns”

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6
Q

phenothiazine ss

ABCDEFG

A 
Anticholinergic mouth/dry
Blurry vision
Constipation
Drowsy
EPS "parkinsons ss"
Fphotosensitivity
Gagranulocytosis (low wbc)
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7
Q

decanate

A

psych drug that can be court ordered; lasts 2wks to a month

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8
Q

tricyclic antidepressants

A

NSSRIs
non selective serotonin reuptake inhibitors
mood elevators to tx depression

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9
Q

tricyclics take ___to___ to work

A

2-4wks

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10
Q

tricyclic NSSRI drugs

A

elavil, tofranil, dventyl, desyrel

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11
Q

tricyclic antidepressant NSSRI SE

ABCDE

A 
Anticholinergic
Blurry vision
Constipation
Drowsy
Euphoria
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12
Q

zeps and zines are

A

tranquilizers

to put someone to sleep (ZZZ) us the Z’s

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13
Q

Benzodiazepines are

A

antianxiety, minor tranquilizers

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14
Q

Benzodiazepines always have ___ in them

A

Zep

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15
Q

Benzo examples

A

lam, pam, vallium and zep

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16
Q

benzos are also used for

A

preop, muscle relaxants, seizures, alcohol withdrawal, and ventilators

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17
Q

benzos work

A

fast; cant be taken longer than 2-4wks

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18
Q

Benzo SE

ABCD

A 
mo safety!
Anticholinergic
Blurry vision
Constipation
Drowsy
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19
Q

MAOIs

A

begin w mar,nar,par

20
Q

MAOI SE

ABCD

A

Anticholinergic
Blurry vision
Constipation
Drowsy

21
Q

MAOI pt teaching

A

to prevent HTN pt must avoid all tyramine foods; fermented, processed meat, aged cheese, bananas, raisins/dried fruit, organ meat, avocado, yogurt, alcohol, chocolate

22
Q

MAOI pts should not take

A

OTC meds

23
Q

lithium tx

A

bipolar/mania

“neurotransmitter stabilizer”

24
Q

lithium range

A

0.6-1.2

25
Q

lithium SE

A

polyuria, pooping, paresthesia, tremors

increase fluids assess for dehydration

26
Q

Prozac/SRI SE

ABCDE

A 
Anitcholinergic mouth
Blurry vision
Constipation
Dehydration
Euphoria
insomnia
27
Q

administed prozac when

A

early

28
Q

prozac assessment

A

assess for suicidal ideation

29
Q

Haldol

A

decanoate form, long acting

30
Q

haldol is a ___ gen antipsychotic

A

first generation

31
Q

haldol SE

ABCDE

A 
Anticholinergic mouth
Blurry vision
Constipation
Dehydration
Euphoria
32
Q

when a pt is on haldol mo for

A

neuroleptic malignant syndrome

33
Q

neuroleptic malignant syndrome ss

A

temp >105
tremors
MED EMERGENCY

34
Q

haldol dose for elderly should be

A

half of adult dose

35
Q

2nd gen atypical antipsychotics end in

A

zapine

36
Q

zapines (2nd gen atypical antipsych) cause increased rx of

A

metabolic syndrome and altered glucose metabolism

mo bg

37
Q

clozapine is a

A

2nd gen atypical

38
Q

clozapine mo for

A

agranulocytosis

39
Q

mo __ for all atypical antipsychotics

A

wbc

40
Q

geodon

A

prolongs QT interval and can cause sudden cardiac arrest

blackbox warning*

41
Q

zoloft/sertraline

A

increases the drug toxicity of other drugs

42
Q

zoloft and saint johns wart taken together can increase the rx of

A

serotonin syndrome

43
Q

zoloft SE

SAD Headache

A

Sweaty
Apprehensive
Dizzy
Headache

44
Q

zoloft and warfarin or coumadin taken together increases rx of

A

bleeding out

45
Q

when taking zoloft and or saint johns wart or coumadin/warfarin the pt should

A

decrease doses of saint johns wart, coumadin, warfarin

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