Lecture nine- PSYCH MEDS Flashcards
all psych drugs cause
low bp and weight changes
phenothiazines are
first gen antipsychotics
phenothiazines all end in
zine
“we use zines for the zaney (crazies)”
what should also be administered w phenothiazines?
sm dose antiemetics
phenothiazines are major
tranquillizers “big guns”
phenothiazine ss
ABCDEFG
Anticholinergic mouth/dry Blurry vision Constipation Drowsy EPS "parkinsons ss" Fphotosensitivity Gagranulocytosis (low wbc)
decanate
psych drug that can be court ordered; lasts 2wks to a month
tricyclic antidepressants
NSSRIs
non selective serotonin reuptake inhibitors
mood elevators to tx depression
tricyclics take ___to___ to work
2-4wks
tricyclic NSSRI drugs
elavil, tofranil, dventyl, desyrel
tricyclic antidepressant NSSRI SE
ABCDE
Anticholinergic Blurry vision Constipation Drowsy Euphoria
zeps and zines are
tranquilizers
to put someone to sleep (ZZZ) us the Z’s
Benzodiazepines are
antianxiety, minor tranquilizers
Benzodiazepines always have ___ in them
Zep
Benzo examples
lam, pam, vallium and zep
benzos are also used for
preop, muscle relaxants, seizures, alcohol withdrawal, and ventilators
benzos work
fast; cant be taken longer than 2-4wks
Benzo SE
ABCD
mo safety! Anticholinergic Blurry vision Constipation Drowsy
MAOIs
begin w mar,nar,par
MAOI SE
ABCD
Anticholinergic
Blurry vision
Constipation
Drowsy
MAOI pt teaching
to prevent HTN pt must avoid all tyramine foods; fermented, processed meat, aged cheese, bananas, raisins/dried fruit, organ meat, avocado, yogurt, alcohol, chocolate
MAOI pts should not take
OTC meds
lithium tx
bipolar/mania
“neurotransmitter stabilizer”
lithium range
0.6-1.2
lithium SE
polyuria, pooping, paresthesia, tremors
increase fluids assess for dehydration
Prozac/SRI SE
ABCDE
Anitcholinergic mouth Blurry vision Constipation Dehydration Euphoria insomnia
administed prozac when
early
prozac assessment
assess for suicidal ideation
Haldol
decanoate form, long acting
haldol is a ___ gen antipsychotic
first generation
haldol SE
ABCDE
Anticholinergic mouth Blurry vision Constipation Dehydration Euphoria
when a pt is on haldol mo for
neuroleptic malignant syndrome
neuroleptic malignant syndrome ss
temp >105
tremors
MED EMERGENCY
haldol dose for elderly should be
half of adult dose
2nd gen atypical antipsychotics end in
zapine
zapines (2nd gen atypical antipsych) cause increased rx of
metabolic syndrome and altered glucose metabolism
mo bg
clozapine is a
2nd gen atypical
clozapine mo for
agranulocytosis
mo __ for all atypical antipsychotics
wbc
geodon
prolongs QT interval and can cause sudden cardiac arrest
blackbox warning*
zoloft/sertraline
increases the drug toxicity of other drugs
zoloft and saint johns wart taken together can increase the rx of
serotonin syndrome
zoloft SE
SAD Headache
Sweaty
Apprehensive
Dizzy
Headache
zoloft and warfarin or coumadin taken together increases rx of
bleeding out
when taking zoloft and or saint johns wart or coumadin/warfarin the pt should
decrease doses of saint johns wart, coumadin, warfarin
