Medication Flashcards
Akathisia
Compulsion to be in motion
Akinesia
Without movement
Parkinsonian syndrome
Tremor rigidity and slowed movement. Cogwheel feel to joints
Used to treat psychotic symptoms, mostly used with schizophrenia.
Antipsychotic drugs
Anticholinergic side effects
Dry mouth, blurred vision, urinary hesitation, constipation.
Agitation, hallucinations, delusions, combativeness and belligerent behavior, sleep disturbances, paranoid behavior, disorganized thinking all respond to antipsychotic drugs. What symptoms do not respond?
Impaired judgment, lack of insight, depression, withdrawal.
deconoate
inject able
sedation, postural hypo tension, weight gain, photosensitive, sexual dysfunction, breast swelling
side effects of anti psychotic medication
dry mouth, blurred vision, urinary hesitation, constipation
anticholinergic side effects
abnormal involuntary movement of the tongue, lips, jaw, face, and twitching, snakelike movement of the extremities. Can continue after discontinuation of meds
tardive dyskinesia
how do you prevent tardive dyskinesia?
limit exposure to anti psychotic drugs or can prescribe vitamin E
involuntary muscle spams or tightening of the mouth, jaw, face, and neck
acute dystonic reactions
fever, muscle rigidity, MS change and tachycardia. Occurs after starting a neuroleptic, medical emergency
Neuroleptic Malignant Syndrome
Typical or Atypical?
Thorazine/chlorpromazine
Typical
Typical or Atypical?
Mellaril/thioridazine
Typical
Typical or Atypical?
Stelazine/trifluoperazine
Typical
Typical or Atypical?
Prolixin/fluphenazine
Typical
Typical or Atypical?
Navane/thiothixene
Typical
Typical or Atypical?
Haldol/haloperidol
Typical
These drugs are avaliable in injectable form
Haldol D, Thorozine, Prolixin D
Typical or Atypical?
Cozapine/Clozaril
Atypical
What are most effective for negative symptoms of schizophrenia
atypical antipsychotic drugs
agranulacytosis can be a side affect of anti psychotic drugs. What must be monitored
WBC
which drug is useful in treatment-resistant patients; patients who experience tardive dyskinesia?
clozapine
Sedation is the most prominent side effect, no tardive dyskinesia, relieves positive and negative symptoms
resperidone/Risperdal
name the 3 types of anti-depressent drugs
TCA’s, MAOI’s, second generation
Typical or Atypical?
Resperidone/Risperdal
Atypical
Imipramine/Tofranil, Amitriptyline/Elavil, are all what type of anti-depressents?
TCA’s
True or False TCA’s may not be effective for 2-3 weeks after being started.
True
True of False TCA’s are contraindicated in individuals with certain types of heart disease
True
TCA’s are not lethal when OD’d on.
False, they are very lethal and SSRI’s are a better choice for high suicide risk patient’s
what does anticholinergic effect?
autonomic (parasympathetic) systems.
sweating, sensitivity to heat, constipation, urinary retention
True or Falsoe A side effect of TCA’s in a bipolar patient can result in a precipitation of hypomania
True
Nardil, Parnate, Marplan, are all what type of anti-depressants?
MAOI’s
_________ is a side effect from a high does of MAOI, or if a TCA is taken in conjunction with MAOI, or the wrong food is consumed
hypertension
There are dietary restrictions with MAOIs. Food with high levels of ___________ should be avoided.
tyramine
beer, ale, wine, cheese, beef or chicken liver, smoked or pickled fish, summer sausage, fava beans
True of False Stimulants, cold remedies, appetite suppressants do not have adverse drug interactions with MAOIs
False
True or False Side effects and adverse effects are lower in second generation antidepressants than with TCA’s or MAOI’s
True
Asendin/Amoxapine, Desyrel/trazadone, Ludiomil/maprotiline, Wellbutrin/bupropion, Effexor/venlafaxine, Serzone/nafazdone, are all types of what anti-depressend medication?
Second generation.
Prozac/fluoxetine, Zoloft/setraline, Paxil/paroxetine, Celexa are all types of what anti-depressent medication?
SSRI
Side effects are dose related with these types of medications
SSRI
True or False SSRI’s are toxic to the heart and lethal in overdose
False, they are less toxic to the heart and safer in overdose than TCAs
Which type of anti-depressant are the most effective for treating atypical depressions and non-endogenous depression?
MAOIs
Lithium is a mood stabilizer that treats Bipolar disorder. It can be toxic so _________ function must be checked
thyroid and kidney functions and also the levels of Li in the body.
True or False Lithium must be taken several times a day and dosed by checking labs. It takes 2+ weeks to become therapeutic.
True
Lithium is most effective at preventing depression rather than Mania
False, it is most effective in preventing recurrences of mania. It must be constantly taken in order to prevent mania. 70-90% of “typical” bipolar illness respond
It is ok to take LIthium during 1st trimester of pregnancy
False
Lithium is sometimes combined with antipsychoic drugs or antidepressants.
True
Side effects including enlarged thyroid, dehydration, GI issues, CNS problems (mental dullness, decreased memory), and weight gain are all side effects of what medication?
Lithium
This medication is most effective for rapid cycling and mixed bipolar disorders
Depakote/Calproic Acid
Neurotin/Lamictal/Topomox are all anticovulsants also used for ___________
stabilizing moods
Tegretol may depress bone marrow function and requires monitoring of blood count. What is it used for?
stabilizing moods/anticonvulsant
TCa’s, MAOI’s, SSRI’s and more specifically Xanax are used to teat _____________?
Panic Disorder with or without agoraphobia
TCA’s, MAOI’s, SSRI;s, specifically Zoloft is used to treat ___________?
OCD
Paxil and Beta Blockers are used to treat ___________?
social phobia
Valium, LIbrium, Ativan, Xanax, are all Benzodiazepines used to treat ___________?
Generalized anxiety disorder
True or False Benzo’s are also used to treat people dextoxing from alcohol?
true
What is Anxiolytic?
drug used to treat anxiety
True or False Treatment issues with Benzo’s include relapse and withdraw symptoms after meds dc’d, difficulty dc’ing, abuse liability, and overuse.
True
The side effects of impaired muscle coordination and short-term memory problems are from what medication?
Benzodiazepines
This medication has a high abuse potential and poses a safety problem
Barbiturates
Quaaludes/Vistaril/Atarax/Miltown are all what type of medications?
Barbituates
True or False: Anxiolytic drugs may not be combined with anti psychotic drugs?
False, they can be combined.
Which medication used for anxiety takes 2-6 weeks to become effective and thus is not a good PRN?
Buspar
Dalmane, Halcion, Restoril are all what type of medication?
Benzo’s, specifically sleep meds
This medication is used for sleep as there is no concern about developing dependence
Trazadone
The best treatment for Bipolar and Schizophrenia is?
Medication
Ritalin, Adderall, and Cylert are all used for what diagnosis?
ADHD, Hyperactivity
Side effects of this drug include, insomnia, decreased appetite, stomach ache, headache, jitteriness
ADHD meds