Medications

Question 1

Antidepressant 5 things it can treat

Answer 1

Used to treat major depressive illness, anxiety, bipolar patients in depression phase, and psychotic depression.

Question 2

What does Antipsychotic aka neuroleptic treat

Answer 2

Also known as neuroleptic. It treats symptoms of psychosis such as delusions and hallucinations, the manic phase of bipolar, schizoaffective disorder

Question 3

Anxiolytic

Answer 3

Used to treat anxiety, insomnia, OCD, depression, PTSD, and alcohol withdrawal.

Question 4

Mood stabilizing drugs

Answer 4

To treat bipolar disorder and calms patients mood, it prevents the highs and lows that come with bipolar issues and treat acute phases of mania

Question 5

Efficiency

Answer 5

How effective are the therapeutic effect of drug

Question 6

Extrapyramidal Symptoms (EPSs)

Answer 6

Neurological SE of antipsychotics/neuroleptics meds that are drug and dose-related; ex Dystonia, fake parkinsons and akathisia

Question 7

How to treat EPSs

Answer 7

anticholinergics

Question 8

What is half-life

Answer 8

The time it takes for half the drug to be eliminated from the blood

Question 9

Antidepressants
Selective Serotonin Reuptake Inhibitors
Prozac, Paxil, Zoloft, Celexa

Answer 9

Stops the reuptake of serotonin; it reduces depression, controls anxiety, and controls OCD

Question 10

SE of SSRIs

Answer 10

Nausea, diarrhea, anorexia, nervousness, insomnia, abnormal dreams, headache, decreased libido, delayed ejaculation, tremors, sweating, fatigue, drowsiness, weight loss or gain, GI bleeding, hyponatremia

Question 11

Antidepressants
Tricyclic(SEROTONIN AND NOREPINEPHRENE)
Sinequan, Elavil, Pamelor, Tofranil, Norpramin,
Anafranil

Answer 11

Block the reuptake of norepinephrine and serotonin; it reduces depression, helps with severe pain, and prevent panic attacks

Question 12

SE of Tricyclic

Answer 12

Tremors, sexual impotence cardiac arrhythmias, anticholinergic effects, seizure threshold, photosensitivity. DON’T COMBINE IT WITH antiarrhythmic.

Question 13

Antidepressants
Monoamine oxidase inhibitors (MAOIs)(serotonin, dopamine and norepinephrine)
Parnate, Nardil, Marplan

Answer 13

This drug prevents the breakdown of serotonin, norepinephrine, and dopamine; it helps reduce depression and control anxiety

Question 14

SE of MAOIs
Parnate, Nardil, Marplan

Answer 14

When combined with other drugs and tyramine containing foods, MAOIs can be toxic and can cause HYPERTENSIVE CRISIS

Question 15

What do we education pt on food that contain Tyramine

Answer 15

diet restrictions on tyramine foods to prevent HTN crisis

Question 16

Tyramine containing products

Answer 16

Wine, cheese, preserved meats, beer, fats, chocolate

Question 17

Medications to avoid when taking MAOIs

Answer 17

Tricyclics antidepressants, CNS depressants, anti-HTN, OTC cold meds, barbituates, antihistamines

Question 18

Antidepressants
Selective SEROTONIN norepinephrine Reuptake Inhibitors (SSNRIs)
(Effexor, Fetzima, Cymbalta, Pristiq)

Answer 18

Stops the reuptake of serotonin without affecting other receptors

Question 19

SE of Selective Serotonin Norepinephrine Reuptake Inhibitors (SSNRIs)
(Effexor, Fetzima, Cymbalta, Pristiq)

Answer 19

Nausea, diarrhea, anorexia, nervousness, insomnia, headache, diastolic hypertension, impotence

Question 20

Serotonin syndrome

Answer 20

Is a life-threatening condition associated with increased serotonergic activity(aka too much serotonin) in the central nervous system

Question 21

Causes of Serotonin Syndrome

Answer 21

MAO inhibitors
Tricyclic antidepressants
SSRIs
SNRIs
Stimulants
Serotonin Agonists (ondansetron, granisetron)
Serotonin Modulators (nefazodone, vilazodone)
Herbal products (St. John’s wort)
Antimigraine agents (Triptans)

Question 22

Atypical

Answer 22

Wellbutrin, Maprotiline, Desyrel

Question 23

Anxiolytics
Benzodiazepines
Ativan Valium
Klonopin Librium
Xanax Restoril

Answer 23

Causes the effects of GABA to be stronger

Question 24

Diet restrictions with Benzo

Answer 24

Limit coffee because it decreased the effect of medication and alcohol increases the effect of the med

Question 25

Uses of Benzo

Answer 25

Controls: Anxiety Insomnia Seizure disorders Preoperative medication Muscle spasms Alcohol withdrawal

Question 26

SE of Benzo

Answer 26

CNS depression Anterograde amnesia (impaired recall of events that take place after dosing) Paradoxical effects- a person experiences the opposite of what the drug is intended to do. Respiratory depression Tolerance Physical dependence

Question 27

Antipsychotics

Answer 27

Reduce anxiety, control s/s of schizophrenia decreases hallucinations and delusions; has rapid sedative effects

Question 28

Education of antipsychotics

Answer 28

Take on empty stomach Meds can be passed through milk and the fetus

Question 29

Neuroleptics Typical meds

Answer 29

Thorazine Haldol Prolixin Trilafon

Question 30

Neuroleptics Atypical meds

Answer 30

Clozaril Clozapine Risperdal Respiridone Zyprexa Olanzapine Geodon Ziprasidone Abilify Aripiprazole Invega Paliperidone

Question 31

SE of Neuroleptics

Answer 31

Sedation Postural hypotension Sexual dysfunctions Photosensitivity Allergic skin reactions Decreased seizure threshold Anti cholinergic effects Decreased BP Dry mouth Blurred vision constipation Urine retention

Question 32

Severe/ deadly SE of Neuroleptics/antipsychotics

Answer 32

Agranulocytosis- the result of WBC count dropping to a decreased level- Jaundice Extrapyramidal Reactions Pseudoparkinsonism Akathesia Akinesia or Bradykinesia Dystonias Neuroleptic Malignant Syndrome (NMS)- rigidity, muscle breakdown, mute, fever tachycardia, sweaty, dilated pupils elevated BP or unstable Tardive Dyskinesia

Question 33

Educations for Antidepressants

Answer 33

Discontinue slowly Takes 2-4 weeks to work DO NOT combine with MAOIs

Question 34

Mood Stabilizers Lithium edu

Answer 34

Take regularly Do not skimp on NA intake Can pass through breastfeeding

Question 35

Lithium therapeutic range and toxic range

Answer 35

1.0 to 1.5 mEq/L 1.5 mEq/L to higher

Question 36

Anxiolytics Education

Answer 36

Don’t take it with other CNS depressants Avoid taking it if pregnant or lactating Use caution when administering to the elderly and clients with hepatic or renal dysfunction Use caution when administering to individuals with a drug or drug addiction history

Question 37

Antipsychotics Education- causes antichol effects

Answer 37

Can cause dry mouth – provide sugarless candy or gum Can cause Blurred vision – teach that this will most likely subside Can cause Constipation – high fiber diet Can cause Urinary retention – report any problems urinating

Question 38

Stimulants Nursing care/EDU

Answer 38

Overstimulation – assess mental status for changes in mood, level of activity, and aggressiveness Anorexia, weight loss – administer medication immediately after meals. Weigh regularly. Insomnia – administer last dose at least 6 hours before bedtime. Administer sustained release forms in the morning.

Question 39

Herbal/supplements edu

Answer 39

Can interact with conventional drugs May increase a toxic effect of the conventional drug May decrease the therapeutic effects of the conventional drug

Question 40

Examples of Herbal remedies and how they interact with regular meds

Answer 40

St. John’s Wort- can decrease the intended action. Can accelerate the metabolism of many drugs causing a loss of therapeutic effect

Question 41

Examples of Herbal remedies and how they interact with regular meds

Answer 41

Ginkgo Biloba- messes with blood clots so educate pt Suppress platelet aggregation and increases the risk of bleeding in patients receiving antiplatelet drugs

Question 42

Examples of Herbal remedies and how they interact with regular meds

Answer 42

Ma Huang (Ephedra) Intensifies the effects of vasopressors, cardiac stimulants, and CNS stimulants. Also, counteracts the beneficial effects of antihypertensive drugs and CNS depressants.