Medications

Question 1

Haloperidol

Answer 1

Typical 1st Antipsychotic
Dopamine Antagonist

Question 2

Risperdone, Clozapine, Zyprexa, Geodon

Answer 2

Atypical 2nd Antipsychotic
Weaker Dopamine Antagonist

Question 3

Typical/Atypical Antipsychotic contraindications

Answer 3

CNS depression
Blood dyscrasias
Parkinson’s
Liver
Poor serizure

Question 4

Typical/Atypical Antipsychotic Black Box

Answer 4

Elderly with neurocognitive disorders

Question 5

Typical/Atypical Antipsychotic Cardiac Alert

Answer 5

QTc >500 increased risk VFIB/VTACH

Question 6

Typical/Atypical Antipsychotic side effect

Answer 6

anticolinergic, adrenergic
prolactin elevation
agranulocytosis
liver failure

Question 7

Zyprexa (Olanzapine) side effect

Answer 7

Histamine Blockade
Weight gain
Sedation
SSRI

Question 8

EPS side effects

Answer 8

pseudoparkinsonism
akinesia
akathisia
acute dystonia
oculogyric crisis
tardive dyskinesia

Question 9

Pseudoparkinsonism

Answer 9

pill rolling, tremour

treatment: antiparkinsonian, cogentin or artane (trihexyphenidyl)

Question 10

Akinesia

Answer 10

muscular weakness

treatment:
carbidopa/levodopa

Question 11

Akathisia

Answer 11

restless, repetitive movement

treatment: antiparkinson plus propranolol and lorazepam

Question 12

Acute dystonia
Oculogyric crisis

Answer 12

sustained contraction
(OC eyes up)

treatment: cogentin and benadryl

Question 13

Tardive Dyskinesia

Answer 13

facial/tongue movement

treatment: cogentin, benadryl and symmertrel (amantadine)

Question 14

Neuroleptic Malignant Syndrome

Answer 14

rigidity, hyperpyrexia, tachy, stupor/coma

treatment: bromocriptine (parlodel) dantrolene
cooling blankets

Question 15

Atypical Antipsychotic side effect

Answer 15

Metabolic syndrome

Question 16

Decanoate / maintena / sustenna

Answer 16

long acting IM antipsych schizo

Question 17

Phenelzine (Nardil)
selegiline transdermal (Emsam)
Tranylcupromide (Parnate)
Isocarboxazide (Marplan)

Answer 17

MAOI

Avoid Tyramine (r/o hypertensive crisis (treat with lavage, charcoal, nitro)

Question 18

MAOI + Tricyclics

Answer 18

Cardiac Arrhythmia

Question 19

Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Citalopram (Celexa)
Escitalopram (Lexapro)

Answer 19

SSRI

Question 20

SSRI side effects

Answer 20

sexual dysfunction, insomnia, headache, aggitation, D/C syndrome

Question 21

Seratonin Syndrome

Answer 21

altered mental, abd pain, tachy

Treatment: stop and support

Question 22

duloxetine (cymbalta)

Answer 22

SNRI
Chronic pain
Cognitive symptoms

Question 23

desvenlafaxine (Pristiq)

Answer 23

SNRI
menopause

Question 24

Vortioxetine (Trintellix)

Answer 24

seratonin modulation

decrease aggression

increase sex/cognition

SE: Nausea

Question 25

Bupropin (Wellbutrin)

Answer 25

relieves sexual dysfunction/apathy from SNRI

Question 26

Mitrazapine (Remeron)

Answer 26

@ HS Sedate stim appeitie

Question 27

Lithium carbonate

Answer 27

Antimanic

Question 28

Lithium contraindications

Answer 28

sodium depletion

Question 29

Lithium side effects

Answer 29

D's Drowsy, dizzy, dry mouth, diarrhea

Question 30

Lithium therapeutic range

Answer 30

0.6-1.2

Question 31

Lithium toxicity

Answer 31

coarse hand tremor, tinnitus, stupor, blurred vision, death

Question 32

Fine VS Coarse tremor

Answer 32

Fine: symmetric, hands (REDUCE CAFFEINE) Coarse: irregular, widespread

Question 33

Lithium teaching

Answer 33

2g sodium 1500-3000 ml/day

Question 34

Valproic Acid (Depakene) Lamotrigine (Lamictal)

Answer 34

anticonvulsant as mood stabilizers for rapid cycling

Question 35

Anticonvulsant side effect

Answer 35

blood dyscrasias, liver failure

Question 36

Anticonvulsant black box (2)

Answer 36

suicidal thoughts hepatotoxicity

Question 37

Anticonvulsant therapeutic level

Answer 37

50-100mcg/mL

Question 38

Anticonvulsant med interaction

Answer 38

antiacid, aspirin

Question 39

Why are antipsychotics used in biploar disorder as an adj. therapy?

Answer 39

work faster than mood stabilizers to control behavior and stabilize mood