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Psychiatric NP > Medications > Flashcards

Medications Flashcards

1
Q

What 5 diagnoses are SSRI’s prescribed for?

A 
Depression
OCD
Premenstrual Dysphoric Disorder
PTSD
Premature Ejaculation (SE delayed ejaculation)
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2
Q

Common Side Effects of SSRI’s (10 of them)

A 
Suicidality
Delayed Ejaculation, Reduced Vaginal   
     Lubrication
GI (nausea, diarrhea, constipation)
Insomnia 
Anxiety
HA
Anorexia
Serotonin Syndrome
Neuroleptic Malignant Syndrome
SSRI discontinuation syndrome
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3
Q

Six Common SSRI’s

A 
Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Citalopram (Celexa)
Escitalopram (Lexapro)
FluvOxamine (Luvox)
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4
Q

Fluoxetine (Prozac) has a long half life so it increases/decreases the risk of SSRI discontinuation syndrome

A

Decreases

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5
Q

Sertraline (Zoloft) most common side effect is

A

GI problems.

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6
Q

Paroxetine (Paxil) has a short half life so it increases/decreases the risk of SSRI discontinuation syndrome

A

Increases

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7
Q

Paxil is also good for lethargy due to it’s ________ properties

A

Stimulant

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8
Q

Which two SSRI’s have the least side effects

A

Citalopram (Celexa) and Escitalopram (Lexapro)

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9
Q

Which SSRI is used ONLY for OCD

A

Fluvoxamine (Luvox)

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10
Q

SNRI’s (affect what neurotransmitters)

A

Serotonin Norepinephrine Re-uptake Inhibitors

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11
Q

Name two SNRI’s

A

Venlafaxine (Effexor) and Duloxetine (Cymbalta)

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12
Q

Venlafaxine (Effexor) inhibits the re-uptake of norepinephrine so can cause what side effect.

A

Increased BP

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13
Q

Duloxetine (Cymbalta) also is approved for what chronic condition?

A

Chronic Pain

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14
Q

Name the only NDRI (Norepinephrine Dopamine Re-uptake inhibitor)

A

Wellbutrin (Bupropion)

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15
Q

Because Wellbutrin (Bupropion) does not involve what neurotransmitter means there are no _____________ side effects.

A

Serotonin

Sexual

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16
Q

Because Wellbutrin (Bupropion) affects Dopamine high doses can cause what?

A

Psychosis

17
Q

Wellbutrin (Bupropion) increases the risk of what? Especially in those with electrolyte abnormalities (bulemia & anorexia)

A

Seizures

18
Q

Name the only SARI (Serotonin Antagonist Re-uptake Inhibitor)

A

Trazodone (Desyrel)

19
Q

Trazodone has a high side effect profile so is generally used for only for what

A

Insomnia

20
Q

Name the only NASA (Norepinephrine Antagonist Serotonin Antagonist)

A

Mirtazapine (Remeron)

21
Q

Mirtazapine (Remeron) antagonizes what neurotransmitter and therefore causes what two primary side effects.

A

Norepinephrine
Sedation
Weight Gain

22
Q

Since Mirtazapine (Remeron) causes weight gain it is ideal for patients with what condition.

A

Cancer. The patients have poor nutritional status.

23
Q

Name Three Common Tricyclic Anti-depressants

A

Imipramine (Toranil)
Amitriptyline (Elavil)
Clomipramine (

Psychiatric NP (3 decks)

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