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Psych Nursing > Meds for Final > Flashcards

Meds for Final Flashcards

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1
Q

first line of meds for depression

A

SSRIs( selctive serotonin reuptake inhibitors)

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2
Q

side effects of SSRIs

A

nausea, agitation, headache, sexual dysfunction

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3
Q

what are examples of SSRIs

A

Zoloft, Lexipro, Prozac

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4
Q

safety issues for antidepressants

A 
serotonin syndrom
increased risk of suicidal ideation
increased sedation
orthostatic HTN
blurred vision
constipation
discontinuation syndrome
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5
Q

this causes shivers and flu like symptoms

occurs when there is an increase in serotonin levels

A

serotonin syndrome

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6
Q

most important nursing considerations for SSRIs

A

do not stop abruptly, taper off
serotonin syndrome
tell them to raise from bed slowly if orthostatic HTN
risk for suicide (start at low dose)

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7
Q

this is primarily given to control anxiety

A

MAO inhibitors

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8
Q

side effects of MAO inhibitors

A

sedation, dizziness, sexual dysfunction, HTN crisis

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9
Q

what is IMPERATIVE to remember of MAO inhibitors

A

AVOID foods high in TYRAMINE
severe dietary restrictions
no cheese and wine

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10
Q

what occurs if on MAO inhibitors and eat tyramine

A

cause hypertensive crisis

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11
Q

this is another med used to treat depression

A

SSNRI

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12
Q

side effects of SSNRI

A

nausea, sweating, tremors, sexual dysfunction

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13
Q

what are examples of SSNRI

A

Cymbalta, Effexor, Pristiq

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14
Q

this is an older antidepressant not used as commonly anymore

A

Tricyclic antidepressants

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15
Q

other than depression, what are tricyclics also helpful with

A

chronic pain

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16
Q

side effects of tricyclic antidepressants

A

sexual dysfunction, sedation, weight gain, dry mouth, constipation, blurred vision, urinary retention, tachycardia

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17
Q

what is IMPERATIVE to remember of tricyclic antidepressants

A

a LITTLE is LETHAL

takes 4-6 wks to reach full therapeutic effect

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18
Q

this is another antidepressant that can also aid in smoking cessation

A

Bupropion

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19
Q

what are examples of tricyclic antidepressants

A

amitriptyline and amoxapine

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20
Q

what are the side effects of bupropion

A

insomnia, dry mouth, tremor, seizure

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21
Q

what should you watch for if on bupropion

A

increased BP and increased norepinephrine

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22
Q

what is important to remember for bupropion

A

cannot take med if have eating disorder(cause seizures)

works on dopamine (addiction neurotransmitter)

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23
Q

example of bupropion

A

Wellbutrin

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24
Q

antidepressant that can also be used as a sedative

A

Trazodone

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25
Q

what re the side effects of trazodone

A

nausea, sedation, orthostasis, priapism

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26
Q

what is important to remember for trazodone

A

priapism- erection goes down

used to help at night for sleep/sedation

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27
Q

what is an example of trazodone

A

desyrel

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28
Q

what are antipsychotics also called

A

neuroleptics

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29
Q

what meds are used for schizophrenia

A

antipsychotics

30
Q

describe first generation antipsychotics

A 
Typical
many side effects 
higher risk of EPS
target positive symptoms, make negative worse
inexpensive
will dry pt out
31
Q

what are the side effects of Extrapyramidal (EPS)

A

akinesia, akathisia, dystonia, oculogyric crisis

32
Q

what should be treated as an emergency

A

dystonia and oculogyric crisis due to laryngospams

33
Q

muscle weaknesss

A

akinesia

34
Q

continuous restlessness and fidgeting

A

akathisia

35
Q

involuntary muscle movement

spasms of face, arms, legs, neck

A

dystonia

36
Q

uncontrolled rolling back of the eyes

A

oculogyric crisis

37
Q

what is used to treat OC and EPS in general

A

antiparkinsonia, anticholinergics, antihistamines (Benadryl)

38
Q

describe second generation antipsychotics

A

Atypical
less symptoms
early EPS
TD

39
Q

involuntary repetitive movement

A

tardive dyskinesia

40
Q

most antipsychotics cause what

A

weight gain and increased prolactin levels (increased breast tissue)

41
Q

most common medication that is known to trigger manic response are

A

steroids

42
Q

side effects of antipsychotics

A

nausea, GI upset, rash, sedation, orthostatic hypotension, photosensitivity, EKG, hypersalivation, agranulocytosis, hyperglycemia, weight gain, TD, EPS

43
Q

education of antipsychotics

A 
do not stop abruptly
wear sunscreen
report weekly for blood draws
risks with pregnancy
do not drink alcohol
do not take with other meds
44
Q

what is clozapine

A

antipsychotic

45
Q

what is important to remember about clozapine

A

can cause agranulocytosis- fatal blood disorder that decreased WBC levels to very low

46
Q

what is the primary meds for bipolar/mania

A

lithium, divalproex, carbamazepine, atypical antipsychotics

47
Q

what is the acute and maintenance dose of lithium in the blood

A

acute 1-1.5

main: 0.6-1.2

48
Q

what are the toxicity symptoms of lithium

A

NVD, ataxia, blurred vision, tinnitus, increased tremors, increased output

49
Q

lithium education

A 
take regularly
drowsiness/dizziness is common
notify physician if NVD, causes sodium loss
carry ID card about lithium
weight gain is a problem
serum checked every 1-2 months
50
Q

meds given for PTSD

A

Paxil, Prozac, Zoloft, Effexor

51
Q

anti anxiety meds

A

Clonazepam, Lorazepam (Ativan), Buspirone (Buspar), Diazepam (Valium)

52
Q

panic and GAD meds

A

anxiolytics, antidepressants, antihypertensive agents

53
Q

phobic disorder meds

A

anxiolytics, antidepressants, antihypertensive agents

54
Q

OCD and body dysmorphic meds

A

antidepressants

55
Q

hair pulling disorder meds

A

chlorpromazine, amitriptyline, lithium, SSRI, olanzapine

56
Q

meds for anorexia nervosa

A

prozac and zyrexa

57
Q

meds for bulimia nervosa

A

prozac and nardil

58
Q

med for BED

A

topamax

59
Q

what meds are given for eating disorders

A

prescribed for associated symptoms of anxiety and depression

60
Q

meds for Austism spectrum disorder

A

risperidone and aripipazole

61
Q

meds for ADHD

A

CNS stimulants
dextroamphetamine, methamphetamine
“phetamine”

62
Q

meds for tourette’s

A

antipsychotics

alpha agents

63
Q

NCD meds for cognitive impairment

A

Cogex, Aricept, Exelan, Razadyne

64
Q

NCD meds for agitation, aggression, hallucinations

A

Risperidone and Olazapine

antipsychotics

65
Q

what anti anxiety drug should not be used long term

A

valium

66
Q

what drugs are used in substitution therapy for alcohol addiction

A

chlordiazepoxide, oxazepam, lorazepam, diazepam

67
Q

pharmacology for alcoholism

A

antabuse, compral

68
Q

psychopharmacology for alcoholism

A

benzos, anticonvulsants, multivitamin, thiamine

69
Q

what antianxiety drug does not depress the CNS

A

Buspirone (buspar)

70
Q

first line of defense for anxiety

A

SSRI

Buspar

71
Q

short term med for anxiety

A

Benzos

addictive

Psych Nursing (21 decks)

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