Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NCLEX > Meds (Psych) > Flashcards

Meds (Psych) Flashcards

You may prefer our related Brainscape-certified flashcards:
NCLEX-PN® flashcards NCLEX-RN® flashcards
1
Q

Phenothiazine

A

(-zine for the zany)
Tranquilizer - 1st gen/typical antipsychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Phenothiazine SE

A

Anticholinergic
Blurred vision
Constipation
Drowsiness
EPS
Photosensitivity
Agranulocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

1 nursing dx for tranquilizer

A

Risk for injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

TCA

A

Antidepressants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Many SE of psych drugs

A

Anticholinergic
Blurry vision
Constipation
Drowsiness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Benzodiazepines

A

Anti-anxiety and many uses
(-zep-) (-pam)
Antidote: flumazenil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

MAOIs teaching

A

Antidepressants
(Marplan, Nardil, Parnate)
Avoid hypertensive crisis by avoiding tyramine foods: aged cheese, caffeine, chocolate, fermented foods, dried fruit, organ meats, alcohol
No OTCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lithium

A

Bipolar disorder mania
SE: peeing, pooping, paresthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Interventions of lithium (how to avoid toxicity)

A

Increase fluids
Watch for toxicity: tremors, metallic taste, severe diarrhea
Watch Na levels - need normal levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Haldol SE

A

NMS: life-threatening adverse rxn to antipsychotics
S+S: mental status changes, severe hyperthermia, muscle rigidity, autonomic dysreflexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tx of NMS (+ for severe cases)

A

Supportive care and discontinuation of antipsychotic med
Severe cases: dantrolene, bromocriptine, benzodiazepine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Clozapine

A

2nd gen/atypical antipsychotics
Severe schizophrenia
No SE of ABCDEF but has agranulocytosis
Monitor WBC counts
(-zapine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Antisocial personality disorder

A

Pattern of disregard for and violation of rights of others
Quick to anger, and when they don’t get their way, they become furious, vindictive, and aggressive
Unable to recognize and accept responsibility for their behaviors

Characterized by antagonistic and uninhibited behaviors
Unlawful or inappropriate actions, deceitfulness, impulsivity, lack of empathy, and manipulation of others for personal gain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Manic episode interventions

A

Maintain low stimulus environment
Promote physical activity
Structured schedule of activities
High protein, high calorie meals and snacks
Set limits on behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Schizophrenia S+S

A

Positive: should not be present
Delusions
Hallucinations
Disorganized speech and behavior

Negative: should be present but are absent or decreased
Affective flattening
Apathy, avolition (decreased motivation and interest in grooming, activities, work)
Asociality
Alogia (poverty of speech)
Anhedonia (inability to feel pleasure)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Sertraline, citalopram, escitalopram, fluoxetine, vilazodone
(-oxetine, -talopram, -zodone)

A

Examples of SSRIs

17
Q

SE of SSRIs

A

No sedation = insomnia
Sexual dysfx

18
Q

Clozapine (Clozaril), risperidone (Risperdal), Ziprasidone (Geodon)

A

Antipsychotics
2nd gen - atypical
Most common ones

19
Q

SE of 2nd gen (atypical) antipsychotics and effect on labs

A

Clozapine (Clozaril), risperidone (Risperdal)
Anticholinergic
Photosensitive
Sedation
Check labs (increases BG, trigly, cholesterol)

20
Q

Ziprasidone (class, SE)

A

Geodon
2nd gen (atypical) antipsychotics
Can cause QT prolongation (Torsades de Pointes

21
Q

Methylphenidate (tx, SE, monitor)

A

ADHD
SE: decreases appetite, delayed growth and development, dry mouth
Monitor weight, BG, BP

22
Q

Haloperidol
(-zine)

A

Examples of 1st gen antipsychotics (typical)

23
Q

SE of haloperidol

A

EPS (spasms of neck, face, tongue)
Anticholinergic

24
Q

ALL antipsychotics can cause what condition?

A

NMS (report fever, diaphoresis, changes in mental status, muscle rigidity)

25
Q

Tranylcypromine (Parnate)
Isocarboxazid (Marplan)
Phenelzine (Nardil)

A

MAOIs examples

26
Q

MAOIs interventions

A

Don’t take w/ TCAs or SSRIs
Avoid tyramine
Take in morning

27
Q

(-pams and -lams)

A

Benzodiazepines examples
Lorazapam can be used for alcohol withdrawal and dependence

28
Q

Benzodiazepines SE

A

Respiratory arrest
Hypotension
Apnea
Airway occlusion

29
Q

Causes of lithium toxicity

A

Decreased/increased Na
Dehydration
Decreased renal fx
Drug interaction w/ NSAIDs and thiazides

30
Q

-triptyline, -pramine

A

TCA examples

31
Q

Mental status changes (clonus, hyperreflexia, tremor)
Autonomic dysregulation (increased temp/HR, decreased BP)
Mydriasis

SE indicate what condition?

A

Serotonin syndrome SE

32
Q

Valproic acid is risk for what 2 effects?

A

Hepatotoxicity
Prolonged bleeding time

33
Q

Mannitol indications

A

Reduces intraocular pressure, ICP
Treats cerebral edema
Irrigation in prostate surgical procedures
Promotes diuresis in acute renal failure

34
Q

-triptan

A

Serotonin 5-Ht receptor agonists examples

35
Q

Serotonin 5-Ht receptor agonists indications and CI

A

Treats acute migraine pain
Treats cluster headaches
CI: CAD and uncontrolled BP

NCLEX (40 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions