Mental Final - Exam 2 Flashcards
Maslow’s hieracrhy
Physiological, Safety, Love/belonging, Self-Esteem, Self-actualization
Typical Antipsychotics
Today Many Schiz Probably Need Homes
Thorazine Mellaril Stellazine Prolixin Naxane Haldol
Atypical Antipsychotics
I See Really Green Aliens Zoom Close
Invega Seroquel Risperdal Geodon Abilify Zyprexa Clozaril
Diabetic patients do not get this med
Zyprexa
Cardiac patients do not get this med
Geodon. QT elongation
Cause weight gain
Seroquel, Zyprexa
Cause agranulocytosis
Clozaril. Must have tried two other meds and patient must agree to weekly blood draws.
Safest medications
Abilify, Seroquel
BAL !!!0.05!!!
Impaired judgement
BAL 0.10
Ataxia
BAL 0.20
Reduced brain motor activity, staggering, emotional lability
BAL 0.30
Confusion, Stupor
BAL 0.40
Coma
BAL 0.50
Death from respiratory depression
Peak of withdrawal after cessation?
24-48 hours
Delrium tremens symptoms
Anorexia, fluctuating LOC, Delusions, Hallucinations, Fever
Benzodiazepams that don’t affect the liver (can be used with alcoholics)
Valium and Ativan
Benzodiazpines used for withdrawal
Ativan, Valium, and Librium
What can’t be used with BENZODIAZEPINES?
Phenobarbital
Withdrawal patients considerations
They have developed tolerance and must be given higher doses (OD’d) with Benzodiazepines
Risk for withdrawal patients and intervention
Malnutrition, Give Thiamin (B1) - Given with Megnesium Sulfate, Folic Acid, and Multivitamins
Why is Thiamin given to withdrawal patients
Wernicke-Korsakoff Syndrome prevention
What is given along with Thiamin to increase effectiveness?
Magnesium Sulfate
Scale for alcohol withdrawal
CIWA Scale
What score indicates the need for Benzodiazepines?
> 15
How to check for drug levels
Blood and urine screens
When are drug screens performed?
Upon arrival
Disulfiram
Classical conditioning for Alcoholics. Causes negative symptoms if person drinks.
ReVia
Prevents Alcohol/Narcotic addicts relapse by blocking euphoric effects and cravings.
Acamprosate
Treats alcoholism, not fully understood why.
Alcoholics anonymous frequency reccomendation
90 meetings, 90 days
Examples of Opiods
Heroin, Morphine, Codeine, Methadone
Examples of Hallucinogens
Peyote, Shrroms, Angels Trumpet, LSD, PCP
Examples of Inhalants
Hairspray, gas, whiteout
CNS Stimulants Examples
Amphetamines, Cocaine, Caffeine, and Nicotine.