Mental Health Pharmacology

Question 1

Midazolam is ____ acting.

Answer 1

short

Question 2

Drugs ending in zolam / pam are ____ acting.

Answer 2

intermediate - acting

Question 3

Diazepam is ____ acting.

Answer 3

long acting

Question 4

Midazolam is often used as a ____ med.

Answer 4

pre-op

Question 5

Lorazepam is a rescue med for ____.

Answer 5

seizures

Question 6

The antidote for lorazepam is _____.

Answer 6

flumazenil

Question 7

patients taking lorazepam should avoid ____ because its a CNS depressant.

Answer 7

alcohol

Question 8

Fluoxetine , Sertraline, & Escitalopram are all _____.

Answer 8

SSRI’s

Question 9

Drugs ending in yline are ____.

Answer 9

TCAs (second class antidepressants)

Question 10

Isocarboxazid & Phenelzine are ____.

Answer 10

MAOIs

Question 11

Patients taking SSRI’s need to be monitored for ____ syndrome.

Answer 11

serotonin

Question 13

HPTN , Confusion, anxiety, tremors, ataxia , & sweating are all signs of ____ syndrome.

Answer 13

serotonin syndrome

Question 14

During for the first 2-3 weeks patients taking SSRI’s should be on ____ precautions.

Answer 14

suicide precautions (educate the family)

Question 15

“TCAs” side effects

Answer 15

Tachycardia
Cardiac effects
Anticholinergic effects
Sedation / sexual dysfunction

Question 16

Tricyclic Antidepressants prevent the reuptake of ____ & ____.

Answer 16

norepinephrine / serotonin

Question 17

MAOIs such as phenelzine / isocarboxazid block ALL ______.

Answer 17

neurotransmitters (dopamine , norepinephrine, epinephrine , serotonin)

Question 18

Patients taking MAOIs should avoid eating foods high in ____.

Answer 18

Tyramine (aged cheeses, wine, pickled meats)

Question 19

_____ is a side effect of eating foods high in tyramine while taking MAOIs.

Answer 19

HPTN

Question 20

_____ is a mood stabilizer.

Answer 20

Lithium

Question 21

Lithium is indicated for _____.

Answer 21

Mania

Question 22

Do not administer NSAIDs with _____.

Answer 22

Lithium

Question 23

A therapeutic level of lithium is ____ - _____.

Answer 23

0.6 - 1.2 mEq / L

Question 24

Patients taking lithium need to encourage ____ ____ intake.

Answer 24

adequate fluid intake (lithium salts can build up and cause toxicity)

Question 25

Seizures, arrhythmias, fatigue, confusion, nausea, anorexia, hypothyroidism, tremors, are all signs of ____ toxicity.

Answer 25

Lithium toxicity

Question 26

____ is a first generation antipsychotic.

Answer 26

Haloperidol (calms things down)

Question 27

____ is indicated for schizo, mania, aggressive behavior, & agitation.

Answer 27

Haloperidol

Question 28

Patients taking Haloperidol need to be monitored for ______ side effects.

Answer 28

extrapyramidal side effects

Question 29

What are some signs of extrapyramidal side effects?

Answer 29

1. Tardive Dys
2. Neuroleptic malignant syndrome
3. Can prolong QT interval (weekly EKG)

Question 30

Haloperidol is contraindicated in ____.

Answer 30

pregnancy

Question 31

Monitor patients taking Diphenhydramine for _____ effects.

Answer 31

anticholinergic effects

Question 32

Patients getting an ECT should be ____ the night before.

Answer 32

NPO

Question 33

Discontinue ____ prior to an ECT.

Answer 33

benzodiazepine

Question 34

Post an ECT can the patient drive home?

Answer 34

No

Question 35

After being mugged, a person is unable to recall the experience.

Answer 35

Repression

Question 36

Planning a vacation in a year after receiving terminal diagnosis.

Answer 36

Denial

Question 37

Deep cleaning the entire house after a breakup.

Answer 37

sublimation

Question 37

When placed to sit in time-out, a child kicks and knocks over the chair.

Answer 37

displacement

Question 38

A teenager experiences episodes of wetting the bed after being bullied.

Answer 38

regression

Question 38

A partner who had an affair is convinced their partner is cheating.

Answer 38

Projection