mental health unit 4 Flashcards

1
Q

What medication reverses versed?

A

Romazicon

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2
Q

What drug class is versed in?

A

Benzodiazepines

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3
Q

What verses opiates?

A

Narcan

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4
Q

What does narcotics and analgesics cause?

A

Urinary retention

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5
Q

Therapeutic level for lithium

A

0.6-1.2

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6
Q

How much fluid should be encouraged if not contraindicated for CHF

A

3000mL/day

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7
Q

How much sodium do we need?

A

3-4 grams

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8
Q

When do u check lithium levels

A

12 hours after last dose

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9
Q

Name 2 CNS stimulants

A

Doxapram and caffeine

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10
Q

Long term use of amphetamines is not recommended due to

A

Addictive properties

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11
Q

What is the main diagnosis we give lithium for?

A

Bipolar disorder

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12
Q

What class depresses the CNS

A

Sedatives/hypnotics

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13
Q

Primary purpose is to produce relaxation and to decrease the levels of anxiety

A

Sedatives

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14
Q

With anti anxiety meds what do u want to teach the patient

A

Don’t drink alcohol

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15
Q

What do u give to control delirium tremors in alcoholics

A

Librium

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16
Q

What is given to sleep

A

Restoril

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17
Q

Given to reduce anxiety of surgery and produces amnesia effects

A

Versed

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18
Q

Also called vitamin A

A

Ativan

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19
Q

Word for extra movement

A

Ataxia

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20
Q

What class of drugs do we monitor for s/s of confusion

A

Benzodiazepines

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21
Q

Primary action on limbic system of the brain, suppress the response to conflict or aggression, produces muscle relaxation and control induced seizures

A

Benzodiazepines

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22
Q

Exact action unknown, thought to cause generalized CNS depression

A

Barbituates

23
Q

Given for seizures, must be an RN to give, causes conscious sedation

A

Phenobarbital

24
Q

Only given deep IM z track

A

Visteril

25
Q

What is the reverse agent for visteril

A

Narcan

26
Q

Check BP prior to adm is systolic drops 20 do not give and notify MD for what class of drugs

A

Benzodiazepines

27
Q

_____ is a mood disorder

A

depression

28
Q

disturbance of mood, accompanied by a manic or depressive syndrome. Most of the time caused by low levels of neurotransmitters in the brain, particularly serotonin and norepinephrine

A

affective disorder

29
Q

example of Tricyclic that is dangerous and must be taken at night

A

Elavil

30
Q

block the reuptake of the neurohormones, norepinephrine and serotonin which then results in stimulation of the CNS

A

Tricyclic

31
Q

slow the reuptake of serotonin which a natural neurotransmitter in the CNS

A

SSRI

32
Q

What does SSRI stand for

A

serotonin reuptake inhibitor

33
Q

what is lexapro given for and what class is it

A

generalized anxiety, SSRI

34
Q

What is prozac given for and what class is it

A

Depression and weight loss, SSRI

35
Q

What is a side effect of Zoloft and what class is it

A

make u want to eat more, SSRI

36
Q

What is an adverse reaction for SSRI

A

Headache

37
Q

inhibits the activity of monoamine oxidase a complex enzyme system that is reasonable for breaking down amines. Which results in an increase in endogenous epinephrine, norepinephrine and serotonin in the nervous system

A

MAOI

38
Q

some drug take up to ______ to take effect

A

8 weeks

39
Q

What do u need to watch for when giving antidepressants

A

suicide

40
Q

blocks dopamine in limbic system inhibiting transmission of neural impulses also inhibit chemoreceptors in medulla, 2 antiphychotic classes

A

phenothiazines, butyrophenones

41
Q

unusual tongue and face movements such as lip smacking and wormlike motions of the tongue, puffing of cheeks, uncontrolled chewing movements

A

tardive dyskinesia

42
Q

What do u have to monitor when giving antipsychotics

A

labs

43
Q

When _____ _____ occurs med should be discontinued

A

tardive dykinesia

44
Q

reduce concentration of norephinephrine and serotonin by inhibiting release and reuptake by neurons, it alters sodium transport in nerve and muscle cells

A

antimanics (lithium)

45
Q

a chronic, progressive, degenerative condition that affects the CNS. caused by depletion, degeneration or destruction of dopamine in the basal ganglia of the brain

A

parkinson’s

46
Q

goals for medicatior therapy for parkinson’s syndrome

A

increase dopamine or decrease acetylcholine

47
Q

2 main classes of drugs used to treat parkinson’s

A

dopaminergics and anticholinergics

48
Q

all forms of treatment for parkinson’s are

A

palliative not curative

49
Q

example of dopaminergics for parkinson’s

A

sinemet and levodopa

50
Q

resembling rapid jerky movements-involuntary muscle twitching and dytonic movement

A

choreiform

51
Q

examples of anticholinergics for parkinson’s

A

cogentin and benadryl

51
Q

tordal is a

A

nonnarcotic analgesic

52
Q

if a pt is addicted to morphine for long term use for pain what 3 drugs do u not want to give

A

stadol, nubain, talwin

53
Q

What is anatryptoline given for

A

neuropathy