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ATI Capstone > Mental Health - Week 6 Tips > Flashcards

Mental Health - Week 6 Tips Flashcards

1
Q

3 Drugs to D/C 2 weeks before ECT

A

Lithium
MAOIs
Seizure threshold medications

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2
Q

How to treat post-ECT short term memory loss

A

Re-orientation

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3
Q

Anxiety Disorder Tx

A

Assess risks, triggers, and responses

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4
Q

Abuse Cycle (3)

A

Tension building
Battering
Honeymoon

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5
Q

Communication style if…

Pt is aggressive/violent

A

calm, short/simple sentences

set boundaires

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6
Q

Selective Serotonin Reuptake Inhibitors (SSRIs) examples (3)

Avoid what herb?

A

Citalopram (Celexa)
Fluxetine (Prozac)
Sertraline (Zoloft)

St. John’s Wort

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7
Q

Amitriptyline (Elavil) Class and 2 ADFX

A 
Tricyclic Antidepressant (TCA) 
Anticholinergic FX and Orthostatic Hypotension
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8
Q

Anticholinergic effects (3)

A

dry mouth
urinary retention
constipation

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9
Q

Anticholinergic examples (2)

A

Scopolamine

Dimenhydrinate

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10
Q

Anticholinergic function?

A

Treat motion sickness

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11
Q

Monoamine Oxidase Inhibitors (MAOIs) examples (3) and function?

A

Isocarboxazid (Marplan)
Tranylcypromine (Parnate)
Selegiline (Emsam)

block MAO to brain r/in ↑ norepinephrine, dopamine, and serotonin (relieve depression)

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12
Q

MAOI ADFX (4)

A

CNS stimulation
Orthostatic Hypotension
HTN crisis
Local rash

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13
Q

MAOI Rash?

A

Expected, apply topical glucocorticoid

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14
Q

HTN crisis counter medications (2)?

A

Phentoalamine (Regitine) IV

Nifedipine (Procardia)

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15
Q

Glucocorticoid function?

A

Prevent inflammation (not immediate)

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16
Q

Glucocorticoid INHALED examples (5)

A 
Budesonide
Fluticasone
Formoterol
Salmeterol
Mometasone Furosate
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17
Q

Glucocorticoid IV examples (2)

A

Hydrocortisone Sodium succinate

Methylprednisolone sodium succinate

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18
Q

Atypical Antidepressants example and function

A

Bupriopion HCL (Wellbutrin), treats depression b/c SSRI’s r/in sexual dysfunction

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19
Q

Atypical Antidepressants ADFX (2)

A

Suppressed appetite
Seizures
GI complications

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20
Q

Serotonin NOREpinephrine Reuptake Inhibitors (SNRIs) 2 examples and 3 ADFX

A

Venlafaxine (Effexor)
Duloxetine (Cymbalta)

nausea, weight gain, sex dysfunction

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21
Q

Agonists vs. Antagonists

A

Agonists produce therapeutic effects

Antagonists PREVENT body from performing functions

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22
Q

Antidote Atropine treats…? (2)

A

Muscarinic Agonists/Cholinesterase Inhibitors
Bethanechol (Urecholine)
Neostigmine (Prostigmin)

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23
Q

Antidote Phyosostigmine (Antilirium) treats…?

A

Anticholinergic drugs, Atropine

24
Q

Anticholinergic function?

A

Block muscarinic receptors in bronchi, r/in bronchodilation

25
Q

Muscarinic Agonist example and function

A

Bethanechol (Urecholine)

Stimulates muscarine receptors in GU tract r/in relaxation of sphinter muscles

26
Q

Muscarinic Antagonist example and funciton

A

Oxybutynin (Ditropan), inhibits muscarinic receptors r/in contraction of sphinter muscles (specifically bladder)

27
Q

Cholinesterase Inhibitor example and function

A

Neostigmine (Prostigmin), prevent cholinesterase from inactivating ACh, r/in ↑ nerve impulses

28
Q

Antidote Digibind treats…?

A

Digoxin toxicity

29
Q

Antidote Vitamin K treats?

A

Warfarin (Couadmin) OD

30
Q

Antidote Protamine Sulfate treats?

A

Heparin OD

31
Q

Antidote Glucagon treats?

A

Insulin-induced HYPOglycemia

32
Q

Antidote Acetylcystine (Mucomyst) treats?

A

Acetaminophen (Tylenol) poisoning

33
Q

Bronchodilator 2 Types

A

Beta2-Adrenergic Agonists

Methylxanthines

34
Q

Beta2-Adrenergic Agonist function

A

act on bronchial smooth muscle and r/in bronchodilation for SHORT TERM RELIEF

35
Q

Beta2-Adrenergic Agonist medication examples (3)

A

AlbuTEROL (Proventil, Ventolin)
FormoTEROL (Foradil Aerolizer)
salmeTEROL (Serevent)

TEROL, VENT, BREATH

36
Q

B2-Adrenergic Agonist ADFX (3)

TAT ↑%A

A

Tachycardia
Angina
Tremors

↑% Asthma attacks

37
Q

Methylaxanthine example and function

A

Theophylline (Theolair) ALSO r/in bronchodilation for LONG-TERM asthma

38
Q

Theophylline Toxicity Level
S/S mild
S/S moderate
Other affecting medications (3C↑ 2P↓)

A 
↑ 20 mcg/mL
GI distress/restlessness
Dysrhythmias/Seizures
Caffeine, Cimetidine (Tagamet) and Ciprofloxacin (Cipro) = ↑
Phenobarbital, Phenytoin = ↓
39
Q

Histamine2- Receptor Antagonist examples (4) and function

A

Ranitidine Hydrochloride (Zantac)
Cimetidine (Tagamet)
Famotidine (Pepcid)
Nizatitdine (Axid) PO ONLY

suppress gastric acid secretion

40
Q

Fluoroquinolone Antibiotic + Steroid Medication example and function

A

Ciprofloxacin (Cipro)

antibiotic + anti-inflammatory

41
Q

Antiepileptics (AEDs)

PPPCVE

A 
Phenobarbital (Luminal)
Primidone (Mysoline)
Phenytoin (Dilantin)
Carbamazepine (Tegretol)
Valproic Acid (Depakote)
Ethosuximide (Zarontin)
42
Q

ACE Inhibitors function? treats (2)?

A

block production angiotensin II, r/in vasodilation, Na/H2O excretion, and K retention

Cardiovascular Dz’s and Neuropathy

43
Q

ACE Inhibitor examples (5)

Education

A 
CaptoPRIL (Capoten)
EnalaPRIL (Vasotec)
FosinoPRIL (Monopril)
LisinoPRIL (Prinivil)
RamiPRIL (Atlace)

↑% Hyperkalemia/Lithium Toxicity

44
Q

ONLY CaptoPRIL (Capoten) education with food

A

take 1 hour before meals, other ACE inhibitors are NOT effected by food.

45
Q

Angioedema

A

swelling under skin surface

46
Q

Vasodilators (7)

AAAACHO!!!

A 
Alpha-Adrenergic Blockers
Apha2 Agonists
ACE Inhibitors
Angiotensin II Receptor Blockers
Calcium Channel Blockers
HTN Crisis Meds
Organic Nitrates
47
Q

Alpha Adrenergic Blockers (2) examples.

Education

A

PraZOSIN (Minipress)
DoxaZOSIN (Cardura)

negative interaction with NSAIDS/Clonidine

48
Q

Alpha2 Agonists (3) examples

Education

A

Clonidine (Catapres)
Guanfacine (Tenex)
Methyldopa (Aldomet)

R/in CNS depression

49
Q

Angiotensin 2 Receptor Blockers (5) examples

Education

A 
LoSARTAN (Cozzar)
ValSARTAN (Diovan)
IrbeSARTAN (Avapro)
CandeSARTAN (Atacand)
OlmeSARTAN (Benicar)

Fetal injury if used during 2nd - 3rd trimester

50
Q

Calcium Channel Blockers (6) examples

Education

A

NifeDIPINE (Procardia)
AmloDIPINE (Norasc)
FeloDIPINE (Plendil)
NicarDIPINE (Cardene)

Verapamil (Calan)
Diltiazem (Cardizem)

Grapefruit = ↑ toxicity
↑% Digoxin Toxicity

51
Q

HTN Crisis Medications (4)

Education

A

Sodium Nitroprusside
Labetalol (Trandate)
Diazoxide (Hyperstat)
Fenoldopam (Corlopam)

Monitor for Cyanide/Thiocyanate poisoning
(headache, ♥ arrest/▲ mental status)

52
Q

Organic Nitrates (2) examples

A 
NITRoglycerine (Nitrol/stat)
Isosorbide diNITate (Imdur)
53
Q

Electrolyte Replacements: Na (1)

A

NSS

54
Q

Electrolyte Replacements: K (4)

A

NEVER PUSH
Dilute to ↓ 40 mEq/L to prevent irritation
Administer NO faster than 10 mEq/L
Antidote = Kayexalate

55
Q

Electrolyte Replacements: Ca (2)

A 
Calcium Citrate (Citrical)
Seizure precautions
56
Q

Electrolyte Replacements: Mg (4)

A

Magnesium sulfate/gluconate/hydroxide
Monitor BP/respirations
Monitor ↓ Deep tendon Reflexes (toxicity)
Antidoe = calcium gluconate

57
Q

Electrolyte Replacements: HCO2 (1)

A

Sodium Bicarbonate

ATI Capstone (9 decks)

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