Mood & Affect Flashcards
med for GAD
buspirone
med for depression
fluoxetine
med for schizophrenia
chlorpromazine
med for BPD
lithium
med for acute anxiety/sleep
lorazepam
uncontrollable voluntary muscle movements (tongue)
tardive dyskinesia
opposite expected reaction
paradoxical reaction
HTN, occipital HA, neck stiffness, N/V, soreness
hypertensive crisis
high fever (106), rigidity, vital sign instability, LOC
neuroleptic malignant syndrome
tremors, shuffling gait, rigidity
Parkinsonism
recurrent episodes of depression and mania
bipolar disorder
overwhelming sadness and despair
depression
sense of dread and fear
anxiety
psychotic thinking or behavior: hallucinations, delusions, alt in speech, perception, personal boundary difficulties, alterations in behavior
schizophrenia
akathisia, Parkinsonism, acute dystonia, tardive dyskinesia
extrapyramidal symptoms
shivering and diarrhea, severe muscle rigidity, fever, seizures
serotonin syndrome
is buspirone addictive?
no
what med is given with busprione at first?
benzodiazepine (like lorazepam)
when should buspirone be taken?
daily
wear gloves when handling what med?
chlorpromazine
main side effects of chlorpromazine
anticholinergic effects (dry mouth, urinary retention), EPS, dermatitis
when does patient take fluoxetine?
morning ( to prevent insomnia)
how long does fluoxetine take to work?
up to 4 weeks
what is the worst, potential outcome in early therapy of fluoxetine?
suicidal ideation/suicide (increase in energy, lack of emotional stability)
lithium is actually a…
salt
normal lithium ranges
0.4 - 1 mg/dL
when do adverse effects of lithium start to appear?
early in use
early signs of toxicity of lithium
nausea, muscle weakness
antidote for a benzo overdose?
flumazenil
Chlorpromazine side effects:
EPS: acute dystonia, parkinsonism, akathisia, tardive dyskinesia
NMS
anticholinergic effects
what level would you expect to start seeing toxic lithium levels?
1.5 mg/dL
patients taking lithium should maintain…
fluid balance
