Nur 304 part 2 Flashcards
When you see the “C” in TCA think…
“Cardiac” because it can affect your heart.
People can use it to O.D.
1st Gen, advise patient to
wear sunscreen
For clozapine, you especially want to watch out for
Agranulocytosis
Adverse effect of Ritalin for kids
stunted growth
Instructions for ritalin
don’t take in the evening (because it’s a stimulant)
With amnesia or sudden behavioral change,the cause is probably
physical
Suicide statistics
10th leading cause of death
2nd leading for college students
The order for involuntary admission must be signed by
2 doctors and an administrator
Someone admitted as an Emergency Admission must be assessed within
48 hours
You cannot force medication unless
they are a danger to self or others
Incompetence can only be determined by
a judge
The body’s responses to real/perceived and positive/negative stressors are
the same
Fight or flight was coined by
Cannon
There are 2 basic categories of stress:
Physical and Psychological
autism is treated by
referring to early intervention/school based programs
ADHD intervention
meds and behavioral therapy
Person has many of the schizo qualities, but hasn’t been going on for 6 months yet, it may or may not become full blown schizo
schizophreniform
when an episode of MD or mania occurs in the presence of schizo
schizoaffective
giving personal significance to unrelated events (the birds sing whenever I walk down the street)
ideas of reference
poverty of speech is aka
alogia
including unneeded details in the conversation
circumstantiality
reduced motivation
avolition
intervention for dry mouth
sip of water, ice, gum
if severe you can give xero-lube or other saliva substitute
intervention for blurred vision
usually goes away in 2 weeks
intervention for anticholinergic toxicity
call provider
Bipolars may have rapid cycling which is when the mood changes at least __ times in a year
4
in bipolar, a mixed state of depression and mania
dysphoric mania
dx for manic person
risk for injury
lithium inhibits about 80% of mania within
10 to 21 days
lithium is less effective in
people with mixed mania, rapid cycling, and those with atypical features
Lithium is best at reducing
elation grandiosity flight of ideas irritability manipulation anxiety
how does it take lithium to reach therapeutic levels in the blood
1 or 2 weeks
what kind of drugs can be used while you’re waiting for lithium to reach it’s therapeutic levels?
antipsyc or benzo
in the active phase, the dose of lithium is
300 to 600 mg 2 to 3 times a day
advanced signs of lithium toxicity are at what level
1.5 to 2.0
severe lithium toxicity and death can occur at
2.0 to 2.5
lithium levels should be measure at least __ days after beginning therapy
5 days
after 6 months to a year of taking lithium, it’s sufficient to test blood levels ever
3 months
what time of day do you draw blood for testing lithium
morning
The 2 major long term risks of lithium therapy are
hypOthyroidism and kidney problems
bipolar patients with severe mania or rapid cycling may need
ECT
