NUS 210 - Test 3 Psych Meds

Question 1

Atypical Anti-Psychotic Meds

Answer 1

Aripiprozole
*Clozapine
Lurasidone
*Quetiapine
Olanzapine
Paliperidone
*Risperidone
*Ziprasidone

End in pine / done except for Aripiprozole

Question 2

Typical Anti-Psychotic Meds (Phenothiazines & Butyrophenone)

Answer 2

*Chlorpromazine
*Fluphenazine
Thioridazine
*Trifluoperazine
*Haloperidol

End in zine except for Haloperidol

Question 3

These meds target the positive symptoms of schizophrenia

Answer 3

Typical Anti-Psychotics

Question 4

These meds target the positive and negative symptoms of schizophrenia. Also used to target mood symptoms, cognitive impairment, and difficulty with socialization.

Answer 4

Atypical Anti-Psychotics

Question 5

What are the group of expected / normal side effects of anti-psychotic meds called

Answer 5

Anticholinergic Side Effects

Question 6

Name of side effects from anti-psychotic meds when dopamine has typically gone too low, such as pseudo parkinsonian side effects like difficulty speaking or with balance, mask like face, shuffling gait, tremors, cogwheel rigidity, drooling, pill rolling movements of thumb and fingers at rest

Answer 6

Extrapyramidal Side Effects

Question 7

Name of this group of side effects from anti-psychotic meds: uncontrolled rhythmic movement of the mouth, face and extremities, lip smacking or puckering, puffing of cheeks, uncontrolled chewing, rapid movement of tongue

Answer 7

Tardive Dyskinesia

Question 8

Name of this group of side effects from anti-psychotic meds: fever of unknown origin, tachycardia, hyper or hypotension, diaphoresis, elevated CPK level, respiratory distress, seizures, delirium

Answer 8

Neuroleptic Malignant Syndrome

Question 9

This group of side effects requires meds to be stopped and the physician be notified, irreversible damage may occur

Answer 9

Tardive Dyskinesia

Question 10

This group of side effects requires meds to be stopped and notify the physician, medical emergency that can kill the patient

Answer 10

Neuroleptic Malignant Syndrome

Question 11

This anti-psychotic med may cause agranulocytosis and requires WBC’s be checked weekly for the first 6 months, then every 2 weeks after

Answer 11

Clozapine

Question 12

Major patient / family teaching points for Antipsychotics

Answer 12

Photosensitivity can cause you to burn easily
Drink sugar free drinks or eat sugar free candy for dry mouth
Safety for possibility for orthostatic hypotension
Monitor for sedative effects
If a dose is forgotten, take it if within 3-4 hours, if greater than 4 hours, skip that dose

Question 13

These classes of medications is used for treatment of parkinsonism and relief of extrapyramidal side effects

Answer 13

Anti-Parkinsonian
Anticholinergic
Dopamine Agonists
Antihistamines

Question 14

Anticholinergic meds

Answer 14

Benztropine
Biperclen
Trihexyphenidyl

Question 15

Antihistamines

Answer 15

Diphenhydramine

Question 16

Dopamine Agonists

Answer 16

Man, this bro is dope

Amantadine
Bromocriptine

Question 17

Nursing considerations for Anti-Parkinsonian and Anticholinergic

Answer 17

Assess for Parkinsonian and Extrapyramidal symptoms before and after meds
Assess vital signs, watch for orthostatic hypotension
Check with doctor before taking OTC meds
Prevent constipation

Question 18

Tricyclic meds

Answer 18

*Amitriptyline
Clomipramine
*Doxepin
*Imipramine

Most common drugs have endings triptyline and ipramine

Question 19

These antidepressant medications can cause significant anticholinergic effects and can be use for suicide

Answer 19

Tricyclics

Question 20

Monoamine Oxidase Inhibitors (MAOI) meds

Answer 20

TIP to remember

T - Tranylcypromine
I - Isocarboxazid
P - Phenelzine

Question 21

These antidepressant medications increase tyramine levels, has many drug and food interactions (especially fermented foods and drinks)

Answer 21

MAOI’s

Question 22

Selective Serotonin Reuptake Inhibitors (SSRI) meds (most frequently used)

Answer 22

So - SSRI
Effective - Escitalopram
For - Fluoxetine / Fluvoxamine
Compulsion - Citalopram
Panic - Paroxetine
&
Sadness - Sertraline

Citalopram
Escitalopram
Fluoxetine
Fluvoxamine
Paroxetine
Sertraline

Question 23

Serotonin-Norepinepherine Reuptake Inhibitors (SNRI) meds

Answer 23

At sunrise (SNRI’s), eating vanilla (Venlafaxine) icecream watching a duel (duloxetine)

Venlafaxine
Duloxetine

Question 24

These classes of antidepressant meds have a 2-6 week period before therapeutic levels will be reached

Answer 24

SSRI’s
SNRI’s

Question 25

Miscellaneous antidepressants

Answer 25

Bupropion
Mirtazapine
Trazodone

Question 26

Contraindications or cautions for antidepressants

Answer 26

Cardiac, renal or hepatic insufficiency
Psychotic clients
Clients with angle closure glaucoma, BPH or history of seizures

Question 27

This class of antidepressants has the potential side effect of a hypertensive crisis

Answer 27

MAOI’s

Question 28

This complication of antidepressants can cause symptoms such as change in mental status, confusion, agitation, neuromuscular rigidity, weakness, sluggish pupils, shivering, tremor, muscle jerking, hyperthermia, tachycardia, tachypnea, hypersalivation and diaphoresis

Answer 28

Serotonin Syndrome

Question 29

Do not consume _____ containing foods while taking these antidepressants ____

Answer 29

Tyramine
MAOI’s