NUS 210 - Test 3 Psych Meds Flashcards
Atypical Anti-Psychotic Meds
Aripiprozole
*Clozapine
Lurasidone
*Quetiapine
Olanzapine
Paliperidone
*Risperidone
*Ziprasidone
End in pine / done except for Aripiprozole
Typical Anti-Psychotic Meds (Phenothiazines & Butyrophenone)
*Chlorpromazine
*Fluphenazine
Thioridazine
*Trifluoperazine
*Haloperidol
End in zine except for Haloperidol
These meds target the positive symptoms of schizophrenia
Typical Anti-Psychotics
These meds target the positive and negative symptoms of schizophrenia. Also used to target mood symptoms, cognitive impairment, and difficulty with socialization.
Atypical Anti-Psychotics
What are the group of expected / normal side effects of anti-psychotic meds called
Anticholinergic Side Effects
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
Extrapyramidal Side Effects
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
Tardive Dyskinesia
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
Neuroleptic Malignant Syndrome
This group of side effects requires meds to be stopped and the physician be notified, irreversible damage may occur
Tardive Dyskinesia
This group of side effects requires meds to be stopped and notify the physician, medical emergency that can kill the patient
Neuroleptic Malignant Syndrome
This anti-psychotic med may cause agranulocytosis and requires WBC’s be checked weekly for the first 6 months, then every 2 weeks after
Clozapine
Major patient / family teaching points for Antipsychotics
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
These classes of medications is used for treatment of parkinsonism and relief of extrapyramidal side effects
Anti-Parkinsonian
Anticholinergic
Dopamine Agonists
Antihistamines
Anticholinergic meds
Benztropine
Biperclen
Trihexyphenidyl
Antihistamines
Diphenhydramine
Dopamine Agonists
Man, this bro is dope
Amantadine
Bromocriptine
Nursing considerations for Anti-Parkinsonian and Anticholinergic
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
Tricyclic meds
*Amitriptyline
Clomipramine
*Doxepin
*Imipramine
Most common drugs have endings triptyline and ipramine
These antidepressant medications can cause significant anticholinergic effects and can be use for suicide
Tricyclics
Monoamine Oxidase Inhibitors (MAOI) meds
TIP to remember
T - Tranylcypromine
I - Isocarboxazid
P - Phenelzine
These antidepressant medications increase tyramine levels, has many drug and food interactions (especially fermented foods and drinks)
MAOI’s
Selective Serotonin Reuptake Inhibitors (SSRI) meds (most frequently used)
So - SSRI
Effective - Escitalopram
For - Fluoxetine / Fluvoxamine
Compulsion - Citalopram
Panic - Paroxetine
&
Sadness - Sertraline
Citalopram
Escitalopram
Fluoxetine
Fluvoxamine
Paroxetine
Sertraline
Serotonin-Norepinepherine Reuptake Inhibitors (SNRI) meds
At sunrise (SNRI’s), eating vanilla (Venlafaxine) icecream watching a duel (duloxetine)
Venlafaxine
Duloxetine
These classes of antidepressant meds have a 2-6 week period before therapeutic levels will be reached
SSRI’s
SNRI’s
Miscellaneous antidepressants
Bupropion
Mirtazapine
Trazodone
Contraindications or cautions for antidepressants
Cardiac, renal or hepatic insufficiency
Psychotic clients
Clients with angle closure glaucoma, BPH or history of seizures
This class of antidepressants has the potential side effect of a hypertensive crisis
MAOI’s
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
Serotonin Syndrome
Do not consume _____ containing foods while taking these antidepressants ____
Tyramine
MAOI’s
