PHARM: MODULE 10: PSYCHO, ANALGESIC, ANTI-INFLAMMATORY MEDS Flashcards

1
Q

What are the uses of antipsychotics?

A

blocks the excitement associated with positive symptoms

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2
Q

What are the side affects of antipsychotics?

A

pseudo parkinsonism, dystonia, akathisia

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3
Q

What are the precautions of antipsychotics?

A

To be used as LAST resort

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4
Q

What are the nursing interventions of antipsychotics?

A

Vision screening, liver and kidney function tests, mental status = baseline

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5
Q

What are the nursing considerations of antipsychotics?

A

Dose may need to be lower if elder patient, monitor for extrapyramidal symptoms (smacking lips, spasms of face, tongue, back muscles, facial grimacing, involuntary upward eye movements, jerking motions, extreme restlessness, stooped posture, shuffling gait, tremors at rest.)

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6
Q

What are the uses of antidepressants?

A

enhance the action of norepinephrine & serotonin neurotransmitters in the brain.

Blocks enzymatic breakdown of norepinephrine and slows the reuptake of serotonin.

Treat anxiety, personality disorders and impulse control, control seizure & migraine headaches

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7
Q

What are the typical types of antidepressants?

A

SSRI, TCA, MAOI

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8
Q

What are the uses of SSRI depressants?

A

slows the reuptake of serotonin in presynaptic neuron

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9
Q

What are the uses of SSRI depressants?

A

slows the reuptake of serotonin in presynaptic neuron

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10
Q

What are the uses of TCA depressants?

A

Inhibits the reuptake of Norepinephrine and serotonin into the presynaptic neuron

More happy thoughts

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11
Q

What are the uses of MAOI depressants?

A

Inhibits monoamine oxidase (breaks down neurotransmitters - norepinephrine, serotonin, dopamine)

stops breakdowns of neurotransmitters

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12
Q

What are the side affects of antidepressants?

A

Drowsiness, sedation, orthostatic hypotension, palpitations, insomnia, confusion, weight gain

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13
Q

What are the precautions of antidepressants?

A

Avoid alcohol and tyramine rich foods (cheese, yogurt, coffee, chocolate, bananas, raisins, liver, pickles, herring, sausage, soy sauce, yeast, beer & red wines)

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14
Q

What are the nursing interventions of antidepressants?

A

Suicide precautions, carefully monitor patients with seizures, maintain safety - syncope

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15
Q

What are the nursing considerations of antidepressants?

A

Be aware that it may take several weeks or more to achieve therapeutic effect, maintain follow up, sweating & anticholinergic side effects, take meds as prescribed, do not take any prescription and OTC or herbal products, change position slowly, do not drive or engage in hazardous activities until sedative effects is known

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16
Q

What are the uses of ADHD medications?

A

CNS stimulant, reverse symptoms helping focus

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17
Q

What are the side affects of ADHD medications?

A

weight loss, loss of appetite, headache, insomnia, abdominal pain, cough

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18
Q

What are the precautions of ADHD medications?

A

High risk of abuse

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19
Q

What are the nursing interventions of ADHD medications?

A

Monitor mental status, observe changes in consciousness, persistent drowsiness, agitation, anxiety, dizziness, trembling, seizures. Monitor vitals, GI, and lab tests. Assess effectiveness. Monitor sleep-wake cycle

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20
Q

What are the nursing considerations of ADHD medications?

A

Instruct client to report any significant increase in motor behaviour, changes in sensorium, dysphoria. Report rapid heartbeat, palpitations, dizziness, monitor BP, report GI upset, take with meals, weigh self weekly, report SOB, fatigue, pallor, nausea, vomiting, rash, jaundice

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21
Q

What are the uses of analgesics?

A

Peripheral Level, inhibit prostaglandin synthesis, minimally decrease inflammation

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22
Q

What are the side affects of analgesics?

A

GI Upset. Tinnitus, hearing loss, reye’s syndrome, bleeding. Liver failure

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23
Q

What are the precautions of analgesics?

A

Assess previous bleeding disorders and gastric ulcers

24
Q

What are the nursing interventions when administering analgesics?

A

Monitor nausea, abdominal pain, anorexia, dizziness, and drowsiness. Take with food. Vitals, GI elimination, CBC (blood loss), input & output

25
Q

What are the nursing considerations when administering analgesics?

A

reason for obtaining baseline, goals, diagnostic procedures, lab tests, side effects

26
Q

What are the uses of narcotics/opioids?
(narcotic and non-narcotic)

A

CNS Depressants, bind to CNS receptors, mimics endorphins

27
Q

What are the side affects of narcotics/opioids?
(narcotic and non-narcotic)

A

Can cause sedation, constipation, respiratory depression, hypotension, delirium

28
Q

What are the precautions of narcotics/opioids?
(narcotic and non-narcotic)

A

Hypersensitivity. Allergies, previous respiratory disorders

29
Q

What are the nursing interventions of narcotics/opioids?
(narcotic and non-narcotic)

A

RR < 12 = withhold medications, assess urine output, constipation, and nausea. Observe for seizures, keep resuscitation near by

30
Q

What are the nursing considerations of narcotics/opioids?
(narcotic and non-narcotic)

A

Must perform history for severe respiratory disorders, ICP, seizures, liver or renal disease and allergies. Assess pain. High risk for abuse. Report jaundice, rash, vomiting, diarrhea, abdominal pain, tenderness, do not share the medication, report seizure activity, report increased/return of pain, report fever or flank pain, monitor fluid intake & output, symptoms of anaphylaxis

31
Q

What are the uses of NSAIDS?
(narcotic and non-narcotic)

A

analgesic & antipyretics. Inhibits COX (enzyme responsible for synthesis of prostaglandins)

32
Q

What are the side affects of NSAIDS?
(narcotic and non-narcotic)

A

Ulcers, bleeding, liver & kidney failure

33
Q

What are the precautions of NSAIDS?
(narcotic and non-narcotic)

A

Assess previous bleeding disorders and gastric ulcers

34
Q

What are the nursing interventions of NSAIDS?
(narcotic and non-narcotic)

A

Monitor nausea, abdominal pain, anorexia, dizziness, and drowsiness. Take with food. Vitals, GI elimination, CBC (blood loss), input & output

35
Q

What are the nursing considerations of NSAIDS?
(narcotic and non-narcotic)

A

reason for obtaining baseline, goals, diagnostic procedures, lab tests, side effects

36
Q

What are the uses of sedatives/hypnotics/anxiolytics?

A

Relax client, causes CNS depression

37
Q

What are the precautions of sedatives/hypnotics/anxiolytics?

A

Hypersensitivity. History including day time sleep, dependence. Suicidal tendency

38
Q

What are the side affects of sedatives/hypnotics/anxiolytics?

A

Fever, psychosis, seizures, increased heart rate, lowered bp, loss of appetite, muscle cramps, impairment of memory, concentration and orientation. Abnormal sounds in ears

39
Q

What are the nursing interventions of sedatives/hypnotics/anxiolytics?

A

Vitals, neurological status, ensure safety, monitor intake of stimulants, monitor affect and emotional status, avoid abrupt discontinuation.

40
Q

What are the nursing considerations of sedatives/hypnotics/anxiolytics?

A

consult health care provider, vitals, report extreme lethargy, slurred speech, disorientation, ataxia, do not drive until affects are known, avoid OTC sleep aids, significant mood changes need to be reported, avoid alcohol

41
Q

What are the uses of local anesthetics?

A

Block sodium channels - blocking impulses

42
Q

What are the side affects of local anesthetics?

A

CNS stimulation - restlessness, anxiety, drowsiness, unresponsiveness, hypotension, dysrhythmias

43
Q

What are the precautions of local anesthetics?

A

Patients with history of CV disease given non-epinephrine - to reduce sympathomimetic affects on heart and BP. Avoid using on large surfaces of body to reduce chances of it being absorbed for systemic affects

44
Q

What are the nursing interventions of local anesthetics?

A

Prepare area and monitor effectiveness, assess pain and comfort

45
Q

What are the nursing considerations of local anesthetics?

A

Document broken skin, infections, burns, wounds at site of anesthetic admin. Instruct to report any discomfort during procedure, palpitations, do not eat 1 hour before admin, avoid chewing until unfrozen to avoid biting injury

46
Q

What are the uses of general anesthetics?

A

Entire body & loss of consciousness, rapid & complete loss of sensation. Depresses all activity in brain

47
Q

What are the side affects of general anesthetics?

A

total analgesia, loss of consciousness, memory, body movement. Nausea, vomiting

48
Q

What are the nursing interventions of general anesthetics?

A

Vitals, monitor LOC, assess pain level, give meds to prevent nausea and vomiting. Ensure patient is aware of procedure and accurate information, all questions answered, preoperative status

49
Q

What are the nursing considerations of general anesthetics?

A

Give pre-op & post-op instructions. Refrain from alcohol 24 hrs prior, NPO to prevent aspiration, nausea, vomiting, no meds 24 hours before

50
Q

What are the uses for anti-inflammatory/ antipyretic?

A

Stimulates hypothalamus to increase sweating

51
Q

What are the side affect for anti-inflammatory/ antipyretic?

A

Reduction in body temperature

52
Q

What are the precautions for anti-inflammatory/ antipyretic?

A

alcoholism, diabetes

53
Q

What are the nursing interventions for anti-inflammatory/ antipyretic?

A

Assess for intolerance, monitor kidney and liver status

54
Q

What are the nursing considerations for anti-inflammatory/ antipyretic?

A

Monitor liver and kidney status, inform about overdosages. Immediately report excessive thirst and decreased urine outpu

55
Q

What are some healthy ways to minimize symptoms of nervous system disease?

A

Anti-inflammatory foods, acupuncture, massage, therapeutic touch, TENS, posture, exercise, heat & cold
Meditation & imagery, stress management, art & music therapy

56
Q

What is (Electroconvulsive Therapy) ETC?

A

Shock therapy that is applied to different parts of the body.
*Basically giving someone a seizure