PHARM: MODULE 10: PSYCHO, ANALGESIC, ANTI-INFLAMMATORY MEDS Flashcards
What are the uses of antipsychotics?
blocks the excitement associated with positive symptoms
What are the side affects of antipsychotics?
pseudo parkinsonism, dystonia, akathisia
What are the precautions of antipsychotics?
To be used as LAST resort
What are the nursing interventions of antipsychotics?
Vision screening, liver and kidney function tests, mental status = baseline
What are the nursing considerations of antipsychotics?
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.)
What are the uses of antidepressants?
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
What are the typical types of antidepressants?
SSRI, TCA, MAOI
What are the uses of SSRI depressants?
slows the reuptake of serotonin in presynaptic neuron
What are the uses of SSRI depressants?
slows the reuptake of serotonin in presynaptic neuron
What are the uses of TCA depressants?
Inhibits the reuptake of Norepinephrine and serotonin into the presynaptic neuron
More happy thoughts
What are the uses of MAOI depressants?
Inhibits monoamine oxidase (breaks down neurotransmitters - norepinephrine, serotonin, dopamine)
stops breakdowns of neurotransmitters
What are the side affects of antidepressants?
Drowsiness, sedation, orthostatic hypotension, palpitations, insomnia, confusion, weight gain
What are the precautions of antidepressants?
Avoid alcohol and tyramine rich foods (cheese, yogurt, coffee, chocolate, bananas, raisins, liver, pickles, herring, sausage, soy sauce, yeast, beer & red wines)
What are the nursing interventions of antidepressants?
Suicide precautions, carefully monitor patients with seizures, maintain safety - syncope
What are the nursing considerations of antidepressants?
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
What are the uses of ADHD medications?
CNS stimulant, reverse symptoms helping focus
What are the side affects of ADHD medications?
weight loss, loss of appetite, headache, insomnia, abdominal pain, cough
What are the precautions of ADHD medications?
High risk of abuse
What are the nursing interventions of ADHD medications?
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
What are the nursing considerations of ADHD medications?
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
What are the uses of analgesics?
Peripheral Level, inhibit prostaglandin synthesis, minimally decrease inflammation
What are the side affects of analgesics?
GI Upset. Tinnitus, hearing loss, reye’s syndrome, bleeding. Liver failure