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Proctored Exam Flashcards

1
Q

List the SSRIs generic names

A
  1. Citalopram
  2. Escitalopram
  3. Paroxetine
  4. Sertraline
  5. Fluoxetine
  6. Fluvoamine
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2
Q

SSRIs are the 1st line of tx for which disorders

A
  1. trauma
  2. stress
  3. panic
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3
Q

List early adverse effects of SSRIs

A
  1. Nausea
  2. Diaphoresis
  3. Tremors
  4. Fatigue
  5. Drowsiness
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4
Q

List later adverse effects of SSRIs

A
  1. Sexual dysfxn
  2. Weight changes
  3. GI bleeding
  4. Hyonatremia
  5. Serotonin syndrome
  6. Bruxism
  7. Withdrawal syndrome
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5
Q

When can serotonin syndrome begin?

A

2-72 hrs after tx

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6
Q

List Sx of serotonin syndrome

A
  1. anxiety
  2. hyperreflexia
  3. hallucinations
  4. Fever
  5. difficulty concentrating
  6. incoordination
  7. tremors
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7
Q

List Sx of withdrawal syndrome

A
  1. Nausea
  2. Sensory disturbances
  3. Anxiety
  4. Tremor
  5. Malaise
  6. Unease
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8
Q

SSRIs are contraindicated for which other meds

A
  1. TCAs
  2. MAIOs
  3. St. John’s Wort
  4. Warfarin
  5. NSAIDs
  6. Li+
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9
Q

What type of pts should avoid SSRIs?

A
  1. Bipolar pts
  2. pregnant women
  3. liver and renal impaired
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10
Q

What should pts avoid who use SSRIs?

A

ETHOL

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11
Q

What is the prototype SSRI?

A

Paroxetine

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12
Q

List the SNRIs by their generic name

A
  1. Venaflaxine
  2. Desvenaflaxine
  3. Duloxetine
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13
Q

What are SNRIs used to treat?

A
  1. GAD
  2. Panic disorders
  3. Major Depression
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14
Q

List side effects of SNRIs

A
  1. Headache
  2. Vomiting
  3. Agitation
  4. Anxiety
  5. Dry mouth
  6. Sleep disturbances
  7. Hyponatremia (esp. in older adults taking diuretics)
  8. Anorexia
  9. HTN
  10. Sexual dysfxn
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15
Q

Which meds should those take SNRIs avoid?

A
  1. NSAIDs
  2. St. John’s Wort
  3. MAOIs
  4. Anticoagulants
  5. Opioids, sedative and hypnotics
  6. Antihistamines
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16
Q

Which type of pts should avoid duloxetine?

A

those with hepatic diseases

17
Q

List the benzodiazepines by their generic names

A
  1. Alprazolam
  2. Lorazepam
  3. Cholordizepoxide
  4. Diazepram
  5. Clonazepam
  6. Oxazepam
  7. Clorazepate
18
Q

What are benzodiazepines used to treat?

A
  1. GAD

2. Panic disorder

19
Q

List some side effects of benzos?

A
  1. sedation
  2. Lightheadness
  3. Ataxia
  4. Decreased cognitive fxn
  5. Anterograde amnesia
  6. insomnia
  7. euphoria
  8. anxiety
  9. rage
20
Q

What is the antidote for IV benzodiazepines?

A

Flumazenil

21
Q

List opioid withdrawal Sx

A
  1. Anxiety
  2. Insomnia
  3. diaphoresis
  4. tremors
  5. lightheadness
  6. delirium
  7. seizures
22
Q

Why are benzodiazepines only used for short-term?

A

they are highly addicting

23
Q

If GI upset occurs while taking a benzo, what is your intervention?

A

give the med with meals or snacks

24
Q

What is the only non-benzo?

25
What Buspirone used to treat?
panic disorder, OCD, SAD, GAD
26
List side effects of buspirone
1. dizziness 2. nausea 3. headache 4. lightheadness 5. agitation
27
Which meds should those taking Buspirone avoid?
1. ethromycin 2. ketaconazole 3. St. John's Wort 4. MAOIs
28
Which food/drink should those taking buspirone avoid?
grapefruit juice
29
Which TCA does ATI mention, the generic name?
Amitriptyline
30
List some side effects of Amitriptyline
1. Anticholinergic effects (urinary retention, blurred vision, dry mouth, constipation) 2. orthostatic hypotension 3. weight gain 4. arrhythmias
31
What type of pt should not receive a TCA?
Suicidal pt
32
What is the only MAIO ATI mentions, generic name?
Phenylzine
33
What is are your 2 main teachings for a pt taking an MAIO?
1. do not consume foods with Tyr | 2. Do not take any OTC meds or other meds before consulting
34
What is the only atypical antidepressant mentioned in ATI?
Bupropion
35
What type of pts is Bupropion contraindicated?
seizure pts
36
Why should you the monitor the weight of a pt taking Bupropion?
it is an appetite suppressant
37
What is the MOA of St. John's Wort?
antidepressive effects
38
What type of pts should receive light therapy?
seasonal affective depressive

Mental Health (16 decks)

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