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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
Q

What Buspirone used to treat?

A

panic disorder, OCD, SAD, GAD

26
Q

List side effects of buspirone

A
  1. dizziness
  2. nausea
  3. headache
  4. lightheadness
  5. agitation
27
Q

Which meds should those taking Buspirone avoid?

A
  1. ethromycin
  2. ketaconazole
  3. St. John’s Wort
  4. MAOIs
28
Q

Which food/drink should those taking buspirone avoid?

A

grapefruit juice

29
Q

Which TCA does ATI mention, the generic name?

A

Amitriptyline

30
Q

List some side effects of Amitriptyline

A
  1. Anticholinergic effects (urinary retention, blurred vision, dry mouth, constipation)
  2. orthostatic hypotension
  3. weight gain
  4. arrhythmias
31
Q

What type of pt should not receive a TCA?

A

Suicidal pt

32
Q

What is the only MAIO ATI mentions, generic name?

A

Phenylzine

33
Q

What is are your 2 main teachings for a pt taking an MAIO?

A
  1. do not consume foods with Tyr

2. Do not take any OTC meds or other meds before consulting

34
Q

What is the only atypical antidepressant mentioned in ATI?

35
Q

What type of pts is Bupropion contraindicated?

A

seizure pts

36
Q

Why should you the monitor the weight of a pt taking Bupropion?

A

it is an appetite suppressant

37
Q

What is the MOA of St. John’s Wort?

A

antidepressive effects

38
Q

What type of pts should receive light therapy?

A

seasonal affective depressive

Mental Health (16 decks)

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