- It means long acting! - "D" will often be after the name of a drug. - I .M. form given to non-compliant clients. - Often court ordered - Pt. gets Prolixin mthly injections at clinic. - If non-compliant, clinic will call police.

PSYC. DRUGS Flashcards by Erin Lee

ALL PSYC. DRUGS CAUSE _____ and ______.

Low BP and Weight Change.

Most psyc. drugs make you gain weight, but prozac will make you lose weight.

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Describe PhenothiaZINES

1st generation or typical antipsychotics all end in “ ZINE”
“We use “ZINES” for the Zaney”
Considered Major Tranquilizers
ACTION: they do not cure, only < symptoms.

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In large doses PhenothiaZINES are considered?

Antipsychotics.

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In small doses PhenothiaZINES are considered?

Antiemetic

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Major tranquillizers have major side effects. What are they?

THINK: ABCDEFG

Anticholinergic (dry mouth).
Blurred Vision
Constipation
Drowsiness
EPS - extra parametal syndrome
Fhoto-sensitivity
A - Granulo-cytosis (< WBC - immunosuppressed.

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What should the nurse do when the Pt is experiencing normal side effects to Major tranquilizers?

Action:
Teach pt.
Inform Doc
Administer Pill

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How should the nurse care for a Pt. having toxic effects to a major tranquilizer?

Hold Med

Call Doc

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What is the #1 diagnosis for TX. of side effects for blurred vision, drowsiness, and EPS

Risk for injury - safety issues

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Define Decanoate

It means long acting!
“D” will often be after the name of a drug.
I .M. form given to non-compliant clients.
Often court ordered
Pt. gets Prolixin mthly injections at clinic.
If non-compliant, clinic will call police.

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Describe Tricycline

Old class of drugs that have been grandfathered into a new class NSSRI’s.

Mood elevators used to tx. depression “ Happy Pills”
“ Elavil, Tofranil, Ativil, Deseril”

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What are the name of the 4 mood elevators used to TX, depression?

“Elavil, Tofranil, Ativil, Deseril”

Remember “Elavil Elevates”

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What are the side effects of Tricycline Antidepressants such as Elavil, Tofranil, Ativil, Deseril?

Think:ABCDE

Anticholinergic ( dry mouth).
Blurred vision
Constipation
Drowsiness
Euphoria

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How long do you have to take Tricycline Antidepressants such as Elavil, Tofranil, Ativil, Deseril before they will have therapeutic effects?

24hrs

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Describe BenodiaZEPines

Anti-Anxiety Meds
Minor tranquilizers
Always have ZEP in the name

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ZEPS and ZINES are ?

Tranquilizers

“ ZINES for the ZANEY” and “ZEPS of the Minors”

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Besides Anti Anxiety Med what else can a BenodiaZEPine used for?

Pre-op to induce anesthesia.
Muscle Relaxant
Alcohol withdrawl
Seizures
Help Pt. relax when fighting a ventilator

How long does it take for BenodiaZEPines to have a therapeutic effect?

They work quickly, but must not take them for 2-4 weeks

What is the relationship between an Anti Depressant and a Major Tranquilizer?

Anti Depressants works with in 2-4 weeks and you can take it for life.

Major Tranquilizer works immediately, but cannot be on them for more than 2-4 weeks

If a pt. comes into the clinic majorly depressed what will the Doctor likely prescribe? What re the side effects?

Initially both a Major Tranquilizer and Anti Depressant until the anti depressant kicks in.

Side Effects:

Anticholinergic ( dry mouth).
Blurred vision
Constipation
Drowsiness
Safety Concern*

What is a MAO inhibitor used for? Name 3 of them and their side effects.

Antidepressants

Marplan
Nardil
Parnate

Side Effects

Anticholinergic ( dry mouth).
Blurred vision
Constipation
Drowsiness

What teaching would the nurse implement for a patient taking an MAO inhibitor In order to prevent Acute/Fatal Hypertensive Crisis?

MUST AVIOD ALL FOODS WITH TYRAMINE!

Avoid BAR!
Bananas
Avocado
Raisins (dried fruit).

No organ meats
No Perserved meats
No Cheese - EXCEPT Cottage & Mozzarella
No Yogurt
No Alcohol or Chocolate
No over the counter MEDS.

Describe Lithium

Electrolyte
Used to TX. Bipolar disorder b/c it decreases Mania.
All other PSYC. drugs are “neuromesseruppers”
-Stabilize nerve cell membranes

What are the 3 side effects of Lithium?

Peeing
Pooping
Paresthesia

Large does of lithium cause ________ this is a sign of ______?

Numbness and Tingling

- Decreased Sodium

What 3 SandS will the nurse of with Lithium Toxicity? How would the nurse intervene?

Tremors Metallic Taste Severe Diarrhea Hold Call Doc > fluids b/c peeing and pooping all the time at risk for FVD. - Monitor sodium blood value - Give gatorade when sweating - Need NS for lithium to work

Lithium is toxic when _______? Lithium is ineffective when ______? Only way lithium works if ______ is normal.

- Low sodium = Toxic lithium - High sodium = Lithium ineffective. - Only way lithium will work if sodium is normal.

Describe Prozac and its side effects.

Selective Serotonin uptake inhibitor - similar to Elavil. Side effects: - Anticholinergic ( dry mouth). - Blurred vision - Constipation - Drowsiness - Euphoria - Causes insomnia - give b/f noon. Do not give at bedtime.

When changing the dose of prozac for adolescents or young adults what do you need to watch for?

Suicidal ideations

Describe Haldol and its side effects

- Typical 1st generation Anti-Psychotic - Decanoate form - long acting IM - similar to thorazine Side effects: - Anticholinergic (dry mouth). - Blurred Vision - Constipation - Drowsiness - EPS - extra parametal syndrome - Fhoto-sensitivity - A Granulocytosis (< WBC - immunosuppressed.

What is NMS and who is at greatest risk for developing it?

NMS is a Neuroleptic malignant syndrome (NMS) is a life-threatening idiosyncratic reaction to antipsychotic drugs characterized by fever 106-108, but can start at 102, altered mental status, muscle rigidity, and autonomic dysfunction, tremors and anxiety its a medical emergency. White elderly and young adolescents are at greases risk fr developing NMS.

What is the difference between NSM and EPS?

- Both have tremors and anxiety. Only difference is temp! - Must take temperature to figure out the difference - NMS will ALWAYS have temp. - > 102 immediately call EMR usually raises to 106-108.

Describe ClonZAPril / CloZAPine

- ZAPS are for the ZANEY! - Used to TX. Schizophrenic - Meant to replace " ZINES" and HALDOL - Does not have side effects ABCDE, but then after 6mths some pt. can develop A-Granulocytosis - attacks the bone marrow. - Therefore must monitor white count. - Geadone - blk box warning prolongs Q, T interval and can cause sudden cardiac arrest, so don't use with heart pt. - Zine - typical old time anti psychotic - Zapine- new anti psychotic - Zep - minor traquillers * All tranquilizers

Describe Zoloft - Sertraline

Zoloft (sertraline) is an antidepressant belonging to a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Sertraline affects chemicals in the brain that may be unbalanced in people with depression, panic, anxiety, or obsessive-compulsive symptoms. Causes insomina, but can give at bedtimes. Watch for interactions with St. Johns Wort. Symptoms include: - Sweating - Apprehension - impending sense of doom - Dizziness - Headache Interaction with Warfarin/Coumadin - will bleed out, Coumadin will go toxic watch for bleeding.