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ANCC Study > Psych > Flashcards

Psych Flashcards

1
Q

What antidepressants should we not use in the elderly?

A

Prozac due to long half-life

TCAs- anticholinergic side effects

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2
Q

What do we need to be mindful of prior to prescribing an aytpical psychotic such as seroquel or zyprexa?

A

Side effects of weight gain and HLD

Need a lipid profile, fasting BG, and weight before starting.

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3
Q

Treatment of bipolar depression?

A

Lithium

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4
Q

With this the patient may present with nightmares, flashbacks, hyper vigilance, exaggerated startle response, and insomnia?

A

PTSD

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5
Q

Treatment of PTSD?

A

SSRIs

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6
Q

This is depression routinely at the same time every year.

A

Seasonal affective disorder

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7
Q

What does seasonal affective disorder primarily effect?

A

Patient’s circadian rythm

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8
Q

Treatment of seasonal affective disorder?

A

More sunlight

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9
Q

What is the CYP2C19?

A

This enzyme is found in the asian population which increases metabolism of pain medication.

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10
Q

What is lexapro good for?

A

OCD, has quick onset

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11
Q

What is Paxil good for?

A

OCD, pre-menstrual disorders, menopausal symptoms

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12
Q

What do we worry about with Paxil?

A

Weight gain and sedation

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13
Q

What is Prozac good for?

A

Bulimia because it is weight neutral- patient may feel jittery

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14
Q

Who do we not give Zoloft to?

A

Those under the age of 24 due to increased risk of suicidal ideation.

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15
Q

What SSRI has the longest half-life?

A

Prozac

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16
Q

What SSRI has the shortest half-life?

A

Celexa

17
Q

What SNRI can also be used for neuropathic pain and post-herpetic neuralgia?

A

Cymbalta

18
Q

SNRIs are contraindicated in those with?

A

HTN

19
Q

With TCAs what are you more likely to see as a side effect?

A

Weight gain

20
Q

With TCS, what do we need to assess before prescribing and why?

A

Cardiac history- slows cardiac conduction

In a patient over 40, must get an EKG

21
Q

Rasagline and selegline are examples of?

A

MAOIs

22
Q

What are MAOIs used for?

A

For refractory and atypical depression

23
Q

What foods should you avoid if taking an MAOI?

A

Must avoid foods high in tyramine such as aged cheese, fermented sausages, cured meat, and yogurt. - can cause HTN crisis

24
Q

With buspar what should you not take with it?

A

MAOI

grapefruit juice

25
Q

Lithium T.I:

A

(0.6-1.2)

26
Q

Can we give lithium during pregnancy?

A

No

27
Q

Long-term side effects of lithium?

A

goiter, hyperthyroidism, and harmful effects on the kidneys

28
Q

What does HARM stand for regarding serotonin syndrome?

A

H- High fever
A: autonomic rigidity
R: hyper-reflexia
M: myoclonus

ANCC Study (14 decks)

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