Psych Flashcards
Atomoxetine is indicated in what diagnosis?
What class of med is it?
ADHD
SNRI
Neuroleptic malignant syndrome is caused by what type of medication
Antipsychotics
What condition presents with hyperthermia, tachycardia, hypertension, rigidity and altered mental status
Neuroleptic malignant syndrome
Immobility, mutism, negativism, echolalia
Catatonia
Personality disorder cluster traits
A-
B-
C-
A- odd/ eccentric
B- dramatic/ erratic
C- anxious fearful
High fever, muscular rigidity, mental status changes, hyper reflexia/ clonus, shivering, dilated pupils.
Caused by what?
Serotonin syndrome- often from mixing meds working on seratonergic system
Sudden onset high fever, muscular rigidity, mental status change, fluctuating BP, urinary incontinence.
Called?
Caused by ?
Neuroleptic malignant syndrome
Typical and atypical antipsychotics
Name 3 atypical antipsychotics
Major side effects
Olanzepine, risperidone, quetiapine
Weight gain and assoc risks ie diabetes- monitor q 3 months
Haloperidol and chlorpromazine are what class of meds?
S/E?
Black box-
Typical antipsychotics
Elevated triglycerides/ lipids
Avoid in elderly- risk of death
Main s/e of lamotrigine
SJS
Pt on an SSRI has ED- what med would you add?
Wellbutrin
Contraindications for bupropion
Eating disorders, seizures
Venlafaxine and duloxetine are of what class?
S/E
SNRI
Avoid in narrow angle glaucoma
Amitriptyline and nortriptyline are what class?
S/E
Pregnancy?
TCA’s
- anticholinergics
Preg cat X
Epstein anomaly is caused by what medication?
Lithium
Difference between minor and major depression?
Minor is minimum 2 but less than symptoms
What med class interacts with high tyramine foods?
MAOI’s
Phenelzine & tranylcypromine are what class?
MAOI’s
Aged cheese, beer, fermented foods are all high in what?
Tyramine
St. John’s wart is used for what?
3 main drug interactions
Depression/ sleep disturbance
- Increased risk of serotonin syndrome with SSRI’s
- Decreases effectiveness of digoxin
- Causes break through bleeding and decreased effectiveness of birth control
High dose of omega 3 fatty acids are used for depression and can increase the risk of what?
Bleeding
Transient vs short-term vs chronic insomnia
Transient- <1 wk
Short-term- 2-3 wks
Chronic- >3 wks
Varenicline is used for what?
Course?
Consideration?
Smoking cessation
12 weeks
May impair ability to operate heavy machinery/ not allowed for pilots
Hypotension, visual impairment, ataxia, stupor, coma- secondary to what
Korsakoff’s syndrome- chronic alcohol abuse/ thiamine deficiency
