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0NCLEX Meds > Psych > Flashcards

Psych Flashcards

1
Q

Propranolol

A
  • effective for akathisia
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2
Q

Haloperiodol

A
  • schizophrenia
  • detremental in treating dystonia (involuntary muscle contract, twisting)
    • avoid with Parkinson’s
  • can prolong QT interval
  • anticholinergic effects are common
    • blurred vision
    • memory impairment
    • constipation
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3
Q

Thiamin

A

B vitamin for alcohol withdrawal

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4
Q

Risperidone

A
  • schizophrenia
  • autism
  • behavioral disturbances
  • delusions
  • bipolar
  • increases prolactin levels
  • causes gynecomastia/glactorrhea (man boobs)
  • chew sugar-free gum for dry mouth
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5
Q

Bupropion

A
  • antidepressant
  • gives increased energy = lose weight
    • AVOID in bulimia
  • does not cause sexual side effects
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6
Q

Buprenorphine

A
  • used for opiod use disorder
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7
Q

Buspirone

A
  • mainly for anxiety
  • takes 2-4 weeks to work
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8
Q

Lithium

A
  • bipolar (LI=BI)
  • continue consistent salt intake
  • 3 P’s
    • peeing
    • pooping
    • paresthesia (numbness + tingling)
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9
Q

Paroxetine

A
  • SSRI
  • broad-spectrum anxiety disorders
  • depression
  • OCD
  • don’t give if pregnant
  • 6-8 weeks to work
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10
Q

Amitriptyline

A
  • TCA - antidepressant
  • treats panic disorder
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11
Q

Diazepam

A
  • benzo
  • treats anxiety, insomnia, and panic
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12
Q

Phenelzine

A
  • MAOI
  • treats social anxiety, depression, and panic
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13
Q

Zolpidem

A
  • non-benzo = HYPNOTIC
  • treats insomnia
  • concern in somnambulation (sleep walking)
  • fall risk
  • Ambien
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14
Q

Varenicline

A
  • helps with smoking cessation
  • start 7 days before planned quit date
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15
Q

Venlafaxine

A
  • serotonin-norepinephrine reuptake inhibitor
  • depression/anxiety med
  • may increase suicidal thoughts
  • avoid St. Johns Wort
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16
Q

Excessive ingestion of tricyclic antidepressants (TCAs)

A
  • long QT interval
  • torsade de pointes
  • sudden cardiac death
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17
Q

Clozapine

A
  • treats schizophrenia
  • worst metabolic disturbances
    • hyperglycemia
    • weight gain
    • hyperlipidemia
  • obtain baseline weight
  • obtain neutrophil count, liver test, fasting glucose, and hemoglobin

reserved for treatment-resistant psychotic disorders

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18
Q

Valporic acid (VPA)

A
  • mood stabilizer
    • manic episodes
  • can cause thrombocytopenia
    • monitor CBC
  • hepatotoxic
    • liver function tests needed
  • acts quickly when given through IV
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19
Q

Donepezil

A
  • Alzheimer’s
  • dementia
  • takes 1 month to work
  • gastric distress most common side effect!!!
  • monitor for
    • bradycardia
    • syncope
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20
Q

Dont use in Alzhermier’s

A
  • Anticholinergics such as diphenhydramine
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21
Q

Methadone

A
  • helps withdrawal with opiod use disorder
  • decreased transmission of HIV and Hep C
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22
Q

Naltrexone

A
  • helps is opioid use disorder
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23
Q

Flumazenil

A
  • reverse effects of benzos
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24
Q

Nortriptyline

A
  • depression
  • OCD disorders
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25
Q

Fluphenazine

A
  • schizo
  • dystopia reaction (all typical antipsychotic)
    • give diphenhydramine
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26
Q

ADHD stimulates

A
  • Methylphenidate
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27
Q

ADHD nonstimulants

A
  • no nervousness, weight loss, or tics
  • monitor liver
  • Atomoxetine
    • may cause liver injury
    • monitor live function tests
  • Guanfacine
    • abrupt stop = rebound hypertension
  • Clonidine
    • abrupt stop = rebound hypertension
28
Q

Typical antipsychotics (1st gen)

A
  • -zine, -dol
  • dystonia
  • give anticholinergics like diphenhydramine
  • thiothixene
  • fluphenazine
  • haloperidol
  • chlorpromazine
29
Q

Atypical antipsychotics (2nd gen)

A
  • -done, -pine, -zole
  • preferred because of decreased risk of movement disorders
  • risk of increased glucose and weight
  • risperidone
  • olanzapine
  • quetiapine
  • clozapine
  • lurasidone
  • ziprasidone
  • aripiprazole
  • brexpiprazole
30
Q

Extrapyramidal side effects (EPS)

A
  • akathisia
    • inability to remain still
  • dystonia
    • face, neck, shoulders spasm involuntarily
    • repeatitive twisting
  • pseudo parkinsonism
    • slowed movements
    • muscle stiffness
    • shufflig walk
  • tardive dyskinesia
    • involuntary facial tics
    • uncontrollable lip-smacking
    • happens many months-years after taking antipsychotics
31
Q

Amobarbital

A

barbiturate (sedative) used for sedation and insomnia

32
Q

Concern with 2nd gen

A
  • increase in glucose and weight
  • especially clozapine and olanzapine
  • For any generation antipsychotic
    • monitor for neuroleptic malignant syndrome (NMS)
    • fever, muscle rigidity, delirium, and tachycardia
33
Q

Ziprasidone

A
  • 2nd gen atypical antipsychotic
  • prolong QT interval
  • increase prolactin levels and weight
34
Q

Imipramine

A
  • TCA
  • depression
  • bed wetting
35
Q

Fluoxetine

A
  • SSRI, mood elevator
  • depression
  • OCD
  • anorexia
  • causes insomnia
  • suicide risk when changing dose in adolescents

(Prozac)

36
Q

Fluvoxamine

37
Q

Sertraline

A
  • antidepressant
  • can cause insomnia
  • interacts with St. John’s Wart and Warfarin
  • s/e SAD HEAD
  • sweating
  • apprehensive (feeling of doom)
  • dizziness
  • headache

(Zoloft)

38
Q

Escitalopram

A
  • depression
  • generalized anxiety
  • OCD
39
Q

All psych meds s/e

A
  • weight changes (usually weight gain)
  • low BP
40
Q

Lithium risks

A
  • hair loss
  • weight gain
  • risk for hypothyroidism (thyroid panel test)
  • toxic symptoms
    • hand tremor (resolves in 1-2 weeks)
    • metallic taste
    • diarrhea

avoid NSAIDs, ACE, and DIURETICS!!

41
Q

Lamotrigine

A
  • mood stabilizer for bipolar/depression
  • can also treat epilepsy (anticonvulsant)
  • titrate slowly d/t risk of rash
  • first rash (d/t fast tritrate)
    • painful blisters on upper body, eyes, lips and mouth (Steven-Johnson’s Syndrome) = report immediately
  • second rash
    • benign, no symptoms when titrated up
42
Q

Hydroxyzine (psych)

A
  • treats anxiety
43
Q

Citalopram

A
  • SSRI antidepressant
  • depression and anxiety disorders
44
Q

Neuroleptic Malignant Syndrome (NMS)

A
  • risk from antipsychotics
  • muscle rigidity
    • client feels like lead pipe
  • fever!
  • tachycardia
46
Q

Clonidine

A
  • alpha2-adrenergic agonist
  • hypertension
    • delirium tremens
  • ADHD
  • abrupt stop = rebound hypertension
  • sedative
    • avoid alcohol
47
Q

Prazosin

A
  • hypertension
  • PTSD
  • prostatic hyperplasia
48
Q

Lurasidone

A
  • atypical
  • bipolar (mood stabilizer)
  • schizophrenia
49
Q

Monitor _____ when taking MAOI

A

blood pressure
-can cause both hypertension and hypotension.
- Severe hypertension if the client consumes excessive tyramine
- avoid smoked meats, overripe fruit, aged cheese/meats (Swiss cheese)
- avoid SSRI (fluoxetine)
- serotonin syndrome

50
Q

Tranylcypromine

A
  • MAOI
  • major depression when other meds don’t work
51
Q

MAOI

A
  • major depression
  • give when conventional meds don’t work
    • SSRI
      • citalopram
      • fluvoxamine
      • fluoxetine
52
Q

Bipolar meds

A
  • catatonia (absent movement/speech)
  • mood stabilizers
    • quetiapine
    • lithium
    • lurasidone
    • carbamazepine
53
Q

SSRI considerations

A
  • can cause insomnia
    • take in morning
  • do not take with St. John’s Wort
  • swallow whole, do not chew
54
Q

Carbamazepine

A
  • bipolar med
  • anticonvulsant
  • causes blood dyscrasias
    • pancytopenia
      • low RBC, WBC, platelets
    • obtain order for CBC
55
Q

Trazodone

A
  • serotonergic med
  • depression
  • insomnia
  • sedative = dizziness = fall risk
  • dry mouth is common
  • can cause priapism
    • prolonged/painful erection of penis
    • can result in ischemia
56
Q

Midazolam

A
  • benzo
  • sedation
57
Q

Acamprosate

A
  • supports recently quit alcohol
  • decreases cravings
  • common side effect is diarrhea
  • can be combined with naltrexone
  • take 3 times a day
58
Q

Disulfiram

A
  • drinking alcohol will cause headaches, nausea, vomiting
59
Q

Serotonin syndrome

A
  • serotonin toxicity
  • hyper-alert
  • rigid muscles
  • diarrhea
  • sweating
  • tachycardia
  • significant fever!!!!
  • stomach upset
  • sexual dysfunction
  • avoid combo of SSRI and MAOI
60
Q

Alpha2-adenergic agonist

A
  • non-stimulant ADHD meds (second-line to stimulants)
  • helps brain become more calm
  • easier to concentrate
61
Q

Aldosterone receptor antagonist

A
  • bodyguards for blood pressure
  • aldosterone tell kidneys to hold on to more salt and water in kidneys
    • this will raise your BP
  • these meds block aldosterone so kidneys can flush out the excess salt and water
    • DIURETIC
62
Q

Meds for personality disorders

A
  • NO APPROVED MEDS
  • SEEK COUNSELING/THERAPY
63
Q

Beta-2 agonist

A
  • asthma / COPD
  • relax muscles around airways
    • makes airways wider
    • allowing more air
  • Albuterol
  • Salmeterol
64
Q

Amphetamine intoxication

A
  • central nervous stimulant
  • profound hypertension
  • tachycardia
  • agitation/irritable/impulsive
  • euphoria
  • vomiting
  • hallucinations/paranoia
65
Q

Benzodiazepine intoxication

A
  • irritability
  • hypertension
  • anxiety
  • confusion
66
Q

Alcohol intoxication

A
  • central nervous depressant
  • ataxia = poor coordination
  • slurring
  • impaired memory/attention
  • diuretic effect
    • hypotension
    • tachycardia
  • vomiting
  • NO HYPERTENSJON OR PARANOIA

0NCLEX Meds (13 decks)

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