Psych Flashcards
MAO
What type med is is ?
What do this med do? Which make you ?
Antidepressants
These meds help u hold onto longer
- norepinephrine
- Dopamine
- Serotonin
Which will make u happier
What are the 4 MAOI meds ?
- Isocarboxazid (Marplan)= eye-so-kar-BOX-a-zid
- Phenelzine (Nardil)
FEN-L-zeen - Tranylcypromine (Pardate)
tran-no-Sye-foe-meen - Selegiline (Eldepryl)
Sed-led- jir-lean
What are MAOI side effects
The ABCDs
MAOI’s Contraindications
What are 2 contraindications?
How long does it take to work ?
- Never give with a SSRI
- Know the dietary restrictions; your patient will not be allowed to eat anything with tyramine in it while taking an a MAO
This is med takes 4 to 6 weeks to work
Tyramine restricted diet
Meats-____ or ______
Grains-no _____ with ____
Vegetables- No_____
Fruits- No ____
Dairy-no ______ except ___, no ___
Sweets/oils-no _______, ____ or ______
Condiments-no _______
Meats-no organ or preserved
Grains-no grains with active yeast
Vegetables- No BAR (Banana, Avocado or Raisins)
Fruits- No BAR again
Dairy-no cheese except cottage cheese, no yogurt
Sweets/oils-no coffees, teas or chocolate
Condiments-no soy sauce
DT (delirium tremens) 10 S/S
- ) tachycardia
- ) hypertension
- ) Formication-tactile hallucination- like insect crawling on skin
- ) nightmares,
- )agitation,
- )confusion,
- )disorientation,
- )diaphoresis,
- )fever occur.
When does Delirium Tremens usually occur ? How long does it last?
. Delirium tremens typically begins between 48 and 96 hours after the last drink and lasts one to five days
Arthralgia
Pain in joint
child who has ADHD has increase risk for what ?
Injury because Inattentive or impulsive behaviors
What the positive symptoms of schizophrenia?
Positive symptoms are the presence of something that should be absent
Such as
Hallucinations
paranoia
delusions
magical thinking
What are the negative symptoms of schizophrenia?
Negative symptoms are the absence of something that should be present,
such as
anhedonia-an inability to feel pleasure
Blunt effect
What is the fear of leaving a safe place?
Agoraphobia
Where is the fear of being closed in?
Claustrophobia
What is the feet of computers?
Cyberphobia
Just a fear of being laughed at?
Gelotophobia
What’s the fear of death?
Necrophobia
What’s the fear of vomiting?
Emetophobia
alprazolam
Benzodiazepines
Clonazepam( klonopin)
Benzodiazepines
Diazepam (Valium )
Benzodiazepines
Lorazepam (Ativan)
Benzodiazepines
Temazepam (restoril)
Benzodiazepines
Benzodiazepines
What do these meds end in ?
What do they treat?
Meds that end in zepam
Is a short term med for anxiety/depression
Benzodiazepines 6nclex tips
What are the side effects
What can it be used as?
- ) very addictive
- ) short acting
- ) do not stop abruptly
- ) Watch for respiratory depression
- ) Monitor The liver function
- ) Safer then Haldol in elderly clients
Side effect are ABCDs
A-altered vital signs ( Brady , low BP ) B- blurred vision , bradycardia C- constipation, confusion D-dry mouth , dizziness S-statsis of urine (also known as urinary retention , sedation
Can be use as a anti-convulsants
Sedatives and relaxes muscles
If client overdosed on benzodiazepines what do you give ?
Flumazenil
Selective serotonin reuptake inhibitor or SSRI
What do These medications help you do ? Which in turn make you ?
All SSRI can cause ____ if too much is given ?
Never give as SSRI WITH what 2things ?
These medications help you keep serotonin in the system longer which in turn makes you happier😊
All SSRI can cause serotonin syndrome or serotonin overload of too much of the drug is given!
Never give as SSRI WITH MAOI and ST John herb EVER
What are 4 NCLEX tips for SSRI’s
How long does it take to work ?
- ) Can cause suicidal ideation ( Children/ adults)
- ) May take up to 4-6 weeks to work
- ) but can be given on the evening
- ) Avoid alcohol and disulfiram
What is lithium?
Therapeutic level is __________!-
lithium can become ______ in the system quick
What increases risk for toxicity?
Give with ___
Do not give with ____
This is not a _____ is acting drug med will work after _____ weeks,
Also must be ____ off do not _______
Is a electrolyte thats Is also a mood stabilizer
Therapeutic level is 0.6-1.2!-lithium can become toxic in the system quick.
Low Sodium levels /Hyponatremia increases risk for toxicity
Give with food
Do not give with diuretics
not a fast is acting drug ,This is med will work after 2weeks,
Also must be tapered off do not stop abruptly
What are phenothiazines?
What do they help with ?
What do phenothiazines end in_____except what 2 drugs?
Typical Anti-psychotics
Helps clients with problems associated with the positive symptoms of schizophrenia
phenothiazines end in = azine
Haloperidol, Thiothixene ( thigh -O-thick-sten)
What are typical antipsychotics also called?
First generation antipsychotics because These drugs were the first kind of medication to be given
Typical antipsychotics cause what ?
Neurolepsis= Extrapyramidal symptoms
What does neurolepsis mean ?
Altered mental status
Decreased level of consciousness
Poor motor skills
What are the side effects of typical antipsychotics?
ABCDs, extrapramidal symptoms
What is the nursing assessment For typical antipsychotics?
Monitor vital signs and temperature
Monitor for tardive dyskinesia symptoms
What drug can be given to lessen the side effects of typical antipsychotics?
Benztropine , an anti-Parkinson’s medication
Nursing care for adverse effects of typical antipsychotics meds ?
Stop meds
Flush out system with IV FLUIDS
Control the temp
What are atypical antipsychotics meds called ?
Wha do they end in____except what 2 medication ?
Second generation antipsychotics
Apine , Risperdone , Aripiprazole
What do atypical antipsychotics still have ?
But they have fewer _____?
Monitor your patient for what ?
ABCDs
Fewer Extrapyramidal symptoms
Monitor your patient for metabolic changes
Atypical antipsychotics can cause what 4 things ?
- ) hyperglycemia or diabetes type two
- ) Dyslipidemia
- ) weight gain
- ) agranulocytosis ( low WBCs)
What were they complain if they have Agranulocytosis?
What do you do if this Happens?
Basically signs of the flu
Fever
chills
bodyaches
sore throat
Medication must be stopped immediately because this is a very serious condition
When doing room assignments with psych client remember to put similar
Clients ____?
Depressed client with _____ client
Manic with _
Suicidal clients should be ____
When doing room assignments with psych client remember to put similar
Clients together
Depressed client with another depressed client
Manic with manic
Suicidal clients should be alone
Compazine belongs to which class of antipsychotics?
Phenothiazines
Compazine in smaller doses can be used as an antiemetic, which means it suppresses ______ and _____
Nausea and vomiting
Phenothiazines will make you _____, so avoid driving and operating heavy machinery
Drowsy
The routes of administration for Phenothiazines are IV, IM, PO. Which route last the longest ?
IM ( deconate form)
As with all anti-psychotic drugs, clients must be monitored for _____Reactions
Extra-pyramidal
What are Extra-pyramidal reaction?
- ) _______= Involuntary muscle contractions that cause repetitive or twisting movements.
- ) ________= a neurological disorder characterized by involuntary movements of the face and jaw.
- ) _______ = A feeling of muscle quivering, restlessness, and inability to sit still,
- ) dystonia= Involuntary muscle contractions that cause repetitive or twisting movements.
- ) tardive dyskinesia= a neurological disorder characterized by involuntary movements of the face and jaw.
- ) akathisia = A feeling of muscle quivering, restlessness, and inability to sit still,
What class of drugs can be given to decrease extra-pyramidal reactions?
Anti-parksion’s example cogentin { benztropine}
What herbal medication is contraindicated with Compazine?
Kava kava
A feeling of muscle quivering, restlessness, and inability to sit still,
akathisia
a neurological disorder characterized by involuntary movements of the face and jaw.
tardive dyskinesia
Involuntary muscle contractions that cause repetitive or twisting movements.
dystonia
What are the 6 signs of NMS?
Extreme fever
Tachycardia
Altered LOC
Seizures
muscle rigidity
Elevated lab values ( WBC/LFT)
What is the treatment for NMS?
Discontinue the medication initially
safety and seizures precautions.
Give antipyretic to reduce fever
When does this syndrome occur for NMS?
It could occur anytime a client is on antipsychotic medication, most commonly when treating begins or doses are increased
What will you see in Tardive Dyskinesia ?
Chewing motion w/ mouth
Tongue sticking in and out
Involuntary movement of arm/leg
What class of meds can you give to decrease Tardive Dyskinesia effects ?
Anti-parksion’s example cogentin { benztropine}
Tardive Dyskinesia is a side effect of what med
Antipsychotics
What is the eating cycle involved in bulimia nervosa ?
Eating binges followed by purging
Will you be able to see physical changes or weight loss in bulimia nervosa ?
Clients usually remains at a normal weight
Beside purging, what other 6 methods are used to lose weight in bulimia nervosa ?
Vomiting, enemas, drugs( speed) , diuretics, diets and pills
What are the 4 medical complications associated with bulimia nervosa?
Tooth decay, electrolyte imbalances, ulcers, cardiac arrhythmias
Safety is a concern in client with bulimia nervosa because of ?
Suicidal thoughts
Wheat are the treatment goals for bulimia nervosa?
- ) Encourage talking
- ) Safety and assessing for suicidal potential
- ) Establish a diet plan
- ) supervision during meal times
- ) anti-depressants may be prescribed
Wheat are the treatment goals for bulimia nervosa?
- ) Encourage talking
- ) Safety and assessing for suicidal potential
- ) Establish a diet plan
- ) supervision during meal times
- ) anti-depressants may be prescribed
Wheat are the treatment goals for bulimia nervosa?
- ) Encourage talking
- ) Safety and assessing for suicidal potential
- ) Establish a diet plan
- ) supervision during meal times
- ) anti-depressants may be prescribed
Wheat are the treatment goals for bulimia nervosa?
- ) Encourage talking
- ) Safety and assessing for suicidal potential
- ) Establish a diet plan
- ) supervision during meal times
- ) anti-depressants may be prescribed
Wheat are the treatment goals for bulimia nervosa?
- ) Encourage talking
- ) Safety and assessing for suicidal potential
- ) Establish a diet plan
- ) supervision during meal times
- ) anti-depressants may be prescribed
Wheat are the treatment goals for bulimia nervosa?
- ) Encourage talking
- ) Safety and assessing for suicidal potential
- ) Establish a diet plan
- ) supervision during meal times
- ) anti-depressants may be prescribed
Wheat are the treatment goals for bulimia nervosa?
- ) Encourage talking
- ) Safety and assessing for suicidal potential
- ) Establish a diet plan
- ) supervision during meal times
- ) anti-depressants may be prescribed
Wheat are the treatment goals for bulimia nervosa?
- ) Encourage talking
- ) Safety and assessing for suicidal potential
- ) Establish a diet plan
- ) supervision during meal times
- ) anti-depressants may be prescribed
Wheat are the treatment goals for bulimia nervosa?
- ) Encourage talking
- ) Safety and assessing for suicidal potential
- ) Establish a diet plan
- ) supervision during meal times
- ) anti-depressants may be prescribed
Primary symptom of illness is in anorexia nervosa?
Starvation
At what age does this anorexia nervosa? occur
Adolescent
What is the perception of the body in anorexia nervosa??
Distorted
What is the usual personality type in anorexia nervosa??
Perfectionist
Overachiever
Low self esteem
What is a major gynecological complication of anorexia?
Amenorrhea
What is a major cardiac complications of anorexia?
Arrhythmias
What treatment is involved in recovery in Anorexia?
- Small frequent meals with inpatient counseling
- milieu therapy
What are the signs associated with PTSD?
Anxiety attacks
Sleep disturbance
Memory loss
Hyper vigilance
What causes PTSD?
Traumatic event
These PTSD clients we are often seem detach T OR F?
T
Clients With PTSD are increased risk for?
Substance abuse
What is the treatment for PTSD?
Therapy to discuss feelings
Anxiety/depression meds
Support groups
Delirium Tremens treatment
1.) private/near nurse’s station, 2.)restricted bed rest
(bed pans/urinals),
3.)restrained (VEST or 2 point locked leathers 1 arm & opposite
leg)… -Get a quarter for restaurants within 2 hours
4.) NPO/clear liquid (seizure),
5.) anti-hypertensive meds
6.) tranquilizers-Benzodiazepine like Ativan
7.) B1 multi-vitamin (to prevent
dementia)
8.) Seizure precautions
If the pt is having severe delirium tremors they need to be in a private room. Place in restraints . Get dr order within 2 hours of putting on a restraints
Most alcoholics are in:
Denial so Nursing communication should be objective and non judgemental
Delirium Tremens treatment
1.) private/near nurse’s station, 2.)restricted bed rest
(bed pans/urinals),
3.)restrained (VEST or 2 point locked leathers 1 arm & opposite
leg)… -Get a quarter for restaurants within 2 hours
4.) NPO/clear liquid (seizure),
5.) anti-hypertensive meds
6.) tranquilizers-Benzodiazepine like Ativan
7.) B1 multi-vitamin (to prevent
dementia)
8.) Seizure precautions
If the pt is having severe delirium tremors they need to be in a private room. Place in restraints . Get dr order within 2 hours of putting on a restraints
Alcohol Withdrawal 5 symptoms:
Sweating Tachycardia Tremors Anxiety Agitation
Delirium Tremens treatment
1.) private/near nurse’s station, 2.)restricted bed rest
(bed pans/urinals),
3.)restrained (VEST or 2 point locked leathers 1 arm & opposite
leg)… -Get a quarter for restaurants within 2 hours
4.) NPO/clear liquid (seizure),
5.) anti-hypertensive meds
6.) tranquilizers-Benzodiazepine like Ativan
7.) B1 multi-vitamin (to prevent
dementia)
8.) Seizure precautions
If the pt is having severe delirium tremors they need to be in a private room. Place in restraints . Get dr order within 2 hours of putting on a restraints
1st sign of alcohol withdrawn
Sweating
Delirium Tremens treatment
1.) private/near nurse’s station, 2.)restricted bed rest
(bed pans/urinals),
3.)restrained (VEST or 2 point locked leathers 1 arm & opposite
leg)… -Get a quarter for restaurants within 2 hours
4.) NPO/clear liquid (seizure),
5.) anti-hypertensive meds
6.) tranquilizers-Benzodiazepine like Ativan
7.) B1 multi-vitamin (to prevent
dementia)
8.) Seizure precautions
If the pt is having severe delirium tremors they need to be in a private room. Place in restraints . Get dr order within 2 hours of putting on a restraints
it’s 3 things for the Treatment for alcoholism ?
Regular diet
multivitamin
abstain from alcohol
Delirium Tremens treatment
1.) private/near nurse’s station, 2.)restricted bed rest
(bed pans/urinals),
3.)restrained (VEST or 2 point locked leathers 1 arm & opposite
leg)… -Get a quarter for restaurants within 2 hours
4.) NPO/clear liquid (seizure),
5.) anti-hypertensive meds
6.) tranquilizers-Benzodiazepine like Ativan
7.) B1 multi-vitamin (to prevent
dementia)
8.) Seizure precautions
If the pt is having severe delirium tremors they need to be in a private room. Place in restraints . Get dr order within 2 hours of putting on a restraints
Wernicke’s syndrome
What type of deficiency causes it?
Names some symptoms?
What is the role thiamine?
Psychosis induced by Vi tamin B1 (Thiamine) deficiency.
b. Primary symptom: amnesia with confabulat ion (making up
stories to fill in memory loss—believe as true)
Thiamine (B1)
plays a role in metabolizing glucose to produce energy for the brain
Delirium Tremens treatment
1.) private/near nurse’s station, 2.)restricted bed rest
(bed pans/urinals),
3.)restrained (VEST or 2 point locked leathers 1 arm & opposite
leg)… -Get a quarter for restaurants within 2 hours
4.) NPO/clear liquid (seizure),
5.) anti-hypertensive meds
6.) tranquilizers-Benzodiazepine like Ativan
7.) B1 multi-vitamin (to prevent
dementia)
8.) Seizure precautions
If the pt is having severe delirium tremors they need to be in a private room. Place in restraints . Get dr order within 2 hours of putting on a restraints
:
Describe the 3 symptoms Korsafoff’s psychosis?
Delirium , confusion , short term memory loss
Delirium Tremens treatment
1.) private/near nurse’s station, 2.)restricted bed rest
(bed pans/urinals),
3.)restrained (VEST or 2 point locked leathers 1 arm & opposite
leg)… -Get a quarter for restaurants within 2 hours
4.) NPO/clear liquid (seizure),
5.) anti-hypertensive meds
6.) tranquilizers-Benzodiazepine like Ativan
7.) B1 multi-vitamin (to prevent
dementia)
8.) Seizure precautions
Medications for Alcoholism-NO CURE ONLY ABSTINANCE
Antibuse (disulfiram): dye-SUL-fi-ram
Librium: (Chlordiazepoxide)
klor-dye-az-e-POX-ide
Delirium Tremens treatment
1.) private/near nurse’s station, 2.)restricted bed rest
(bed pans/urinals),
3.)restrained (VEST or 2 point locked leathers 1 arm & opposite
leg)… -Get a quarter for restaurants within 2 hours
4.) NPO/clear liquid (seizure),
5.) anti-hypertensive meds
6.) tranquilizers-Benzodiazepine like Ativan
7.) B1 multi-vitamin (to prevent
dementia)
8.) Seizure precautions
Librium:
Chlordiazepoxide
klor-dye-az-e-POX-ide
What is it ?
What does it create ?
Is this A permanent or temporary medication?
What can’t they operate?
Is a central nervous system depressant ! It creates a response In the body like alcohol because alcohol depresses everything !
Is a temporary medication
Nor driving or operation heaving machinery !
Delirium Tremens treatment
1.) private/near nurse’s station, 2.)restricted bed rest
(bed pans/urinals),
3.)restrained (VEST or 2 point locked leathers 1 arm & opposite
leg)… -Get a quarter for restaurants within 2 hours
4.) NPO/clear liquid (seizure),
5.) anti-hypertensive meds
6.) tranquilizers-Benzodiazepine like Ativan
7.) B1 multi-vitamin (to prevent
dementia)
8.) Seizure precautions
Every abused drug is either an _____ or _______?
Every abused drug is either an upper or a downer…
What is not a upper or downer but can be abused by the elderly?
*Laxative (not upper or downer) but can be abused by the elderly
Name 6 upper drugs?
- )Caffeine
2) Cocaine - )PCP/LSD (Psychedelic hallucinogens)
- )Methamphetamines-speed
- )ADHD- adderrall/Ritalin
- )Bath Salts (Cath-Kath)
Name 3 downer
DOWNERS: heroin, alcohol, marijuana,