Psych ATI Drugs

Question 1

Alprazolam (Benzodiazapine)
Use

Answer 1

Insomnia
Alcohol Withdrawal

Question 1

Alprazolam (Benzodiazapine)
S/S

Answer 1

Sedation
Lightheadedness
Ataxia
Decreased cognitive function

Question 2

Alprazolam (Benzodiazapine)
Education

Answer 2

Taper dose
Flumazenil for antidote

Question 3

Alprazolam (Benzodiazapine)
Contraindiation

Answer 3

Alcohol
Hazardous Activities

Question 4

Buspirone
S/S

Answer 4

Dizziness
Nausea
Headache
Lightheadedness
Agitation

Question 5

Buspirone
Education

Answer 5

Take with meals
Watch cautiously for those with liver or kidney problems
no dependance
no sedation

Question 6

Paroxetine (SSRI)
S/S

Answer 6

Fatigue
Drowsiness
Diaphoresis
Tremor
Nausea
Sexual Dysfunction
Weight gain
headache
GI Bleed
Hyponatremia
Bruxism

Question 7

Paroxetine (SSRI)
Serotonin Syndrome

Answer 7

Hallucinations
Delirium
Tachycardia
Vomiting
Diarrhea

Question 8

Venlafaxine (SNRI)
S/S

Answer 8

Headache
nausea
anxiety
agitation
sleep disturbances
hyponatremia
anorexia
hypertension
sexual dysfunction

Question 9

Venlafaxine (SNRI)
Education

Answer 9

Do not stop abruptly
Avoid alcohol
avoid use in pts who have hepatic disease

Question 10

Amitriptyline (TCA)
S/S

Answer 10

Orthostatic Hypotension
Anticholinergic
Sedation
Decreased Seizure threshold
excessive sweating
increased appetite

Question 11

Amitriptyline (TCA)
Education

Answer 11

Contraindicated for clients with seizure disorders

Question 12

Phenelzine (MAOI)
S/S

Answer 12

Anxiety
Agitation
Hypomania
Mania
Orthostatic Hypotension
Hypertensive Crisis
Local Rash

Question 13

Phenelzine (MAOI)
Education

Answer 13

Avoid with clients who have heart problems

Question 14

Buproprion
S/S

Answer 14

Headache
Dry mouth
GI distress
Constipation
Increased HR
Nausea
Restlessness
Insomnia
Suppression of appetite
Seizures

Question 15

Buproprion
Education

Answer 15

Contraindicated in pts with seizure disorders, anorexia, and bulimia nervosa

Question 16

Lithium
S/S

Answer 16

GI Distress
Fine hand tremors
Polyuria
Weight gain
Renal toxicity
goiter & hypothyroidism
Bradydysrhythmias
Hypotension
electrolyte imbalance

Question 17

Lithium
Interactions

Answer 17

Diuretics
NSAIDS
Anticholinergics

Question 18

Carbamazepine (Mood Stabilizing)
S/S

Answer 18

CNS effects
Leukopenia
Anemia
Thrombocytopenia
Teratogenesis
Skin Disorders

Question 19

Chlorpromoazine (Antipsychotic First Gen)
S/S

Answer 19

Agranulocytosis
Acute Dystonia
Pseudoparkinsonism
Akathisia
Neuroendocrine effects
Neuroleptic Malignant Syndrome
Orthostatic Hypotension
Sedation
Seizures
Severe dysrhythmias
Sexual Dysfunction
Skin effects
liver impairment

Question 20

Risperidone (Second Gen)
S/S

Answer 20

Metabolic Syndrome
Orthostatic Hypotension
Anticholinergic effects
Agitation
Dizziness
Sedation
Sleep Disturbances
EPS
Sexual disfunction

Question 21

Methylphenidate
S/S

Answer 21

Insomnia
Restlessness
Weight loss
Cardiovascular Effects
Hallucinations
paranoria
Withdrawal reactions
Skin reactions

Question 22

Guanfacine (Alpha 2 adrenergic)
S/S

Answer 22

Sedation
Drowsiness
Fatigue
Hypotension
Bradycardia
Weight Gain
GI effects

Question 23

Buspirone
Interactions

Answer 23

Erythromycin
Ketoconazole
St John Worts
Grapefruit Jucie

Question 24

Paroxetine (SSRI)
Interactions

Answer 24

TCA, MAOI, St. John Worts = Serotinin Syndrome
Warfarin = increased levels
TCA & Lithium = increased levels

Question 25

Phenelzine (MAOI)
Interactions

Answer 25

TCA = hypertensive crisis
Antihypertensives = hypotensive effects