Psych Deck 3 Flashcards
GAD-7 and what is normal
Measurement tool for
Anxiety
– “Normal” is 7 or less
PHQ-9 and what is normal
Measurement tool for
Depression
– “Normal” is 9 or less
ADHD Check list and what is part A and part B for
Measurement tool for ADHD – Has 2 parts A and B • Part A has been found to be the biggest predictor of ADHD symptoms • Part B helps to provide additional information related to ADHD symptoms
Antipsychotic MOA
Antagonize
(block) dopamine (D2) receptors
Atypicals also
antagonize serotonin
receptors (along with dopamine)
4 dopamine pathways
Mesocortical
Mesolimbic
Tuberoinfundibular
Nigrostriatal
Mesocortical SE
worsensing cognition
increase negative sx
Mesolimbic SE
decrease positive Sx Apathy low motivation anedonia decreased intrerest
Tuberoinfundibular SE
increase polactin
galactorrhea
amenorrhea
nigrostriatal SE
EPS
TD
Typical Antipsychotics High Potency
High Potency
– More EPS; fewer anticholinergic
effects, orthostatic hypotension, and
sedation
Typical Low Potency
– Less EPS; more histaminergic and
anticholinergic effects
Typical EPS
acute dystonia, akathisia,
secondary parkinsonism, and tardive
dyskinesia
Treat EPS with
Treat EPS with Anticholinergic Drug, such as
benztropine (Cogentin)
Akathesia can be treated with
Beta blockers
Akathesia
A feeling of muscle quivering, restlessness, and inability to sit still, sometimes a side effect of antipsychotic or antidepressant medication.
Atypical Antipsychotics less risk of
EPS and tardive dyskinesia than typicals/FGAs. • Higher incidence of metabolic syndrome (weight gain, hypertriglyceridemia, altered glucose metabolism, hypercholesteremia)
Atypical potential for
increased prolactin
levels gynecomastia, impotence,
decreased libido, osteoporosis, etc.
high potency examples
haldol, fluphenozine, paraphenizine
low potency examples
thorazine
Antiparkinsonian Medications focuses on
Treatment focuses on decreasing
symptoms and increasing the
person’s ability to perform ADLs.
Antiparkinsonian drug therapy restores (and?)
dopamine and blocks the effect of acetylcholine (ACH).
Examples of Antiparkinsonian medicatiosn
Dopamine Agonists
– Monoamine Oxidase-B Inhibitors
– Anticholinergic Drugs
Review Antiparkinsonian drugs in module 4
Review Antiparkinsonian drugs in module 4
Drugs for Alzheimer’s Disease
Cholinesterase inhibitors
Other drugs used – Namenda – decreases glutamate levels – Adjunctive and symptom management also done with: SSRI, Atypical Antipsychotics, Anxiolytics
Cholinesterase inhibitors
indirect-acting parasympathomimetic
Alzheimres patients usually have a defecency in aCh so these are used
Other drugs used for Alzheimers
Namenda – decreases glutamate levels – Adjunctive and symptom management also done with: SSRI, Atypical Antipsychotics, Anxiolytics
