Psych Drugs Flashcards
what are 7 stages of the nurse-pt relationship
- pre-interaction
- intro
- orientation
- working
- termination
what are 7 principles for psych
1) do not give or accept gifts
2) do not give advice, rather “what do u think u should do?”
3) do not give gaurantees “if you _____, ____ will happen”
4) if pt says something, best answer = one that keeps them talking
5) do not use slang (may take literally)
6) use empathy!
ALL psych drugs have which symptoms
- hypotension
- weight changes (often weight gain)
1st generation antipsychotics end in
_____zine
ex. phenothiazine
(think: zines for the zane (insane))
what is the action of 1st gen antipsychotics
- decrease psych symptoms
- does not cure
- large dose = anti psychotic
- major tranquilizers = big guns
what are side effects of 1st gen antipsychotics
Anticholinergics
Blurred Vision
Constipation
Drowsiness
EPS
Fotosensitivity (photosensitivity)
aGranulocytosis (low WBC)
what are anticholinergic side effectrs
- dry mouth
- blurry vision
- constipation
- decreased urination
what is decanoate?
- drugs that contain a decanoate ester, which is a chemical group that prolongs the action of the drug in the body
ex. haldol decanoate
what are tricyclic antidepressants
- old type of anti-depressant
- NSSRIs
what do tricyclic antidepressants do
- increase mood
what are examples of tricyclic antidepressntas?
ex. amitriptyline, clomipramine, notriptyline
what are side effects of tricylic antidepressants
Anticholinergic
Blurred vision
Constipation
Drowsiness
Euphoria
how long does it take before tricyclic antidepressants work
2-4 weeks
what are benzos used for
- anti anxiety
- minor tranquilizer
what are examples of benzos
- have “zep” in them
ex. diazepam, clonazepam, lorazepam
(think “zeps” and “zines” are tranquilizers, zzz’s make you sleep)
what are indications for benzos
- pre-op for anesthesia
- alcohol withdrawal
- seizures
- muscle relaxant
- help when fighting ventilator
how long can people take benzos
- no longer than 2-4 weeks
how long until benzos work?
- work quickly
what are side effects of benzos
Anticholinergic
Blurred vision
Constipation
Drowsiness
what risk is associated with benzos
- risk of safety and injury
what are MAO inhibitors
- type of antidepressant