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NURS 729 Psych Nursing > Psych Final Medications > Flashcards

Psych Final Medications Flashcards

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1
Q

What is Fluoxetine?

A

Brand Name: Prozac
SSRI

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2
Q

What is Sertraline?

A

Brand Name: Zoloft
SSRI

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3
Q

What is Paroxetine?

A

Brand Name: Paxil
SSRI

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4
Q

What is Citalopram?

A

Brand Name: Celexa
SSRI

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5
Q

What is Escitalopram?

A

Brand Name: Lexapro
SSRI

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6
Q

What is Fluvoxamine?

A

Brand Name: Luvox
SSRI

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7
Q

What are the symptoms of Serotonin Syndrome?
(Both Mild and Severe)

A

Minor: Chills, Diarrhea
Severe: Muscle Rigidity, Fever and Seizures-can be fatal

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8
Q

What is Prozac (Fluoxetine) used to treat?

A

MDD, MCD, Bulimia, Panic Disorder, PTSD, Premenstrual Dysphoric disorder

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9
Q

What are the 4 SNRIs?

A

Venlafaxine (Effexor)
Desvenlafaxine (Pristiq)
Duloxetine (Cymbalta)
Levomilnacipran (Fetzima)

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10
Q

What is Venlafaxine?

A

Brand Name: Effexor
SSNRI

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11
Q

What is Desvenlafaxine?

A

Brand Name: Pristiq
SSNRI

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12
Q

What is Duloxetine?

A

Brand Name: Cymbalta
SSNRI

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13
Q

What is Levomilnacipran?

A

Brand Name: Fetzima
SSNRI

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14
Q

What are the 4 SARIs?

A

Serotonin Antagonists and retuptake inhibitors
Nefazodone (Serzone)
Brexipiprazole (Resulti)
Vilazodone (Viibryd)
Vortioxetine (Trintellix)

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15
Q

What is Mirtazpine?

A

Known as the Brand Name Remeron, it is a norepinephrine and serotonin specific antidepressant

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16
Q

What are the Tricyclic antidepressants?

A

Nortriptyline (Pamelor)
Amitriptyline (Elavil)*
Imipramine (tofranil)*
*prototypes

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17
Q

What are the adverse effects of the Tricyclic Antidepressants?

A

Sedation
Orthostastic Hypotension
Anticholinergic Effects
Cardiotoxicity
Sexual Dysfunction

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18
Q

What are the MAOIs?

A

Isocarboxazid (Marplan)
Phenelzine (Nardil)
Selegiline (EMSAM)
Tranylcypromine (Parnate)

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19
Q

What are the symptoms of a HTN crisis caused by the ingestion of tyramine while taking an MAOI?

A

Severe Headache
Tachycardia
Nausea/Vomiting
Confusion
Diaphoresis
CVA
Death

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20
Q

What are the first generation dopamine antagoinsts?

A

Chlorpromazine (Thorazine)*
Haloperidol (Haldol)
Thioridazine (Mellaril)
Loapine (Loxitane)
Pherphanazine
Fluphenazine (Prolixin)
Pimozide (Orap)
Thiothixene (Navane)
Trifluoperazine

*Prototype

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21
Q

What are the side effects of first generation antipsychotics?

A

Extrapyramidal side effects
Anticholinergic side effects
Tardive Dyskinesia
Weight gain
Sexual Dysfunction
Endocrine Disturbances

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22
Q

What are the second generation serotonin and dopamine antagonists?

A

Clozapine (Clozaril)
Risperidone (Risperidal)

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23
Q

What symptoms of schizophrenia do second gen antipsychotics treat?

A

Both positive and negative symptoms, while first generation only treat positive

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24
Q

What are the adverse effects of 2nd generation antipsychotics?

A

Minimal to no EPS/TD
Tendancy to cause weight gain, diabetes, dyslipidemia, risk of metabolic syndrome, sexual dysfunction

25
Q

What are the ‘Third generation’ Antipsychotics?

A

Aripiprazole (Abilify)
Brexpiprazole (Rexulti)
Cariprazine (Vraylar)

26
Q

What are the benefits of ‘Third generation’ antipsychotics?

A

Since they are dopamine system stabilizers, they may improve positive, negative and cognitive function with little risk of EPS or tardive dyskinesia

27
Q

What are the potentially dangerous side effects to antipsychotics?

A

ACh toxicity-Antidote Physostigmine
Neuroleptic maliganant syndrome
Agranulocytosis
Prolonged QT interval (FGA/SGA)
Liver impairment

28
Q

Which first generation antipsychotic is used for a long acting injection from every 3-6 weeks?

A

Fluphenazine (Prolixin)

29
Q

What is dystonia?

A

An extrapyramidal symptom that causes spasms of the tongue, face, neck, back, and upward eyes

30
Q

What is akathisia?

A

Compulsive, restless movement, anxiousness, agitation, onset in 5-60 days

31
Q

What is the treatment options for Akathisia?

A

Benzodiazepines
Beta blockers
Anticholinergics

32
Q

What are the symptoms of pseudoparkinsonism?

A

Bradykinesia
Masked Face
Tremors
Rigidity
Shuffle
Drooling

33
Q

What are the treatment options for psuedoparkinsonsim?

A

Cognetin
Benadryl
Amantadine

34
Q

What is the treatment for Tardive Dyskinesia?

A

Benzodiazapines and switch to 2nd gen

35
Q

What are the symptoms neuroleptic malignant syndrome?

A

Rigidity
High Fever
Diaphoresis
Autonomic Instability
Dysrhythmias
Change in LOC
Seizures
Coma
Respiratory Failure

36
Q

What is the treatment for neuroleptic malignant syndrome?

A

Dantrolene/Dentrium (IVP-1min)
Bromocriptine/Parlodel

37
Q

What are the therapeutic levels for Lithium Carbonate?

A

0.8 to 1.4 mEq/L

38
Q

What are the maintenance levels for lithium carbonate?

A

0.4 to 1.3 mEqL

39
Q

What are the toxic blood levels for lithium carbonate?

A

1.5 mEq/L and above

40
Q

What should you be monitoring when a patient is taking Lithium?

A

Thyroid
Kidneys (Polyuria, Na/Li reabsorption)
Sinus bradycardia
Tremors (indicates toxicity)

41
Q

What should you monitor for a patient that is taking Valproate?

A

Blood Levels
Liver Enzymes
Platelets

42
Q

What should you be monitoring for in a patient taking carbamazepine?

A

Blood Levels
Liver Enzymes
Aplastic Anemia

43
Q

What should you be monitoring for in a patient taking Lamotrigine?

A

Rash->indicates Steven Johnson syndrome/toxic epidermal nercolysis

44
Q

What is Clonazapam?

A

Brand Name: Klonopin
Anxiolytic

45
Q

What is Lorazepam?

A

Brand Name: Ativan
Anxiolytic

46
Q

What are the cholinesterase inhibitors that work to delay cognitive decline for mild/moderate stage of Alzheimer’s?

A

Donepezil HCL (dissolving tabs, solution)
Rivastigmine (solution, patch)
Galantamine

47
Q

What is the NMDA receptor antagonist that is used for cognitive decline in the moderate/severe stage of Alzheimer’s?

A

Memantine (Namenda)

48
Q

What types of drugs should not be used/used with caution in neurocognitive disorders?

A

Black box warning: Atypical Antidepressants
Use caution with: Benzos, opioids, anticholingergics

49
Q

What are the 4 different types of benzodiazepines?

A

Diazepam (Valium)
Clonazepam (Klonopin)
Alprazolam (Xanax)
Lorazepam (Ativan)

50
Q

What are the short acting stimulants?

A

Methylphenidate (Ritalin)
Dexmethylphenidate (Focalin)
Amphetamine/Dextroamphetamine (Adderall)

51
Q

What are the long acting stimulants?

A

Lisdexamphetamine (Vyvanse)
Daytrana (Methylphenidate patch)
Quillichew ER, XR (M.P chewable/liquid)
Jornay PM (M.P taken at night)

52
Q

What are the non-stimulant medications for ADHD that are alpha 2 adreneric agonists?

A

Guanfacine (Tenex, intuniv)
Clonidine (Catapres, Kapvay)

53
Q

What is the treatment for opioid overdose?

A

Naloxone (Narcan)
IV, sub-q, IM, nasal spray

54
Q

What is the oral opioid agonist that is used for maintenance of opioid addiction that can cause dependence?

A

Methadone

55
Q

What is buprenorphine (subutex)?

A

A sublingual partial opioid agonist/antagonist that is used to treat opioid addiction

56
Q

What is Naltrexone?

A

Brand Name: Vivitrol, Revia
Opioid Antagonist that is used in the prevention of relapse because it blocks the euphoric and sedative effects

57
Q

What is the treatment for benzodiazepine overdose?

A

IV flumazenil (Romazicon)

58
Q

What is Acamprosate calcium (Campral)?

A

A drug used for maintenance of alcohol abstience in patients that are abstinent at treatment initiation and reduves insomnia, anxiety and restlessness

59
Q
A

NURS 729 Psych Nursing (3 decks)

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