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LPN Psych > Psych meds > Flashcards

Psych meds Flashcards

1
Q

alleviates psychosis, these meds work by blocking flow of dopamine

A

Antipsychotics

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2
Q

Grandfather of all psych meds
can cause EPS and excess slee
Orthostatic Postural Hypotension

A

Thorazine

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3
Q

Name two anti psychotics that can be given IM that have very severe EPS

A

Haldol

Prolixin

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4
Q

Prolixin can cause severe liver or cardiac disease and lasts up to

A

6 weeks

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5
Q

name three anti psychotics that have the lowest EPS

A

Clozaril
Risperdal
Zyprexia

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6
Q

name three S/E of antipsychotic drugs

A

Psuedoparkinsonian symptoms
Akathisia
dystonia

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7
Q

Anticholinergic effects of anti psychotics

A

Photosensitivity
blurred vision
dry mouth
urinary retention

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8
Q

Neuroleptic malignant syndrome symptoms

can occur frequent in first 2 wks of tx

A

Severe catatonia, fever, inc creatine, altered LOC, Dysregulation in CV function

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9
Q

name 3 immediate interventions for patients with NMS

A

stop drugs
notify MD
Cooling blankets
Hydration

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10
Q

Irreversible involuntary movement of tongue face and mouth that can progress to fingers trunk and lungs due to LT use of anti psychotics

A

Tardive dyskenesia

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11
Q

An antianxiety used also for seizures

A

Valium

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12
Q

an anti anxiety also used to tx delerium tremens during alcohol detox

A

Librium

antabuse

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13
Q

highly addictive anti anxiety drugs

A

Ativan

XANAX

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14
Q

Less addictive anti anxiety drugs

A

Klonopin

Buspar

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15
Q

S/E of antipsychotic where pt has a shuffling gait, masked facies, drools, tremors, stiff posture and pill rolling

A

Psuedoparkinsonian

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16
Q

uncomfortable sense of internal restlessness

cannot sit still

A

Akathesia

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17
Q

best tx for Akathesia

A

go for awalk

18
Q

S/E of anti psychotics where pt has muscle spasms of jaw, tongue,jerking, laryngospasms, eyes rolling back

A

dystonia

19
Q

drug of choice for EPS

A

Cogentin
artane
benadryl

20
Q

The number one anti manic mood stabalizer

A

Lithium

21
Q

Lithium therapeutic level

A

.5 - 1.2

22
Q

Lithium effects within how many days

A

7-10 days

23
Q

S/S of lithium toxicity

A

NVD, Altered LOC, hypotension, HA, Tremors

24
Q

immediate intervention for lithium toxicity

A

hold meds

stat level check

25
Q

Drug of choice used when pt does not respond to lithium, may cause bone marrow suppression and agranulocytosis, (dec WBC)

A

Tegretol

26
Q

mood stabalizer used to treat manic depressives and can cause liver toxicity.

A

Valproic acid Depakote

27
Q

lab work for Clozaril and Tegretol

A

CBC

28
Q

name four tricyclic anti depressants

A 
Sinequan 
Elavil
Tofranil
Pamelor
Anafranil
29
Q

what to monitor before giving tricyclic anti depressants

A

CV
Urinary retention
glaucoma
Prostatic hypertrophy

30
Q

By decreasing seratonin levels these anti depressants have fewer side effects and are the best anti depressants to be given

A

SSRI

31
Q

name four types of SSRI’s

A

Luvox
Prozac
Paxil
Zoloft

32
Q

a serious side effect of SSRI anti depressants that causes altered LOC, altered muscle one, fever and autonomic dysfunction

A

Seratonin syndrome

33
Q

a tyramine restrictive diet must be maintained in what type of anti depressants or it can inc B/P and cause hypertensive crisis

A

MAOI’s

34
Q

what type of foods must be avoided when given MAOI anti depressants

A 
aged food
aged cheese
peperoni
salami
tap beers
red wine
saurkraut
soy sauce
35
Q

types of MAOI anti depressants

A

NARDIL

PARNATE

36
Q

an anti anxiety used as a sleep aid

A

Trazadone

37
Q

smoke detterent anti anxiety

A

wellbutrin

38
Q

Drug that reduces craving for alcohol

A

Campral

39
Q

Long term tx for alcohol rehab maintenance

A

Antabuse

40
Q

Two antidepressants also used for OCD

A

Anafranil

Luvox

41
Q

Psychotropic drugs are also called

A

Neuroleptics

LPN Psych (6 decks)

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