Psych meds Flashcards
alleviates psychosis, these meds work by blocking flow of dopamine
Antipsychotics
Grandfather of all psych meds
can cause EPS and excess slee
Orthostatic Postural Hypotension
Thorazine
Name two anti psychotics that can be given IM that have very severe EPS
Haldol
Prolixin
Prolixin can cause severe liver or cardiac disease and lasts up to
6 weeks
name three anti psychotics that have the lowest EPS
Clozaril
Risperdal
Zyprexia
name three S/E of antipsychotic drugs
Psuedoparkinsonian symptoms
Akathisia
dystonia
Anticholinergic effects of anti psychotics
Photosensitivity
blurred vision
dry mouth
urinary retention
Neuroleptic malignant syndrome symptoms
can occur frequent in first 2 wks of tx
Severe catatonia, fever, inc creatine, altered LOC, Dysregulation in CV function
name 3 immediate interventions for patients with NMS
stop drugs
notify MD
Cooling blankets
Hydration
Irreversible involuntary movement of tongue face and mouth that can progress to fingers trunk and lungs due to LT use of anti psychotics
Tardive dyskenesia
An antianxiety used also for seizures
Valium
an anti anxiety also used to tx delerium tremens during alcohol detox
Librium
antabuse
highly addictive anti anxiety drugs
Ativan
XANAX
Less addictive anti anxiety drugs
Klonopin
Buspar
S/E of antipsychotic where pt has a shuffling gait, masked facies, drools, tremors, stiff posture and pill rolling
Psuedoparkinsonian
uncomfortable sense of internal restlessness
cannot sit still
Akathesia
best tx for Akathesia
go for awalk
S/E of anti psychotics where pt has muscle spasms of jaw, tongue,jerking, laryngospasms, eyes rolling back
dystonia
drug of choice for EPS
Cogentin
artane
benadryl
The number one anti manic mood stabalizer
Lithium
Lithium therapeutic level
.5 - 1.2
Lithium effects within how many days
7-10 days
S/S of lithium toxicity
NVD, Altered LOC, hypotension, HA, Tremors
immediate intervention for lithium toxicity
hold meds
stat level check
Drug of choice used when pt does not respond to lithium, may cause bone marrow suppression and agranulocytosis, (dec WBC)
Tegretol
mood stabalizer used to treat manic depressives and can cause liver toxicity.
Valproic acid Depakote
lab work for Clozaril and Tegretol
CBC
name four tricyclic anti depressants
Sinequan Elavil Tofranil Pamelor Anafranil
what to monitor before giving tricyclic anti depressants
CV
Urinary retention
glaucoma
Prostatic hypertrophy
By decreasing seratonin levels these anti depressants have fewer side effects and are the best anti depressants to be given
SSRI
name four types of SSRI’s
Luvox
Prozac
Paxil
Zoloft
a serious side effect of SSRI anti depressants that causes altered LOC, altered muscle one, fever and autonomic dysfunction
Seratonin syndrome
a tyramine restrictive diet must be maintained in what type of anti depressants or it can inc B/P and cause hypertensive crisis
MAOI’s
what type of foods must be avoided when given MAOI anti depressants
aged food aged cheese peperoni salami tap beers red wine saurkraut soy sauce
types of MAOI anti depressants
NARDIL
PARNATE
an anti anxiety used as a sleep aid
Trazadone
smoke detterent anti anxiety
wellbutrin
Drug that reduces craving for alcohol
Campral
Long term tx for alcohol rehab maintenance
Antabuse
Two antidepressants also used for OCD
Anafranil
Luvox
Psychotropic drugs are also called
Neuroleptics
