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Pharma 600 > Psychiatric > Flashcards

Psychiatric Flashcards

1
Q

Benzodiazepines: adverse effects

A 
Sedation
Weakness
Dizziness
Decreased muscle tone
ST fatigue

Rare bleeding disorders

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2
Q

Benzodiazepines: massage

A

Careful will stretching, joint mobs

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3
Q

Buspirone HCl

A

Anti-anxiety

BuSpar

Not a GABA agonist. Affinity for 5HT (high) and DA (mod)

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4
Q

Buspirone HCl: adverse effects

A

Less than benzodiazepines.

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5
Q

~pam

A

Benzodiazepines

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6
Q

Benzodiazepines

A

GABA agonist

Diazepam, iorazepam, alprazolam

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7
Q

Tricyclic antidepressants

A

Amitriptiline (elavil)
Imipramine (tofranil)
Doxepin (sinequan)

Increase availability of 5HT and NE –> down regulate postsynaptic receptors

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8
Q

Tricyclics: adverse effects

A

Hypertension
Dysrhythmias
MI
Tachycardia

Seizures. Extrapyramidal side effects. Coma

Weight gain, diarrhea

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9
Q

Serotinin selective reuptake inhibitors.

A

Flouxetine (Prozac)
Paroxetine (Paxil)
Sertraline (Zoloft)

Increase availability of 5HT and NE. Like tricyclics but more selective and fewer side effects.

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10
Q

Tricyclics: massage

A

Be alert for extrapyramidal Sx

Muscle cramps

Fatigue.

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11
Q

SSRIs: adverse effects

A

Fatigue. Weakness. Anxiety. Depression.

Rarely extrapyramidal

Weight gain

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12
Q

SSRIs: massage

A

Paresthesias

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13
Q

Lithium

A

Unknown moi

Bipolar

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14
Q

Lithium: adverse effects

A

Lithium toxicity. Renal failure. Hypothyroidism tremors. Confusion. Seizures.

Worse with dehydration

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15
Q

Phenothiazine

A

Antipsychotic

Chlorpromazine
Haloperidol

DA antagonist

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16
Q

Phenothiazine: adverse effects

A

Extrapyramidal
Sedation
Poor thermoregulation

Hypertension
Dysrhythmias
Tachycardia

17
Q

Phenothiazine/ massage

A

Extrapyramidal

Also poor temp reg –> no extreme hydro

18
Q

Atypical antipsychotics

A

Olanzapine (zyprexa)
Risperidone (risperdal)
Clocapine (clozaril)

Same as phenothiazine but more selective for certain DA receptors.

19
Q

Atypical antipsychotics: adverse effects

A

Lower incidence of extrapyramidal Sx.

Sedation

Weight gain

Hypotension

20
Q

Atypical antipsychotics: massage

A

Low incidence of extra pyramidal

Systemic hydro – careful of hypotension

Pharma 600 (7 decks)

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