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Pharma > Psychiatric Medications > Flashcards

Psychiatric Medications Flashcards

1
Q

Classification: Benzodiazepines
used to treat anxiety
meds end in -ZEPAM (starts in A,C,D,L,T)

A 
Alprazolam
Clonazepam
Diazepam
Lorazepam
Temazepam
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2
Q

Benzodiazepines

Side effects ABCDS

A 
Altered VS (bradycardia, low BP)
Blurred Vision
Constipation, Confusion
Dry mouth
Sedation, Stasis of urine
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3
Q 
Benzodiazepines
Other side effects (4)
1\_\_\_\_\_ addictive.
2\_\_\_\_\_ term use only.
3\_\_\_\_\_ taking abruptly.
4Watch for respiratory \_\_\_\_.
A

1 Very
2 Short
3 DO NOT STOP
4 depression

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4
Q

If client overdoses on benzodiazepines, give:

A

F L U M A Z E N I L

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5
Q

Antidepressants SSRI Selective Serotonin Reuptake Inhibitors
These meds help you keep serotonin in the body longer, which makes you happier.
starts with Fluo, EsCita, Sertra

A

FLUOXETINE

ESCITALOPRAM

SERTRALINE

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6
Q

Antidepressants SSRI Selective Serotonin Reuptake Inhibitors
4 NCLEX Tips
1. causes ____ ideation (children/adults)
2. May take up to _____ weeks to work.
3. ____give with disulfi, but can be given in the evening.
4. _____ alcohol & disulfiram.

A
  1. ) suicidal
  2. ) 4 to 6 weeks
  3. ) DO NOT GIVE
  4. ) AVOID
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7
Q

Antidepressants SSRI Selective Serotonin Reuptake Inhibitors

ALL SSRIs can cause ___ syndrome.

A

Serotonin syndrome or serotonin overload

if too much drug is given.

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8
Q

Antidepressants SSRI Selective Serotonin Reuptake Inhibitors

______ give an SSRI with a MAOI ever!!!

A

NEVER, EVER, EVER, EVER

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9
Q

Antidepressants MAOIs Monoamine Oxidase Inhibitors
These meds help you keep norepinephrine, serotonin & dopamine in the body longer, which makes you happier :) Starts with Iso__,Phe__, Tranyl___

A

ISOCARBOXACID
PHENELZINE
TRANYLCYPROMINE
(Only MAOIs you need to know!)

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10
Q

Antidepressants MAOIs Monoamine Oxidase Inhibitors

Side Effects: ABCDS from SSRIs

A 
Altered VS (bradycardia, low BP)
Blurred Vision
Constipation, Confusion
Dry mouth
Sedation, Stasis of urine
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11
Q

Antidepressants MAOIs Monoamine Oxidase Inhibitors
4 Contraindications
1.) ____ give MAOIs with SSRIs.
2.) This med takes ____ weeks to work.

A
  1. ) NEVER

2. ) 4 to 6 weeks

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12
Q

Antidepressants MAOIs Monoamine Oxidase Inhibitors
4 Contraindications
3.) Know ____ restrictions. ____restricted diet.
4.) Tyramine & taking an MAOI together can cause __.

A

TYRAMINE

  1. ) Px will not be allowed to eat anything with tyramine in it.
  2. ) SEVERE HYPERTENSION
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13
Q

TYRAMINE RESTRICTED DIET for MAOIs
Meats:
Grains:
Vegetables & Fruits:

A

Meats: NO organ/preserved
Grains: NO grains with active yeast
Vegetables: NO BAR (Banana, Avocados, Raisins)

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14
Q

TYRAMINE RESTRICTED DIET for MAOIs
Dairy:
Sweets/Oils:
Condiments:

A

Dairy: NO cheese (except cottage cheese!!), NO yogurt
Sweets/oils: NO coffee, tea, chocolate
Condiments: NO soy sauce

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15
Q

NCLEX Tips:
This medication is a mood stabilizer used to treat bipolar disorder.
It is also an electrolyte.

A

LITHIUM

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16
Q

LITHIUM Therapeutic Level:

A

0.6 - 1.2

Lithium can be toxic in the system quickly low sodium levels/hyponatremia increase risk of toxicity.

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17
Q

Should Lithium be given with food or not?

A

Give WITH FOOD!

18
Q

Is taking Lithium with diuretics a good idea?

A

NO !

DO NOT GIVE WITH DIURETICS!

19
Q

Is Lithium a fast acting drug?

A

NO! This medication will work AFTER 2 WEEKS!

20
Q

Can you stop taking Lithium abruptly?

A

MUST BE TAPERED OFF!

DO NOT STOP ABRUPTLY!

21
Q

PSYCHIATRIC MEDICATIONS
Phenothiazines
Examples: (Tho__, Com___,Ste___,Pro___)

A

THORAZINE
COMPAZINE
STELAZINE
PROMETHAZINE

22
Q

PSYCHIATRIC MEDICATIONS
Phenothiazines

Route given (3) :

A

PO, IV , IM (IM route lasts the longest!!)

23
Q

PSYCHIATRIC MEDICATIONS

Phenothiazines are also called _____ antipsychotics.

A

T Y P I C A L

24
Q

PSYCHIATRIC MEDICATIONS
Phenothiazines

TYPICAL DRUGS work best in ‘‘______psychotic symptoms’’

A

POSITIVE

25
Q

PSYCHIATRIC MEDICATIONS
Other examples of typical drugs are:
H__,Thiothi___Perphe___,Chlorpro___)

A

HALOPERIDOL
THIOTHIXENE
PERPHENAZINE
CHLORPROMAZINE

26
Q

PSYCHIATRIC MEDICATIONS

TYPICAL antipsychotic drugs are also called ____.

A

FIRST GENERATION ANTI-PSYCHOTICS

because these drugs were the first kinds of medications to be given.

27
Q

NCLEX PSYCH EMERGENCY of Typical/ First Generation Anti-psychotics

A

NEUROLEPSIS

28
Q

What does neurolepsis mean?
____ mental status.
_____ LOC
____ motor skills

A

altered
decreased
poor

29
Q

Side effects of neurolepsis

ABCDS + _____ ______ _____

A

extra pyramidal symptoms

30
Q

Nursing Assessments (neurolepsis):
Monitor for T___D___
Monitor VS pay attention to T___

A

Tardive Dyskinesia

Temperature

31
Q

What drug can be given to lessen the side effects of a typical/ first generation anti-psychotics?

A

Benztropine (an anti-Parkinson’s med)

32
Q

Typical/1st generation anti-psychotics
Nursing Care Adverse Effects:
____ medications, flush out of system with ____, control _____

A

STOP meds!

flush out of system with IV fluids & CONTROL TEMPERATURE

33
Q

A-typical antipsychotics are also called____.

A

2ND GENERATION ANTIPSYCHOTICS

34
Q 
A-typical/ 2nd generation antipsychotics
examples: (most end in ''-pine'')
Cloza\_\_\_\_
Ris\_\_\_\_
Aripi\_\_\_\_\_
Olan\_\_\_\_
Que\_\_
A 
C L O Z A ''PINE''
RISPERIDONE
A R I P I P R A ZOLE
OLANZA ''PINE''
QUETIA ''PINE''
35
Q

BAD NEWS with A-typical/ 2nd generation antipsychotics

A

still have ABCDS!!

36
Q

Good news! A-typical/ 2nd generation antipsychotics have ____ extra pyramidal symptoms

A

fewer

37
Q

MORE BAD NEWS: A-typical/ 2nd generation antipsychotics

Monitor your client for _____ changes.

A

M E T A B O L I C

38
Q

A-typical/ 2nd generation antipsychotics can cause 3 things:

  1. ______glycemia or ___II
  2. ____lipidemia
  3. Weight _____
A
  1. HYPERglycemia or DM II
  2. DYSlipidemia
  3. WEIGHT GAIN
39
Q

NCLEX PSYCH EMERGENCY of

A-typical/ 2nd generation antipsychotics

A

AGRANULOCYTOSIS (low WBCs)

40
Q

NCLEX PSYCH EMERGENCY of
A-typical/ 2nd generation antipsychotics
AGRANULOCYTOSIS
They will complain of f____r, body ___, chills, ___throar

A 
fever
body aches
chills
sore throat 
(basically signs of flu)
Medication should be stopped IMMEDIATELY! this is a very serious condition!
41
Q

When doing room assignments with psych clients, remember to put _____ clients together!

A

SIMILAR CLIENTS

Depressed client with depressed client
Manic with manic
Suicidal clients should be ALONE!!!!

Pharma (21 decks)

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