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Psychiatric Nursing > Psychiatric Meds > Flashcards

Psychiatric Meds Flashcards

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1
Q

Anti-psychotic drugs are also known as?

A

Neuroleptics

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2
Q

Anti-psychotic/neuroleptics drug treat symptoms of what condition?

A

Psychosis

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3
Q

Anti-psychotic drugs / neuroleptics block receptors of the neurotransmitter dopamine.

True
False

A

True
Remember: main problem with schizophrenia is too much dopamine receptors hence antipsychotics block receptors of dopamine

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4
Q

Anti-psychotic drugs / neuroleptics block receptors of the neurotransmitter dopamine.

True
False

A

True
Remember: main problem with schizophrenia is too much dopamine receptors hence antipsychotics block receptors of dopamine

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5
Q

Cushing’s triad of increased ICP include

A

Hypertension
Bradycardia
Bradypnea

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6
Q

If there is too low dopamine because of antipsychotic drug, it is termed as

A

Pseudo Parkinson’s or Parkinsonism-like syndrome

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7
Q

MS recall!

DOC for Parkinson’s disease

A

Levodopa

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8
Q

Typical anti-psychotic drugs are also called?

A

Conventional

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9
Q

Typical or conventional anti-psychotic drugs are commonly used.

True
False

A

True

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10
Q

Typical/conventional antipsychotics drugs are used to treat

A. Positive symptoms
B. Negative symptoms

A

A. Positive symptoms

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11
Q

Typical/Conventional antipsychotic drugs has higher probability to cause EPS compared to atypical or non-conventional antipsychotic drugs.

Tue
False

A

True

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12
Q

Atypical or Non-conventional antipsychotic drugs are used to treat

A. Positive symptoms
B. Negative symptoms

A

B. Negative symptoms

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13
Q

Mania and delusion are examples of what symptoms

A. Positive
B. Negative

A

A. Positive

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14
Q

Depressive and sleepiness are examples of what symptoms?

A. Positive
B. Negative

A

B. Negative

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15
Q

Which of the following are examples of typical or conventional antipsychotic drugs?

A. Chlorpromazine
B. Serentyl
C. Mellaril
D. Trilafon
E. Olanzapine
F. Quetiapine
G. Sertindole

A

A. Chlorpromazine
B. Serentyl
C. Mellaril
D. Trilafon

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16
Q

Which of the following are examples of atypical or non-conventional antipsychotic drugs?

A. Chlorpromazine
B. Serentyl
C. Mellaril
D. Trilafon
E. Olanzapine
F. Quetiapine
G. Sertindole

A

E. Olanzapine
F. Quetiapine
G. Sertindole

17
Q

Extrapyramidal Side effects (EPS) causes agranulocytosis. Agranulocytosis means?

A. Leukopenia/leukcytopenia
B. Leukocytosis

A

A. Leukopenia/leukcytopenia

18
Q

Hema review!

Pancytopenia could indicate

A

Aplastic anemia

if it is caused by the destruction of bone marrow

19
Q

Hema review!

Raddy Conflexion (Bombay na nag rered) is a pathognomonic sign of what hematologic condition?

A

Polycythemia Vera

20
Q

If WBC is too high, there is _________;
If the WBC is too low, there is ________.

A

Hypersensitivity
Agranulocytosis

21
Q

Give the Normal values of the following:

RBC
WBC
Platelet

A

RBC: 3.5 - 5 m/mm3
WBC: 4,500 - 11,000 m/mm3
Platelet: 150,000 - 400,000 m/mm3

22
Q

If <3000 WBC discontinue antipsychotic medications.

True
False

A

True
The normal WBC is 4500 - 11000

23
Q

What are the five Extrapyramidal Syndromes?

A
  1. Acute dystonia
  2. Pseudoparkinsonism
  3. Akathisia
  4. Neuroleptic Malignant Syndrome
  5. Tardive Dyskinesia
24
Q

Acute dystonia, a symptom of Extrapyramidal syndrome is characterized by these three manifestations:

A
  1. Neck: Torticollis
    Stiff neck
    Rye neck
    Nuchal Rigidity
  2. Eye: Occulogyric crisis
    CN 3: oculomotor
    CN 4: Trochlear
    CN 6: Abducens
  3. Spine: Opisthotonus
25
Q

DOC for Acute Dystonia

A

Cogentin (Benzodiazepines)
-anticholinergic, help decrease muscle stiffness

or Benadryl (Non-benzodiazepines, antihistamine)
-histamine causes contraction in smooth muscle
-anti-contraction of smooth muscle

26
Q

Pseudo parkinsonism is characterized by decrease in dopamine.

True
False

A

True

27
Q

What are the manifestation of Pseudo Parkinsonism?

A

Resting Tremors
Shuffling Gait
Mask-like appearances

28
Q

Sudden fever, malaise, ulcerative sore throat and leukopenia are characteristics of what hematologic condition under Extra Pyramidal Effects?

A

Agranulocytosis

29
Q

For patients suffering from agranulocytosis, what blood test should be taken and how often?

A

CBC monitor WBC, weekly.

30
Q

Agranulocytosis is specifically cause by what antipsychotic drugs? SATA

A. Olanzapine
B. Quetiapine
C. Sertindole
D. Clozapine

A

A. Olanzapine
D. Clozapine

Psychiatric Nursing (3 decks)

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