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Remar Review > Psychiatric Meds > Flashcards

Psychiatric Meds Flashcards

1
Q

alprazolam

A

Aka Xanax is a Benzodiazepines

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2
Q

Clonazepam( klonopin)

A

Benzodiazepines

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3
Q

Diazepam (Valium )

A

Benzodiazepines

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4
Q

Lorazepam (Ativan)

A

Benzodiazepines

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5
Q

Temazepam (restoril)

A

Benzodiazepines

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6
Q

Benzodiazepines

What do these meds end in ? Except ?

Is it long or short term?
What do they treat?

A

Meds that end in zepam except alprazolam

Is a short term med for anxiety/depression

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7
Q

Benzodiazepines nclex tips

What are the side effects ?

A

1.) very addictive
2.) short acting
3.) do not stop abruptly
4.) Watch for respiratory depression
5.)Safer then Haldol in elderly clients
6.)Monitor The liver function
7.)Can be use as a anti-convulsants
Sedatives and relaxes muscles

Side effect are ABCDs

A-altered vital signs ( Brady , low BP )
B- blurred vision 
C- constipation, confusion 
D-dry mouth , dizziness
S-statsis of urine (also known as urinary retention  , sedation
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8
Q

If a client overdoses on Benzodiazepines give ___?

A

Flumazenil

floo-MAZ-a-nil

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9
Q

Selective serotonin reuptake inhibitor or SSRI
6

What do These medications help you do ? Which in turn make you ?

All SSRI can cause ____ if too much is given ?

Never give as SSRI WITH what 2things ?

A

These medications help you keep serotonin in the system longer which in turn makes you happier😊

All SSRI can cause serotonin syndrome or serotonin overload of too much of the drug is given!

Never give as SSRI WITH MAOI and ST John herb EVER

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10
Q

What is Paroxetine

par-OX-e-teen

What’s the brand name ?

A

(Paxil)

SSRI

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11
Q

What is Fluoxetine

flu-OX-e-teen

What’s the brand name ?

Causes _____ in children/adults

Will cause ____

When do you give this med ?

A

(Prozac)

A SSRI

Will cause insomnia so Give early before 2pm

Causes suicidal ideation in children/adults

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12
Q

venlafaxine

ven-la-FAX-zeen(rhymes with teen)

What’s the brand name ?

Do not give with ______ or _______

will cause _____ , give _____

A

(Effexor )

will cause insomnia , give early

Do not give with lithium or Cimetidine

SSRI

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13
Q

What is Sertraline

SIR-tra-lean

What’s the brand name ?

Do not give with _____ but can give in the ____

A

(Zoloft)

can give in the evening

Do not give with Disulfiram (By mouth)

dye-SUL-fi-ram

SSRI

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14
Q

What is Citalopram

sye-TAL-oh-pram

What’s the brand name ?

Do not take ______ or _______ with this med

A

(Celexa)

Do not take alcohol or drive with this med

SSRI

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15
Q

What is escitalopram

es-sye-TAL-oh-pram

What’s the brand name ?

A

(Lexapro)

SSRI

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16
Q

SSRI SIDE EFFECTS of

A

Sexual dysfunction
headache
ABCD’s

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17
Q

MAOI

What type med is is ?

What do this med do? Which make you ?

A

Antidepressants

These meds help u hold onto longer

  1. norepinephrine
  2. Dopamine
  3. Serotonin

Which will make u happier

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18
Q

What are the 4 MAOI meds

A
  1. Marplan(Isocarboxazid)= eye-so-kar-BOX-a-zid
  2. Nardil (Phenelzine)
    FIN-L-zeen(rhymes with teen)
  3. Pardate (Tranylcypromine)
    tran-no-Sye-foe-meen

4.) selegiline ( Eldepryl)

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19
Q

MAOI side effects

A

ABCDss

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20
Q

MAOI’s Contraindications

  1. Never give with a _____
  2. This is medtake___to_______weeks to work

3.Know the dietary restrictions; your patient will not be allowed to eat anything with _______ in it while taking an a MAOL

A
  1. Never give with a SSRI
  2. This is med takes 4 to 6 weeks to work

3.Know the dietary restrictions; your patient will not be allowed to eat anything with tyramine in it while taking an a MAOL

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21
Q

Tyramine restricted diet

Meats-____ or ______

Grains-no _____ with ____

Vegetables- No_____

Fruits- No ____

Dairy-no ______ except ___, no ___

Sweets/oils-no _______, ____ or ______

Condiments-no _______

A

Meats-no organ or preserved

Grains-no grains with active yeast

Vegetables- No BAR (Banana, Avocado or Raisins)

Fruits- No BAR again

Dairy-no cheese except cottage cheese, no yogurt

Sweets/oils-no coffees, teas or chocolate

Condiments-no soy sauce

22
Q

Lithium

Is a electrolyte thats also a mood stabilizer

Therapeutic level is __________!-

lithium can become ______ in the system quick

Give with ___

Do not give with ____

What 2 things can cause toxicity?

This is not a _____ is acting drug med will work after _____ weeks,

Also must be ____ off do not _______

A
  1. )Is a electrolyte thats also a 1.)Is a electrolyte thats also a mood stabilizer
  2. ),not a fast is acting drug-This is med will work after 2week
  3. )Also must be tapered off do not stop abruptly
  4. )lithium can become toxic in the system quick!!
  5. )Low sodium/hyponatremia can cause toxicity
  6. ))Do not give with diuretics
  7. )Give with food
  8. )Therapeutic level is 0.6-1.2
23
Q

Phenothiazine

Drugs that end in ? Except which 2 drugs?

What type of drug is this ?

This help patients associated with ?

Name those problems

What route can it be given

A

azine except Haloperidol (haldol) ,Thiothixene (Navene)

This is med is typical antipsychotic and will help patients with problems associated with schizophrenia (delusions, hallucinations, and paranoia)

Route given : PO, IV or IM ( IM last the longest

24
Q

Thorazine

A

Route given : PO, IV or IM ( IM last the longest)

Phenothiazine are typical antipsychotics

25
Q

Typical psych drugs work best on the

A

positive psychotic symptoms

26
Q

Haloperidol (haldol)

A

Typical antipsychotics

27
Q

Thiothixene (Navene)

A

Typical antipsychotics

28
Q

Perphenazine( Trilafon)

A

Typical antipsychotics

29
Q

Chlorpromazine (Thorazine)

A

Typical antipsychotics

30
Q

Typical antipsychotics are also called for generation antipsychotics ( because

A

these drugs were the first kinds of medication to be given

31
Q

Caution! First -generation or typical antipsychotics cause besides the Abcds?

A

neurolepsis

32
Q

What does neurolepsis (NMS) mean?

_________ ________status

______motor skills

It could occur anytime a client is on?

What 6 signs ?

What actions do u take to correct?

A

Altered mental status/Decreased level of consciousness

Poor motor skills

It could occur anytime a client is on antipsychotic medication, most commonly when treating begins or doses are increased

Tachycardia-

Extreme fever

Altered LOC

Seizures

muscle rigidity

Elevated lab values ( WBC/LFT)

Discontinue the medication

initially safety and seizures precautions.

Give antipyretic to reduce fever

33
Q

Side effects of phenothiazines

A

ABCDS + extra pyramidal symptoms (neurolepsis)

34
Q

Nursing Assessments for neurolepsis

A

Monitor for tardive dyskinesia

Monitor vital signs with temperature

35
Q

What Drug can we give to lessen the side affects of first generation antipsychotic?

A

Cogentin ( benztropine ) a. Anti-Parkinson medication

36
Q

Isocarboxazid

A

Maoi- marplan

37
Q

Tranylcypromine

A

Maoi- parnate

38
Q

Phenelzine

A

Maoi - Nardil

39
Q

Nursing care for neurolepsis (NMS)?

A

Stop meds

Flush out system

Control temp

40
Q

Clozapine

A

Atypical antipsychotics

41
Q

Olanzapine

A

Atypical antipsychotics

42
Q

Risperidone

A

Atypical antipsychotics

43
Q

Quetiapine ( seroquel)

A

Atypical antipsychotics

44
Q

Apripiprazole ( abilify)

Ziprasidone hydrochloride (Geodon)

Risperidone

A

Atypical antipsychotics

45
Q

What the side effects of Atypical antipsychotics

46
Q

Atypical antipsychotics have________

Monitor your patient for ________

A

Fewer extrapyramidal symptoms ( uncontrolled movement)

Monitor your patient for metabolic changes

47
Q

Atypical antipsychotics can cause

A

1.) diabetes mellitus 2 or
Hyperglycemia

  1. ) Dyslipidemia-Abnormally elevated cholesterol or fats (lipids) in the blood.
  2. )weight gain
48
Q

When your patient is on atypical at psychotic medications, monitor them for

A

agranulocytosis ( low WBCs)

49
Q

If they have agranulocytosis ( low WBCs) They will complain of?

A

basically signs of the flu

  1. )sore throat etc.
  2. )fever
  3. )chills
  4. )body aches
50
Q

Ziprasidone hydrochloride (Geodon)

A

Atypical antipsychotics

51
Q

selegiline (eldepryl)

Remar Review (169 decks)

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