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Psychiatric Nursing Review > Psycho-Pharmacology > Flashcards

Psycho-Pharmacology Flashcards

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1
Q

ANTIANXIETY DRUGS

A

BENZODIAPZEPINES

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2
Q

BENZODIAPZEPINES INDICATION

A

•Used for anxiety effects
•Relax skeletal muscles
•Sedative-hypnotic
•Anticonvulsant

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3
Q

BENZODIAPZEPINES
NICE TO KNOW

A

• has syllable pam
• some has pate and lam
• all has azo or aze

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4
Q

BENZODIAPZEPINES DRUGS

A

•Alprazolam
•Chlorazepate
•Chlordiazepoxide
•Clonazepam
•Diazepam

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5
Q

BENZODIAPZEPINES ADVERSE REACTIONS

A

•Sedation
•Drowsiness
•Ataxia
•Dizziness
•Irritability
•Blood dyscrasias
•Habituation and increased tolerance

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6
Q

BENZODIAPZEPINES
NURSING CONSIDERATIONS

A

•Administer at bedtime
•Avoid with alcohol or CNS depressants
•Gradually taper off
•Short term use/ supplemental
•Monitor RR
•Monitor Liver function
•Monitor Kidney function
•Monitor bone marrow function

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7
Q

ANTIDEPRESSANT DRUGS

A
  1. TRICYCLICS
  2. MAOIs
  3. SSRIs
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8
Q

TRICYCLICS
INDICATION

A

•Depression
•Does not respond to client with morbid fantasies

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9
Q

TRICYCLICS
NICE TO KNOW

A

contains the syllable ine HCL

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10
Q

TRICYCLICS
DRUGS

A

• Amitryptiline HCL
• Desipramine HCL
• Imipramine HCL
• Nortriptyline HCL
• Protriptyline HCL

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11
Q

TRICYCLICS
ADVERSE REACTIONS

A

•Anticholinergic effects:
• CNS effects
•Cardiovascular effects

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12
Q

TRICYCLICS
NURSING CONSIDERATIONS

A

•Administer at bedtime
•Takes 2-6 weeks for therapeutic effect
•Teach client to avoid alcohol

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13
Q

MONOAMINE OXIDASE INHIBITOR
INDICATIONS

A

•Depression
•Phobias
•Anxiety

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14
Q

MAOIs
NICE TO KNOW

A

Pa rnate
Ma rplan
Na rdil

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15
Q

MAOIs
ADVERSE REACTIONS

A

•Tachycardia
•Urinary hesitancy
•Constipation
•Impotence
•Dizziness
•Hypertensive crisis

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16
Q

MAOIs
NURSING CONSIDERATIONS

A

•Do not administer with TRICYCLICS
•Dietary Restrictions
•Avoid thyramine-rich foods

17
Q

Selective Serotonin Reuptake Inhibitors
INDICATIONS

A

•Depression
•Anxiety
•Panic Disorder
•Aggression
•Anorexia Nervosa
•OCD

18
Q

SSRIs DRUGS

A

•Fluoxetine HCL
•Paroxefine
•Setraline
•Fluvoxamine
•Citalopram

19
Q

SSRIs
ADVERSE REACTIONS

A

•Drowsiness
•Dizziness, light headedness
•Headache
•Insomnia
•Depresses appetite
•Serotonin Syndrome

20
Q

SSRIs
NURSING CONSIDERATIONS

A

•2-4 weeks before effectivity
•Do not use with MAOIs
•Wait at least 14 days before discontinuing and starting Prozac
•Monitor Serotonin Syndrome
(Rapid onset of altered mental states)
(Agitation)
(Hyper reflexia)

21
Q

ANTIMANIC/MOOD STABILIZING DRUGS

A

Lithium Carbonate

22
Q

ANTIMANIC/MOOD STABILIZING DRUGS INDICATIONS

A

Bipolar disorders

23
Q

ANTIMANIC/MOOD STABILIZING DRUGS ADVERSE REACTIONS

A

•Nausea, fatigue, thirst
•Weight gain
•Hypothyroidism

24
Q

ANTIMANIC/MOOD STABILIZING DRUGS EARLY SIGN OF TOXICITY

A

•Diarrhea
•Vomiting
•Drowsiness
•Muscle Weakness
•Lack of coordination

25
Q

ANTIMANIC/MOOD STABILIZING DRUGS NURSING CONSIDERATIONS

A

•Maintain serum levels of 0.5 to 1.5 mEq/L
•Baseline studies of affected organs
•Teach early symptoms of Lithium Toxicity
•Keep salt usage consistent.
•Diuretics is contraindicated

26
Q

ANTICONVULSANT MOOD STABILIZERS

A

Valproic Acid (Depakene)

27
Q

VALPROIC ACID
INDICATION

A

•Bipolar

28
Q

VALPROIC ACID
ADVERSE REACTIONS

A

•GI distress
•Hepatotoxicity
•Neurological symptoms

29
Q

VALPROIC ACID
NURSING CONSIDERATIONS

A

•Administer with food
•Monitor blood levels
•Maintain serum levels
50-125 mcg/ml

30
Q

CARBAMAZEPINE (TEGRETOL)
INDICATIONS

A

•Bipolar disorders
•Alternative to lithium

31
Q

CARBAMAZEPINE
ADVERSE REACTIONS

A

•Dizziness
•Ataxia
•Blood dyscrasias

32
Q

CARBAMAZEPINE
NURSING CONSIDERATIONS

A

•Maintain serum levels at 8-12 g/ml
•Monitor hepatic and renal function

Psychiatric Nursing Review (9 decks)

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