Psycho-Pharmacology Flashcards
ANTIANXIETY DRUGS
BENZODIAPZEPINES
BENZODIAPZEPINES INDICATION
•Used for anxiety effects
•Relax skeletal muscles
•Sedative-hypnotic
•Anticonvulsant
BENZODIAPZEPINES
NICE TO KNOW
• has syllable pam
• some has pate and lam
• all has azo or aze
BENZODIAPZEPINES DRUGS
•Alprazolam
•Chlorazepate
•Chlordiazepoxide
•Clonazepam
•Diazepam
BENZODIAPZEPINES ADVERSE REACTIONS
•Sedation
•Drowsiness
•Ataxia
•Dizziness
•Irritability
•Blood dyscrasias
•Habituation and increased tolerance
BENZODIAPZEPINES
NURSING CONSIDERATIONS
•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
ANTIDEPRESSANT DRUGS
- TRICYCLICS
- MAOIs
- SSRIs
TRICYCLICS
INDICATION
•Depression
•Does not respond to client with morbid fantasies
TRICYCLICS
NICE TO KNOW
contains the syllable ine HCL
TRICYCLICS
DRUGS
• Amitryptiline HCL
• Desipramine HCL
• Imipramine HCL
• Nortriptyline HCL
• Protriptyline HCL
TRICYCLICS
ADVERSE REACTIONS
•Anticholinergic effects:
• CNS effects
•Cardiovascular effects
TRICYCLICS
NURSING CONSIDERATIONS
•Administer at bedtime
•Takes 2-6 weeks for therapeutic effect
•Teach client to avoid alcohol
MONOAMINE OXIDASE INHIBITOR
INDICATIONS
•Depression
•Phobias
•Anxiety
MAOIs
NICE TO KNOW
Pa rnate
Ma rplan
Na rdil
MAOIs
ADVERSE REACTIONS
•Tachycardia
•Urinary hesitancy
•Constipation
•Impotence
•Dizziness
•Hypertensive crisis
MAOIs
NURSING CONSIDERATIONS
•Do not administer with TRICYCLICS
•Dietary Restrictions
•Avoid thyramine-rich foods
Selective Serotonin Reuptake Inhibitors
INDICATIONS
•Depression
•Anxiety
•Panic Disorder
•Aggression
•Anorexia Nervosa
•OCD
SSRIs DRUGS
•Fluoxetine HCL
•Paroxefine
•Setraline
•Fluvoxamine
•Citalopram
SSRIs
ADVERSE REACTIONS
•Drowsiness
•Dizziness, light headedness
•Headache
•Insomnia
•Depresses appetite
•Serotonin Syndrome
SSRIs
NURSING CONSIDERATIONS
•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)
ANTIMANIC/MOOD STABILIZING DRUGS
Lithium Carbonate
ANTIMANIC/MOOD STABILIZING DRUGS INDICATIONS
Bipolar disorders
ANTIMANIC/MOOD STABILIZING DRUGS ADVERSE REACTIONS
•Nausea, fatigue, thirst
•Weight gain
•Hypothyroidism
ANTIMANIC/MOOD STABILIZING DRUGS EARLY SIGN OF TOXICITY
•Diarrhea
•Vomiting
•Drowsiness
•Muscle Weakness
•Lack of coordination
ANTIMANIC/MOOD STABILIZING DRUGS NURSING CONSIDERATIONS
•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
ANTICONVULSANT MOOD STABILIZERS
Valproic Acid (Depakene)
VALPROIC ACID
INDICATION
•Bipolar
VALPROIC ACID
ADVERSE REACTIONS
•GI distress
•Hepatotoxicity
•Neurological symptoms
VALPROIC ACID
NURSING CONSIDERATIONS
•Administer with food
•Monitor blood levels
•Maintain serum levels
50-125 mcg/ml
CARBAMAZEPINE (TEGRETOL)
INDICATIONS
•Bipolar disorders
•Alternative to lithium
CARBAMAZEPINE
ADVERSE REACTIONS
•Dizziness
•Ataxia
•Blood dyscrasias
CARBAMAZEPINE
NURSING CONSIDERATIONS
•Maintain serum levels at 8-12 g/ml
•Monitor hepatic and renal function
