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ADN 213 > Psychopharmacology > Flashcards

Psychopharmacology Flashcards

1
Q

Antianxiety drugs: indications

A
  • anxiety disorders
  • anxiety symptoms
  • ETOH w/d
  • skeletal muscle spasms
  • compulsive disorders
  • status epilepticus
  • pre-op sedation
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2
Q

Antianxiety drugs: action

A

Depresses subcortical levels of the CNS, particularly the limbic system and reticular formation

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3
Q

Antianxiety drugs: implications

A
  • ensure safety

- monitor for drowsiness, confusion, lethargy

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4
Q

Antidepressants: indications

A
  • major depressive and dysthymic disorders
  • anxiety disorders
  • bulemia nerviosa
  • premenstrual dysmorphic disorder
  • borderline personality disorder
  • obesity
  • smoking cessation
  • alcoholism
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5
Q

Antidepressants: action

A
  • increase concentration of norepinephrine, serotonin and/or dopamine
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6
Q

Antidepressants: nursing implications

A

Monitor for:

  • drug interactions
  • suicidiality
  • sedation
  • photosensitivity
  • orthostatic hypotension
  • tachycardia
  • arrhythmias
  • hyponatremia
  • blurred vision
  • constipation
  • discontinuation syndrome
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7
Q

Mood-stabilizing agents: indications

A

Bipolar disorder

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8
Q

Mood-stabilizing agents: action

A

Unknown, likely an impact on neurotransmission

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9
Q

Mood-stabilizing agents: implications

A 
- lithium has narrow therapeutic range (0.6-1.2 mEq/L)
Lithium toxicity s/s:
- vomiting
- diarrhea
- tremors
- sedation
- confusion
- seizures
- coma
- ❤️ failure
- death
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10
Q

Antipsychotics: indications

A
  • schizophrenia
  • bipolar mania
  • intractable hiccoughs
  • tics and vocal utterances in Tourette’s
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11
Q

Antipsychotics: action

A

Block postsynaptic dopamine receptors in the brain

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12
Q

Antipsychotics: implications

A

Monitor for:

  • extrapyramidal side effects (akinesia, akathisia, dystonia, oculogyric crisis, tardative dyskinesia)
  • sedation
  • weight gain
  • reduction in seizure threshold
  • photoswnsitivity
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13
Q

Sedative-hypnotics: indications

A

Short term management of various anxiety states and insomnia

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14
Q

Sedative-hypnotics: action

A

Generalized CNS depression

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15
Q

Sedative-hypnotics: implications

A
  • ensure safety
    Monitor for:
  • unusual changes in behavior
  • complex behaviors w no memory of them (ie. sleepwalking, eating, etc.)
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16
Q

ADHD meds: indications

A
  • ADHD
  • narcolepsy
  • obesity
17
Q

ADHD meds: action

A
  • CNS stimulant

- norepinephrine, serotonin, dopamine reuptake inhibitors

18
Q

ADHD meds: implications

A 
- ensure safety
Monitor:
- vital signs
- for AMS
- insomnia
- overstimulation
- restlessness

ADN 213 (14 decks)

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