Psychosis Meds Flashcards

0
Q
Haloperidol (Haldol)
Chlorpromazine (Thorazine)
Fluphenazine (Prolixin)
Thiothixene (Navane)
ACTION
A

Alters effects of dopamine in the CNS

Has anticholinergic & alpha adrenergic blocking activity

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1
Q

Haloperidol (Haldol)
Chlorpromazine (Thorazine)
Fluphenazine (Prolixin)
Thiothixene (Navane)

A

Conventional Antipsychotics

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2
Q
Haloperidol (Haldol)
Chlorpromazine (Thorazine)
Fluphenazine (Prolixin)
Thiothixene (Navane)
ADVERSE EFFECTS
A
Agranulocytosis
Anticholinergic effects
EPS
NMS
Ortho hypotension
Seizures
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3
Q

Acute dystonia

A

Severe spasm of tongue, neck, face, and back
Crisis situation requiring treatment
Treat with anticholinergics

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4
Q

Parkinsonism

A

Bradykinesia, rigidity, shuffling gait, drooling, tremors

Treat with benztropine, diphenhydramine, or amantadine

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5
Q

Akathisia

A

Inability to sit or stand still

Beta blockers, benzodiazepines, anticholinergics

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6
Q

Tardive Dyskinesia

A

Late EPS
Involuntary movements of tongue, face, such as lip smacking
Involuntary movements of the arms, legs, and trunk
If TD appears, lower dose or switch to a new medication

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7
Q

Neuroleptic Malignant Syndrome

A
Sudden high fever
BP fluctuations
Dysrhythmias
Muscle Rigidity*** pipe-like arms
Changes in LOC
Stop medication, occurs within 2 weeks of therapy
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8
Q

Risperidone (Risperidal)

ACTION

A

Blocks receptors for dopamine and serotonin in CNS

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9
Q
Risperidone (Risperidal)
Ziprasidone (Geodon)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
SIDE EFFECTS
A
DM
Weight gain
Ortho hypotension
Anticholinergic effects
Mild EPS, such as tremor
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10
Q

Adderall

Methylphenidate (Concerta, Ritalin)

A

CNS stimulant

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11
Q

Adderall
Methylphenidate (Concerta, Ritalin)
ACTION

A

Raise levels of NE, serotonin, and dopamine

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12
Q

Adderall
Methylphenidate (Concerta, Ritalin)
ADVERSE EFFECTS

A

Insomnia, restlessness
Weight loss
Cardiovascular effects (dysrhythmias, chest pain)
Withdrawal reaction can lead to depression

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13
Q

aripiprazole (Abilify)

ADVERSE EFFECTS

A
Lower risk for Risperidal's adverse effects
Sedation
Headache
Anxiety
Insomnia
GI upset
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14
Q

Olanzapine (Zyprexa)

ADVERSE EFFECTS

A
Low risk of EPS
High risk of diabetes, weight gain
Sedation
Anticholinergic effects
Ortho hypotension
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15
Q

Ziprasidone (Geodon)

ADVERSE EFFECTS

A
Low risk of EPS, diabetes, weight gain
Sedation
Ortho hypotension
Anticholinergic effects 
ECG changes
16
Q

Cogentin
Benadryl
Artane

A

Anticholinergics