Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

320 Pharmacology > Psychotherapeutic Drugs > Flashcards

Psychotherapeutic Drugs Flashcards

1
Q

Define Affective.

A
  • mood disorders
  • characterized by change in mood
  • ex. bipolar disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define Psychotic disorders.

A
  • severe mental illness that often impairs mental function to the point of causing significant disability
  • loss of contact w/ reality
  • ex. schizophrenia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is an example of a Mood-Stabilizer?

A

Lithium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Lithium used for?

A

bipolar disorders (alleviate symptoms of acute mania)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the therapeutic range of lithium?

A

Narrow therapeutic range: 0.6-1.2 mEq/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lithium nursing considerations?

A
  • Ensure client’s serum sodium level is WNL
  • Assess for cues of lithium toxicity.
    • CNS: slurred speech, muscle weakness, tremor
    • GI: vomiting, diarrhea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a common adverse effect among Antidepressants?

A
  • Drowsiness
    ~ Caution client to avoid driving or activities that require mental alertness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

List some First Generation Antidepressants.

A
  • Tricyclic Antidepressants (TCAs)
  • Tetracyclics
  • MAOIs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is an example of a Tricyclic Antidepressant (TCAs)?

A

amitriptyline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is Amitriptyline used for?

A

depression, chronic pain syndromes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Amitriptyline adverse effects?

A
  • cardiac dysrhythmias
  • suicidal thoughts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Amitriptyline nursing considerations?

A

No antidote for toxicity; administer activated charcoal if the ingestion occurred 2 hours before treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is an example of a Tetracyclic?

A

mirtazapine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Mirtazapine adverse effects?

A

Suicidal thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is an example of a MAOI?

A

phenelzine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Phenelzine adverse effects?

A
  • hypertensive crisis/emergency
  • orthostatic hypotension
17
Q

What should you avoid when taking Phenelzine?

A

food and drinks with high tyramine content

  • aged cheese
  • aged meat
  • caffeine
  • alcohol
18
Q

List some Second Generation Antidepressants.

A
  • Selective serotonin reuptake inhibitors (SSRIs)
  • Selective Serotonin and norepinephrine reuptake inhibitors (SSNRIs)
19
Q

What are some examples of Selective serotonin reuptake inhibitors (SSRIs)?

A
  • citalopram
  • fluoxetine
  • sertraline
20
Q

Selective serotonin reuptake inhibitors (SSRIs) adverse effects?

A

QT prolongation

21
Q

Selective serotonin reuptake inhibitors (SSRIs) drug interactions?

A

MAOIs: fatal reaction

22
Q

Nursing considerations for Citalopram, Fluoxetine, and Sertraline?

A
  • Assess mood for suicidal tendencies, especially during early therapy
  • Assess for serotonin syndrome
23
Q

What is an example of a Selective Serotonin and norepinephrine reuptake inhibitors (SSNRIs)?

A

duloxetine

24
Q

Duloxetine adverse effects?

A

orthostatic hypotension, increased BP

25
Q

Duloxetine drug interactions?

A

MAOIs: fatal reactions

26
Q

Duloxetine nursing considerations?

A
  • Assess for cues of suicidal thoughts and/or increased depression
  • Assess for serotonin syndrome
27
Q

What is an example of a Herbal?

A

St. John’s Wort

28
Q

What is St. John’s Wort used for?

A

depression, anxiety, sleep disturbances, & nervousness

29
Q

What are some nursing considerations for ALL Psychotic Disorder drugs?

A
  • all of these medications can cause increased suicidal tendencies in children, adolescents, and young adults and increased risk of death in elderly clients
  • all of these medications may cause weight gain
  • fall safety for ALL of these medications need to be employed
  • all of these medications may cause extrapyramidal symptoms
  • tx of PO overdose will be activated charcoal
  • if giving PO, ensure medication is taken and not cheeked/hoarded
30
Q

List a First Generations drug used to treat Psychotic Disorders.

A

haloperidol

31
Q

Haloperidol adverse effects?

A

extrapyramidal symptoms

32
Q

List some Second Generations drugs used to treat Psychotic Disorders.

A
  • clozapine
  • risperidone
  • aripiprazole
33
Q

Clozapine nursing considerations?

A

Monitor WBC (weekly monitoring for 1st 6 months)

34
Q

Risperidone mechanism of action?

A

May act by antagonizing dopamine and serotonin in the CNS

35
Q

Aripiprazole adverse effects?

A
  • increased risk of suicide in children & young adult
  • increased risk of death in elderly

320 Pharmacology (36 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions