PSYCHOTHERAPEUTICS Flashcards

1
Q

Antipsychotic drugs are used for

A

Emesis supression - (vomitting supression)
tourette’s syndrome- (uncontrollable ticks and outbursts)
huntingtons chorea-
psychotic disorders

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2
Q

conventional antipsychotics

A

1st generation antipsychotics

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3
Q

What do second generation antipsychotics do?

A

moderate blockade of dopamine

strong blockade of serotonin

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4
Q

SE of 2nd generation antipsychotics

A
metabolic effects (raise cholesterol, gaining weight)
some extrapyrimidial symptoms
dose limiting effect - agranulocytosis
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5
Q

which generation is more tolerable- 1st or 2nd generation antipsychotics?

A

2nd

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6
Q

Antipsychotic Low potency First generation drug

A

chlorpromazine (thorazine)

Thiordazine (mellaril)

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7
Q

Antipsychotic medium potency First generation drug

A

loxapine (loxitane) “LP”

perohenazine

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8
Q

Antipsychotic high potency First generation drug

A

fluphenazine
haloperidol (haldol)
navane

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9
Q

thorazine uses

A

unretractable hiccups
antiemetic
antipsychosis 1st gen

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10
Q

Extrapyrimidial symptom: uncontrolled sustained repetitive motions and muscle spasms

A

dystonia

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11
Q

Extrapyrimidial symptom: movement disorder with inner restlessness, constant motion

A

akathisia

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12
Q

What conditions is Haldol is used for

A

Tourettes
psychosis “take a break photo”
tics

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13
Q

atypical antipsychotics aka

A

second generation antipsychotics

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14
Q

most effective second generation antipsychotic drug

A

clozaril

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15
Q

SE of haldol

A

cardiotoxic- serious dysrthymias prolonged QT interval

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16
Q

neuroleptic malignant syndrom SE: dysrthmias in flucuating BP is most likely seen in which generation antipsychotics

A

more likly with high potency 1st gen

but still can occur in 2nd

17
Q

anticholinergic effects seen in which generation antipsychotics

A

1st

18
Q

adverse effects of lithium

A

tremors
muscle weakness

gi upset
polyuria- peeing a lot

renal toxicity
hypothyroidism

teratogenic- cat X

19
Q

toxicity of lithium is anything over

A

1.5 mEq/L

20
Q

What are the names of antiseizure mood stabilizers

A

Valproate (Depakote)
Cabamazepine (Tegretol)
Lamotrigrine (Lamictal)
Fish oil

21
Q

lowers cholesterol, reduces anxiety, improves mood and mental ocntraction

A

fish oil

22
Q

Antiseizure mood stabilizer that can serious toxicity

A

Valproate (Depakote)