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NCLEX > Psychotropic drugs > Flashcards

Psychotropic drugs Flashcards

1
Q

all psych drugs cause what

A
  • hypotension and weight gain
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2
Q

phenothiazines

A
  • all end in “zines’’
  • 1st gen/typical antipsychotics
  • only reduce symptoms
  • small doses can be antiemetics and large doses for psychosis
  • majaor tranquillizer
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3
Q

side effects (non toxic) of phenothiazines

A
  • ABCDEFG
  • Anticholinergi (dry mouth))
  • Blurred vision
  • Constipation
  • Drowsiness
  • EPS (pill rolling, cogwheel ridgitity, shuffling gait)
  • Fotosensitivity
  • G aGranulocytosis (low WBC=immunosuppressed)
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4
Q

if pt displays a non toxic side effect

A
  • teach them to keep taking the drug
  • inform the dr
  • treat the SE
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5
Q

if the pt displays a toxic side effect

A
  • hold the drug and call the dr immediately
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6
Q

deconate

A
  • after the name of a drug = long acting IM form of the drug for a non compliant pt (like if it was court ordered)
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7
Q

Tryclic antidepressant

A
  • NSSRI
  • elavil, tofranil, avatil, desyrel
  • mood elevators
  • take for 1-2 weeks before you see effects
  • can take for the rest of your life
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8
Q

non toxic side effects of tricyclic antidepressants

A
  • ABCDE
  • e is for euphoria (elevated mood)
  • no F or G
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9
Q

benzodiazepines

A
  • minor tranquilizers
  • anti anxiety
  • have zep in the name and usually end in pam or lam
  • DO NOT TAKE LONGER THAN 2-4 WEEKS
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10
Q

indications of benzos

A
  • pre op to induce anesthesia
  • muscle relaxer
  • alcohol withdrawal
  • seizures
  • helps when pt is fighting the ventilator to calm down
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11
Q

Side effects of Benzos

A
  • ABCD
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12
Q

MAOI

A
  • begging of the name rhyme: Partite, nardil, marplan (par, nar, mar)
  • avoid all foods containing tyramine to prevent hypertensive crisis
  • dont take OTC while on these
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13
Q

tyramine containing foods

A
  • Salad Bar
  • Salad
  • Bannana
  • Avocados
  • Raisains (or any dried fruit)
  • yogurt/dairy products except for mozerella and cottage cheese
  • organ/preserved/hot dogs/lunch meats (smoked, dried, cured, pickled)
  • alcohol
  • chocolate
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14
Q

lithium

A
  • for bipolar disorder (the mania part)
  • decreases mania but isnt for depression
  • doesnt mess with neurotransmitters
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15
Q

non toxic SE of lithium

A
  • 3 p’s
  • peeing
  • pooping
  • paresthesia
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16
Q

Toxic side effects of lithium

A
  • tremors
  • metallic taste
  • severe diarrhea
  • hold and call the dr
  • intervention: fluids, electrolytes, watch for dehydration, monitor Na
17
Q

why do you need to watch na on lithium

A
  • lithium is linked to na
  • low sodium= toxic levels of lithium
  • high sodium= lithium wont work
18
Q

SSRI

A
  • fluoxetine (prozac)
  • sertraline
  • give before noon and not at bedtime because it can cause insomnia= prozac
  • increased suicide risk when changing doeses with young adults
19
Q

SE of SSRI

A
  • ABCDE
  • E is for euphoria
20
Q

zoloft (sertraline)

A
  • can give at bedtime
  • lower the dose of other drugs: warfarin needs to be lowered because you can bleed out
  • dont give st johns wort= seritonin syndrome
21
Q

signs of seritonin syndrome

A
  • SAD HEAD
  • sweating
  • apprehension/impending sense of doom
  • dizziness
  • headaches
22
Q

haldol

A
  • schizophrenic drug
  • typical 1sr gen
  • at risk for neuroleptic malignant syndrome
23
Q

SE of haldol

A
  • ABCDEFG
24
Q

neuroleptic malignant syndrome

A
  • potentially fatal hyperpyrexia (fever)- 105-108
  • anxiety and tremors
25
Q

who is at risk for NMS

A
  • young white men
  • elderly dudes (they should get half tablet)
26
Q

clozaril/clozapine

A
  • 2nd gen
  • used to treat severe schizo
  • made to replace the zines and haldol
  • does not have the side effects (A-F)
  • has severe agranulocytosis (immunosupressed)
  • monitor WBC as they can fall very low
27
Q

2nd gen end in

A
  • zapine
28
Q

geodon (ziprasidone)

A
  • black box warning- prolongs QT interval and can cause sudden cardiac arrest
  • hypotension
  • dont give to people with heart conditions

NCLEX (15 decks)

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