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Psychotropic medications Flashcards

1
Q

What is diazepam (valium)?

A

anti-anxiety. Benzodiazepine

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2
Q

What is clonazepam (klonopin)?

A

anti-anxiety. Benzodiazepine

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3
Q

What is alprazolam (Xanax)?

A

anti-anxiety. Benzodiazepine

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4
Q

What is lorazepam (Ativan)?

A

anti-anxiety. Benzodiazepine

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5
Q

What is Buspirone (BuSpar)?

A

anti-anxiety.

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6
Q

Is Buspirone (BuSpar) a benzodiazepine?

A

no

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7
Q

What is Hydroxyzine (Vistaril)?

A

anti-anxiety.

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8
Q

What class is Hydroxyzine (Vistaril)?

A

antihistamine

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9
Q

What are 3 hypnotic medications?

A
  1. Zolpidem (Ambien)
  2. Zaleplon (Sonata)
  3. Eszopiclone (Lunesta)
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10
Q

What class are zolpidem, zaleplon, eszopiclone part of?

A

Short-acting sedative-hypnotic sleep agents

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11
Q

true or false: psychiatric meds require not so close monitoring

A

false; they require close monitoring.

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12
Q

Can antidepressants be used to treat anxiety disorders?

A

yes

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13
Q

What are the 4 classes of antidepressants?

A
  1. Selective serotonin reuptake inhibitors (SSRIs)
  2. Serotonin-norepinephrine reuptake inhibitors (SNRIs)
  3. Tricyclic antidepressants (TCAs)
  4. Monoamine oxidase inhibitors (MAOIs)
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14
Q

What class is Fluoxetine (prozac)?

A

SSRI

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15
Q

What class is Sertraline (Zoloft)?

A

SSRI

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16
Q

What class is Paroxetine (Paxil)?

A

SSRI

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17
Q

What class is Citalopram (Celexa)?

A

SSRI

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18
Q

What class is Escitalopram (Lexapro)?

A

SSRI

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19
Q

What class is Fluvoxamine (Luvox)?

A

SSRI

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20
Q

What class is Venlafaxine (Effexor)?

A

SNRI

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21
Q

What class is Nortriptyline (Pamelor)?

A

TCAs

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22
Q

What class is Amitriptyline (Elavil)?

A

TCAs

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23
Q

What class is Imipramine (Tofranil)?

A

TCAs

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24
Q

What class is Isocarboxazid (Marplan)

A

MAOIs

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25
Q

What class is Phenelzine (Nardil)

A

MAOIs

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26
Q

What class is Selegiline (EMSAM)

A

MAOIs

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27
Q

What class is Tranylcypromine (Parnate)

A

MAOIs

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28
Q

What class is lithium (Eskalith, Lithobid)?

A

mood stabilizer

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29
Q

What is important to know about lithium (Eskalith, Lithobid)?

A

narrow therapeutic window

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30
Q

What are first generation antipsychotic meds known as?

A
  1. typical

2. conventional

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31
Q

How do first generation antipsychotic meds work?

A

Antagonists of muscarinic receptors for

  1. Acetylcholine
  2. Norepinephrine
  3. Histamine
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32
Q

What are significant side effects of 1st generation antipsychotic meds?

A
  1. Weight gain

2. sedation

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33
Q

What are 2nd Generation Antipsychotic medications known as?

A

atypical antipsychotics

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34
Q

What are 2nd Generation Antipsychotic medications antagonists for?

A

D2 (dopamine) and 5-HT2A (serotonin)

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35
Q

What do 2nd Generation Antipsychotic medications target?

A

positive and negative symptoms

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36
Q

what are 2nd Generation Antipsychotic medications often used as?

A

first-line treatment

37
Q

what do 2nd Generation Antipsychotic medications produce fewer of?

A

fewer extrapyramidal side effects (EPS)

38
Q

What is a main side effect of 2nd Generation Antipsychotic medications?

A

increased metabolic syndrome

39
Q

Clozapine (Clozaril)

A

Second-Generation Atypical Antipsychotics

40
Q

Risperidone (Risperdal)

A

Second-Generation Atypical Antipsychotics

41
Q

Quetiapine (Seroquel)

A

Second-Generation Atypical Antipsychotics

42
Q

Olanzapine (Zyprexa, Zyprexa Relprevv)

A

Second-Generation Atypical Antipsychotics

43
Q

What is the class of Ziprasidone (Geodon)

A

Second-Generation Atypical Antipsychotics

44
Q

What is the class of Aripiprazole (Abilify)

A

Second-Generation Atypical Antipsychotics:

45
Q

What is the class of Lurasidone (Latuda)

A

Second-Generation Atypical Antipsychotics:

46
Q

Valbenazine (Ingrezza)

A

Extrapyramidal disorders

47
Q

Diphenhydramine (Benadryl)

A

Extrapyramidal disorders

48
Q

Benztropin (Cogentin)

A

Extrapyramidal disorders

49
Q

What is the indication for Methylphenidate (Ritalin, Daytrana)

A

Attention Deficit Hyperactivity Disorder

50
Q

What is the indication for Dextroamphetamine (Adderall, Vyvanse)

A

Attention Deficit Hyperactivity Disorder

51
Q

What is the indication for Atomoxetine (Strattera)

A

Attention Deficit Hyperactivity Disorder

52
Q

What is the indication for Guanfacine (Intuniv)

A

Attention Deficit Hyperactivity Disorder

53
Q

What is the indication for Clonidine (Kapay)

A

Attention Deficit Hyperactivity Disorder

54
Q

What class is Valproate (Depakote, Depakene)?

A

Anticonvulsant drugs - mood stabilizer

55
Q

What class is Carbamazepine (Equetro, Tegretol)

A

Anticonvulsant drugs - mood stabilizer

56
Q

What class is Lamotrigine (Lamictal)

A

Anticonvulsant drugs - mood stabilizer

57
Q

What class is Gabapentin (Neurontin)

A

Anticonvulsant drugs - mood stabilizer

58
Q

What class is Haloperidol (Haldol)?

A

(1st gen) Antipsychotics

59
Q

What class is Fluphenazine (Prolixin)?

A

(1st gen) Antipsychotics

60
Q

What class is Chlorpromazine (Thorazine)?

A

(1st gen) Antipsychotics

61
Q

What class is Perphenazine (Trilafon)?

A

(1st gen) Antipsychotics

62
Q

What class is Clozapine (Clozaril)

A

Second-Generation Atypical Antipsychotics

63
Q

What class is Risperidone (Risperdal)

A

Second-Generation Atypical Antipsychotics

64
Q

What class is Quetiapine (Seroquel)

A

Second-Generation Atypical Antipsychotics

65
Q

What class is Olanzapine (Zyprexa, Zyprexa Relprevv)

A

Second-Generation Atypical Antipsychotics

66
Q

What class is Ziprasidone (Geodon)

A

Second-Generation Atypical Antipsychotics

67
Q

What class is Aripiprazole (Abilify)

A

Second-Generation Atypical Antipsychotics:

68
Q

What class is Lurasidone (Latuda)

A

Second-Generation Atypical Antipsychotics:

69
Q

What class is Valbenazine (Ingrezza)

A

Extrapyramidal disorders

70
Q

What class is Diphenhydramine (Benadryl)

A

Extrapyramidal disorders

71
Q

What class is Benztropin (Cogentin)

A

Extrapyramidal disorders

72
Q

What is the indication of use for Tacrine (Cognex)

A

Alzheimer’s Type Dementia

73
Q

What class is Tacrine (Cognex)

A

Cholinesterase inhibitors (slow the degradation of acetylcholine)

74
Q

What is the indication of use for Donepezil (Aricept)

A

Alzheimer’s Type Dementia

75
Q

What class is Donepezil (Aricept)

A

Cholinesterase inhibitors (slow the degradation of acetylcholine)

76
Q

What is the indication of use for Galantamine (Razadyne)

A

Alzheimer’s Type Dementia

77
Q

What class is Galantamine (Razadyne)

A

Cholinesterase inhibitors (slow the degradation of acetylcholine)

78
Q

What is the indication of use for Rivastigmine (Exelon)?

A

Alzheimer’s Type Dementia

79
Q

What class is Rivastigmine (Exelon)

A

Cholinesterase inhibitors (slow the degradation of acetylcholine)

80
Q

What is the indication of use for Memantine (Namenda, Namenda XR)

A

Alzheimer’s Type Dementia

81
Q

What class is Memantine (Namenda, Namenda XR)

A

Cholinesterase inhibitors (slow the degradation of acetylcholine)

82
Q

What are the indications of use for lurasidone (Latuda)?

A
  1. schizophrenia - for treatment of adults and adolescents aged 13-17 years
  2. bipolar disorder
83
Q

What receptors does lurasidone (Latuda) affect?

A

blocks receptors for dopamine and serotonin.

84
Q

What are adverse effects of lurasidone (Latuda)?

A
  1. Not approved for patients diagnosed with dementia-related psychosis
  2. Suicidal thoughts
  3. Nausea
  4. Vomiting
  5. Neuroleptic malignant syndrome
  6. Agranulocytosis
  7. Diarrhea
  8. Dyslipidemia
  9. Increased blood glucose
  10. Tardive dyskinesia
85
Q

What are nursing actions for lurasidone (Latuda)?

A
  1. Monitor for mood changes
  2. Assess for suicidal ideation
  3. Monitor for NMS
  4. Monitor for signs of tardive dyskinesia
    - -> Involuntary/abnormal movement of jaw, lips, and tongue
86
Q

What is important patient teaching for lurasidone (Latuda)?

A
  1. Patient must take each dose with 350 calories for better absorption
  2. Educate patient (and family) to immediately report any signs of suicidal thoughts or changes in behavior
  3. Avoid high-alert and high-energy activities
  4. Patient must avoid grapefruit juice
87
Q

What are uses for risperidone?

A
  1. Schizophrenia
  2. Acute manic or mixed episodes
    associated with Bipolar I Disorder
  3. Maintenance treatment of Bipolar I
    Disorder
  4. Irritability associated with autistic disorder
88
Q

What are uses for ziprasidone?

A
  1. Schizophrenia
  2. Bipolar I Disorder, Acute or manic episodes
  3. Can be used as a lithium adjunct (for Bipolar I Disorder)

Nurs471 (3 decks)

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