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XIO > pysch drugs > Flashcards

pysch drugs Flashcards

1
Q

Nonmaleficence

A

Nonmaleficence: do no harm

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2
Q

 We must balance the beneficence of

A

providing the medication
quickly with the possible maleficence of obtaining a consent when
patient does not have the capacity to make the decision for
surgery

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3
Q

power of attorney

A

can choose for someone if they can continue dialysis or not

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4
Q

antipsychotics - end in

A

Phenothiazine
Nonphenothiazine

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5
Q

schizo - positive symptoms

A

▪ Agitation, anxiety, hallucinations, poor hygiene and
dress, hyperactivity, delusions, paranoia, and
hostility

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6
Q

schizo - negative symptoms

A

Flat affect; social inadequacy; diminished speech
patterns, judgment, and insight

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7
Q

2 types of f neuroleptic (psychosis) agents:

A

Typical, or first-generation
Atypical, or second-generation

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8
Q

antipsychotics - what action?

A

Block action of dopamine

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9
Q

phenothiazines - 3 groups

A

thorazine and Serentil® strong, proloxin is weaker

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10
Q

proloxin - side effects (kava kava is a pro)

A

kava kava increases EPS, sedation, dry mouth.

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11
Q

haldol side effects (hal gives me a headache)

A

sedation, headaches, dry mouth, eps

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12
Q

haldol interactions (hal can’t have caffeine)

A

caffeine

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13
Q

advantages of atypical meds - schizo is atypical

A

Effective in treating both positive and negative
symptoms of schizophrenia

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14
Q

respiradol side effects

A

◼Dry mouth, weight gain
◼Tachycardia, orthostatic hypotension
Dysrhythmias, blood dyscrasias, liver damage

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15
Q

Extrapyramidal Syndrome - Acute dystonia (grimacing stones)

A

AMuscle spasms of face, tongue, neck, and back, Facial grimacing, Involuntary upward eye movements, Laryngeal spasms

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16
Q

EPS - Pseudoparkinsonism

A

occurs with drugs that block dopamine (antipsychotics) pill rolling, shuffling feet

17
Q

Neuroleptic malignant syndrome (NMS) (the FARM is malignant)

A

FARM: Fever, autonomic instability, rigidity, mental status changes

18
Q

side effects of antipsychotics (anti-psychotics, anti-cholenergics)

A

Anticholinergic effects: sedation, dry mouth,
constipation, dry skin, urinary retention, blurred
vision, tachycardia, and inhibited ejaculation and
confusion in older adults

19
Q

side effects of antipsychotics - endocrine (psycho makes me not pee)

A

Endocrine changes: glucose levels, weight gain, breast enlargement, and syndrome of inappropriate antidiuretic hormone (SIADH)

20
Q

side effects of antipsychotics - random (psycho about liver, eyes, and seizures)

A

Liver toxicity
Ocular toxicity Seizures
Allergic skin reactions

21
Q

nursing interventions (psycho gets side tracked)

A

Give IM by Z track into deep muscle using large-
gauge needle.

22
Q

A young woman is being treated for psychosis with fluphenazine (Prolixin®). Which of the following signs would indicate the need to add an anticholinergic to the patient’s medication regimen?

A

Facial grimacing and tongue spasms

23
Q

A patient on risperidone (Risperdal®) may be at increased risk for injury due to

A

Increased risk for falls due to orthostatic hypotension

24
Q

A patient is receiving risperidone (Risperdol). The nurse should monitor the patient for which of the following? (Select all that apply.) (just 3 things) (Char on respir)

A

weight gain, ortho hypo, urinary retention,

25
Q

Esketamine (Spravato®)

A

nasal spray for depression. dispensed at treatment centers.

26
Q

Amitriptyline (Elavil®) - side effects (Amy is sleepy)

A

Increased sedation and anticholinergic effects with phenothiazines, haloperidol

27
Q

SSRI - side effects - how long do they last?

A

Side effects often decrease over 2 to 4 weeks

28
Q

seratonin syndrome

A

Requires at least three of the following:
▪ Mental status changes (confusion, hypomania) ▪ Agitation
▪ Myoclonus (sudden twitching)
▪ Hyperreflexia
▪ Diaphoresis
▪ Shivering
▪ Tremor
▪ Diarrhea
▪ Incoordination
▪ Fever

29
Q

MAO inhibitors - side effects (food interactions)

A

Hypertensive crisis from fatal tyramine interaction (from cheese, coffee, cream,
yogurt, bananas, liver, yeast, chocolate, beer, red wine, etc.)

30
Q

lithium

A

Monitor lithium levels every 1 to 2 months (0.5 to 1.5
mEq/L); toxic range is greater than 1.5 mEq/L. (liver)

31
Q

lithium toxicity (lithium hurts my heart)

A

dysrhythmias

32
Q

Baseline Assessment Prior to Initiating Lithium Therapy - what test? (lithium hurts my heart, so I need what test?)

A

EKG

33
Q

A patient with reactive depression is ordered to receive fluoxetine (Prozac®). The teaching for this patient includes

A

The medication may cause headaches and
insomnia.

34
Q

Which of the following laboratory tests is most important for the nurse to monitor when a patient is receiving lithium (Lithobid®)

A

Serum electrolytes (lithium depletes sodium)

35
Q

ESPs - Akathisia (Akeela keeps moving)

A

constant motion, pacing

36
Q

Tardive dyskinesia

A

rolling of tongue

XIO (393 decks)

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