Brainscape's Knowledge GenomeTM

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


See full index

Clinical Pharm > Pysch med review > Flashcards

Pysch med review Flashcards

1
Q

In psych what is the most imp question?

A
  • Family hx bc family disposition so make sure to cover that
  • Gather all the sx; sleeping eating
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ask about how to ask certain questions

A

suicidal; duration, freq

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

Whats likert scale?

A

0-10, 10 being the worse, how is your depression? Helps with mild, moderate, severe intensity.

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

What are other important things you can asses?

A
  • Chronic – breakthrough sxs?
  • How long on current med?
  • Were meds initially helpful?
  • New stressors?
  • H/o previous psychotropics?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are different types of non-drug therapy?

A

CBT, DBT, mindfulness
In fact, sleep therapy is first line for those who have issues with sleep - CBTi

DBT - helps recognize triggers and also escalation and bring them down

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

What is social question you should ask?

A
  • Substances
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Can you order a UA?

A

yes! helps with management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some screenings

A

PHQ9
GAD 7
MDQ — may gain insight for mood d/o esp if strong FHx of BMD
Epworth Sleepiness Scale
Borderline personality screen
Likert scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

when you start a meds, how long does it take to be clinically effective?

A

1-3 months

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

Whats going on the 1st month?

A

changing the dose, finding the right dose

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

How long is maintenance phase?

A

6-9 months

About 12month journey

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Whats the only med for short duration of sx?

A

Wellbutrin, on 5-6 months year and then off

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

T/F If chronic pt, you can challenge dose.

A

True

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

T/F you can add adjunctive

A

True

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

Whats the top 3 SSRI for our guest lecture?

A
  • lexapro
  • zoloft (s/e diarrhea)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How to begin?

A

1st line - SSRI

Challenge and two fail before moving along

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Sx for serotionin syndrome

A
  • N/D, restlessness, confusion, tachy, HBP, sweating
  • Dilated pupils**
  • Loss of muscle coordination or twitching muscles.
  • Muscle rigidity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are two s/e for psych meds

A
  • serotonin syndrome
  • SJS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What meds give possible rash?

A

lamictol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Whats the two 3 SSRI?

A
  • Zoloft
  • Prozac
  • Lexapro
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How long does it take for zoloft to work?

A

3 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Whats zoloft used for mainly?

A

anxiety, depression, OCD, irritability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the s/e of zoloft?

A

GI disturbance, reflux, somnolence, libido

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

When does prozac work?

A

4 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Whats prozac used for?

A

Profiled for anxiety, depression, OCD, motivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Whats the s/e for prozac?

A

Anorexia, activating, libido

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

How long does it take for lexapro to work?

A

3 weeks

28
Q

when is lexapro used for?

A

anxiety, depression

29
Q

Which meds is the most serotonergic (zoloft, prozac, lexapro)?

A

lexapro

30
Q

which drug would you want to get EKG?

A

Celexa

31
Q

What happens if you fail SSRI?

A

Go to SNRI, takes awhile to ramp up.
Created for neuropathic pain

32
Q

What are the three SNRI?

A
  • Cymbalta
  • Pristiq
  • Effexor
33
Q

How long does it take for SNRI to work?

A

about 4 weeks

34
Q

What is SNRI used for?

A

pain, anxiety, depression

35
Q

Whats the s/e of cymbalta?

A

lots of GI disturbance, somnolence, libido, W/D syndrome

36
Q

Whats the s/e for pristiq?

A

Pretty well tolerated as no metabolism in liver so lower risk of DDI
Libido, W/D syndrome

37
Q

Whats the s/e for effexor

A

Libido, WICKED W/D SYNDROME

38
Q

Adding sleep meds?

A
  • Start with one med
  • Sleep hygiene, structure,
39
Q

T/F Don’t compound your medication, pick a class and stick to it

A

True, one drug from one class

40
Q

How to start SSRI

A
  • Start low and go slow
  • 5-7 days
41
Q

Example of starting zoloft

A
  • start 25mg
  • Give them grace period, 5-7 days
  • See how they are doing
  • Advance to 50mg
42
Q

Example of starting cymbalta, if pt has severe depression?

A

Start to 30, rather than 20 but always 14 days to start working

43
Q

for SNRI, how many days do you give to adjust?

A

14 days

44
Q

How many days do you give for anti-psychotics to adjust?

A

3 days

45
Q

What are the more common s/e?

A

GI issues, N, HAs, dizziness, sedation

46
Q

What are the other s/e?

A

Sexual SE
Appetite changes - anorexia
Affect changes – blunted, flat

47
Q

What labs do you need to order?

A

lipids and A1c - imp with SSRI

  • Thyroid, kidneys, liver fxn, lipids, A1c, electrolyte imbalances
48
Q

What Iatrogenic you should look out for?

A

Weight gain
Cardiac implications – QT prolongation
Serotonin syndrome
TDEPS

49
Q

Whats akathisa?

A

Restlessness —> TD –> EPS

50
Q

Crossing

A

decrease one and increase one for each med but give them 3 days for each change

51
Q

Whats Buspar for?

A

Anti-anxiety, long term, BID, start low

52
Q

Whats the s/e for buspar?

A

Dizziness

53
Q

Whats wellbutrin for?

A

Motivation, sexual s/e

54
Q

Whats wellbutrin s/e?

A

↑ anxiety, lowers sz threshold

55
Q

When to use abilify?

A

Super charger for mood lability/emotional reactivity

56
Q

What labs should you order with abilify?

A

A1c and lipids

57
Q

What is lithium for?

A

SI and depression

58
Q

If lithium is >600mg, what labs should you order?

A

lithium lvl, TSH, CMP

59
Q

Whats lamictal used for?

A

emotional reactivity, boderline, roller coaster

“seal them up”

60
Q

Whats the important lamictal s/e?

A

Rash! go to the ED

61
Q

What labs should you order for lamictal?

A

A1c and lipids

62
Q

what should you do for ADHD?

A

Screen appropriately, Do Neuro-psych testing

63
Q

what are non-pharm approach for ADHD?

A

Executive functioning coaching
Neurofeedback

64
Q

What should you do if h/o of addiction?

A

Check your PDMP!!

65
Q

Whats are example of non-stimulants?

A
  • Strattera
  • Guanfacine/Intuniv

Clinical Pharm (8 decks)

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