Pysch Meds Flashcards
used to induce vomiting
ipecac
Sedative-Hypnotics: two main categories
Benzodiazepines
Nonbenzodiazepines
The most commonly prescribed drug for treating anxiety and neurosis.
Bind several specific receptors sites in the brain to provide sedation
Benzodiazepines
A term used to describe the more severe forms of mental illness
Psychosis
developed to treat disorders rather than sedate
schizophrenia and other psychotic disorders
Neuroleptics
Drugs decrease symptoms of hostility, agitation, and paranoia without causing confusion or sedation
None of these drugs are addictive
Blocks dopamine
Antipsychotic Drugs
Abnormal movement patterns; because the drugs block CNS dopamine receptors, motor side effects are a potential complication
Extrapyramidal Effects
rhythmic movements of the mouth, tongue, & jaw; involuntary sucking and smacking noises; dysphagia may occur
Tardive dyskinesia
Symptom management of Tardive dyskinesia
anticholinergic drugs, GABA-enhancers, calcium channel blockers
sensations of motor restlessness; c/o inability to sit or lie still; “pace the floor;” insomnia
Akathisia
Symptom management of Akathisia
beta-2 adrenergic receptor
Dyskinesia and dystonias
broad range of involuntary/uncoordinated movements in arms, legs, neck, and face
Dyskinesia and dystonias Symptom management
antiparkinsonian adjuncts or benzodiazepines
catatonia, stupor, rigidity, tremors, and fever; death if left untreated
Neuroleptic Malignant Syndrome
Neuroleptic Malignant Syndrome symptom management
stopping the antipsychotic and providing supportive care
restlessness
Psychomotor agitation
Sedative side effects offer no benefit
Sedation
Blurred vision, dry mouth, constipation, and urinary retention
Anticholinergic Effects
syncope (faint)
Orthostatic hypotension
sensitive to light
Photosensitivity
wt. gain, increased plasma lipids, diabetes mellitus = potentially leads to serious cardiovascular and endocrine problems
Metabolic side effects
-azine
antipsychotic drugs
the 1st of modern antipsychotic drugs
Thorazine
characterized by a marked disturbance in a patient’s mood
Affective disorders
receptor down-regulation
resolving the depression
Block normal reuptake of free serotonin by nerve cells; allow available serotonin to bind with more receptors for a longer period of time
SSRIs
used to treat alcoholism, narcolepsy, kleptomania, ADHD, social anxiety disorder, panic disorder, schizophrenia, autism, bulimia, anorexia, premenstrual dysphoric disorder, seasonal affective disorder, migraine pain, and peripheral neuropathy
Fluoxetine
used to treat SAD, premature ejaculation, fibromyalgia, and diabetic peripheral neuropathy
Paroxetine
includes the neurotransmitters epinephrine, norepinephrine, dopamine, and serotonin because of their chemical structure
Monoamines
enzyme in the body that breaks down these monoamines
Monoamine oxidase (MAO)
MAO Inhibitor
Often prescribed for pt who does not respond to other antidepressants
MAO Inhibitor side effects
tyramine = “cheesing effect”
Hypertension = Stroke
No fermented things — Cheese, milk, bread, kombucha
A major problem where accumulation within the body; it is not metabolized and elimination takes place through excretion…
Accumulation (toxicity) might lead to behavior changes, seizures, coma, death
Diarrhea = concern, get labs checked
Lithium
highest potential for abuse and addiction
Amphetamines – Schedule II
non prescription addictive drugs
Schedule I
Antipsychotic
Thorazine
Sedative and antihypertensive drug
Catapres
Selective Serotonin Reuptake Inhibitor (SSRI)
Prozac
Concerta
Stimulant
Concerta
Ritalin
Vyvanse
Adderall
Stimulant
Off market in 2005
Cylert
treats narcotic addiction
Buprenorphine
treats neuroleptic malignant syndrome caused by adverse reaction to antipsychotic drugs
Dantrolene
given to alcoholics who want to remain sober
Disulfiram
antidote to reverse overdose of benzodiazepine
Flumazenil
“date-rape drug”; illegal in U.S
Flunitrazepam
treats withdrawal from heroin
Guanfacine
Why do OT’s need to be aware of medication side effects???
to facilitate treatment, occupational performance, and participation of clients.