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Psychiatry 2 > Somatic Tharapies 2 > Flashcards

Somatic Tharapies 2 Flashcards

1
Q

What are the adverse effects of Benzos?

A

Drowsy, Somnolence, red memory, red motor coordination

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2
Q

What are the withdrawl effects of Benzos?

A 
Tremulous
Sweating
Insomnia
GI Distress
Systolic HTN
Seizures
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3
Q

What are the indications for Buspirone? MOA?

A

Anxiety(NOT panic attacks, phobias or OCD)

Dendritic 5-HT1A agonist

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4
Q

What is the antidote for Benzo Overdose?

A

Flumazenil

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5
Q

WHat is the acronym for the short acting benzos?

A 
ATOM
Alprazolam
Triazolam
Oxazepam
Midazolam
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6
Q

What are the uses for First Gen Antipsychotics?

A

Schizo/Psychosis, agitation, n/v, Tourette’s

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7
Q

What are the SA of Antipsychotics?

A 
Anticholinergic
a-Adrenergic: OSH
QT-c Prolongation
Agranulocytosis: Clozapine
Hyp-Prolactin
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8
Q

What is Neuroleptic Malignant syndrome?

A

Rare reaction to Antipsychotics Sx: Rigidity, High fever, delirium, autonomic instability
Can cause Death

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9
Q

What is the Tx of NMS?

A

Monitor, Stop offending meds, Muscle relaxant(dantrolene)
Dopamine agonist
ECT in severe cases
Caution w/ Antipsych

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10
Q

What are the Signs of Acute Dystonic Reaction?

A

Sustained Contraction of muscles of the neck, mouth, tongue. Painful

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11
Q

______ _______ ______ is the steriotypical contraction of the neck in response to antipsychotics.

A

Acute Dystonic Reaction

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12
Q

What is the Tx of Acute Dystonic Reaction?

A

IV Benzos

Diphenhydramine

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13
Q

What is Akathesia?

A

Anxiety and tension

Restlessness, fidgety, agitation

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14
Q

________ _________ is the movement disorder caused by long term use of antipsychotics.

A

Tardive dyskinesia

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15
Q

What are the Sx of Tardive Dyskinesia?

A

Abn Involuntary movements of mouth and tongue

Cause: Postsynaptic DO rec supersensitivity

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16
Q

What are the SA of Clozapine?

A 
Seizures
Mets Syndrome
Sedation
Hypersalivation
Agranulocytosis
17
Q

What is the Black box warning on Risperidone?

A

Increased risk of stroke

18
Q

What are the Cardiovascular effects associated with 2nd Gen Antipsychotics?

A

Coronary Vasospasm
Cutaneous flushing
Dilated cardiomyopathy
Torsades de pointes

19
Q

Which Antipsychotic drug has the highest risk of Weight gain and Metabolic syndrome?

A

Clozapine

Psychiatry 2 (13 decks)

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