Test 2 Flashcards
Threr things that too much melitonin can cause
HA nightmare Mental impairment
5 indications for benzos
Anxiety, insomnia, antiseizure, Nausea, and alcohol withdrawal
2 side effects of Benzos
CNS depressant and paradoxal excitation
Pregnancy classes
A human trials show no adverse effects B animal trials show no adverse effects C animal trials show adverse effects D human trials show adver effects X no reason to ever take med when pregnant
One AE and one CI of zolpidem and one thing to keep in mind
Sleep eating stuff and no breastfeeding
Women and elderly have increased chance of toxcicity
3 things about zolpidem
Short half life, one receptor, it is a seditive not a mm relaxor
What is different about alprazolam
No grapefruit juice
What is different about diazepam
Used in surg
What is different about midazdam
It is fast and amnesia is expected effect
Benzos and pregnancy?
D
7 CI for barbs
No alcohol, no birth control, no corticosteroids, or aniconvulsants because they will increase metan of barbs , no breast feeding, preg D not for panic dysorder
3 teaching for barbs
Do not stop rebound insomnia
Vit d and cal deficancy can happen
Watch for paradoxical excitation in adults and kids
What do these do? Seronotin NorEp GABA Aceylcholine Dopamine
S inhibitory help with sleep, pain emotions, and mood N-Excititaory or inhibitory GABA-Inhibits A-both D excititory- movement and intention
You missed a drug what is it where does it belong?
Amitriptyline it is a TCA
IN for TCA 4
Depression, nocurnal enuresis, pain, insomnia
4 AE of TCAs
Cardiac dys, lower seizure threashold, orthoHypoTN, Anticholenergic effects
Cautions with TCA
Park, cardiac issues, hepatic, increase in intraocular pressure, or hypothyroidism
IN for SSRI 7
Depression, premenstral dysphoric dysorder, bulemia/anor obesity/alcohol dependency/PTSD/OCD
What are two things that we are worried about with SSRI
Serotonin syndrome and withdrawal
Serotonin syndrome s/s 9
Confusion, anxiety, agitation, rigidity, HTN, fever, sweat, ataxia, tremmors
Serononin w/d s/s
Tremor anxiet sensory disturbances
What are the two other atypical antidepressants just what the letters are
SNRI
And
NDRI
Venlafaxine AE 2
Nausea, growth retardation,
What are the indications of Bupropion 3
depression, nicotine withdrawal, neuropathic pain
What are the the SE of bupropion 5
CNS excite, HA, GI upset, tremmors, increase in seizure risk,
What are we worried about with MAIOs? 8
HYPERTN crisis, hypoglycemia, drowsiness, orthhypo, serotonin syndrome, HA, insomnia, Dia
What are the 3 antiepileptics
Valporic acid, caramazepine, lamotrigine
What drugs do you use to treat bipolar disorder? 4
mood stabelizers, antiepileptics, antipsychotics, benzos
Onset of lithium and one thing about it
1-3 weeks short half life
What are the adverse effects of Lithium 5
Mm weakness, lethergy, n/v, long term renal imapirment,
Interactions with lithium 2
Thiazide diuretics and antithyroid meds they will increase hypothyroid effect
AE of valporic acid 3
Thrombocytopenia, preancreatitis, liver fail
What treats EP symptoms?
Benzos
Akathesia, tardive dyskinesia, and acute dystonia
AK a feeling of mm quivering and restlessness
Tar facial repetitive involuntart movement
Acute-contractions
What are the symptoms of Neuropathic malignaant syndrome and what causes this and how do we support
High fever, diaphoresis, mm rigidity, tachy, bp up or down, delerium and coma diaphoresis
From antipsychotics
Support-antipyretics, mm relax and electrolytes
Chlorpromazine IN 2
Antiemetic, hiccups
AE with chlorpromazine 4 and 2 interactions
Anticholenergic, weight gain, seizures, eps, CI for dementia rt psychosis and anticicholenergic meds
Indications for Haloperidol and one thing to remember
Tourettes, hiccups, autism, delirium in emerg
Remember IV
AR for haloperidol 2
Drowsines and EPS
Haloperidol CI 4
Park, seizure, alcohol severe mental depression
Risperidome routes
Po, IM oral disint tab
Indications for risperidone 1 and 2 off label
Acute mania
Tourettes, irritated autism
AE of risperisone 3
N and v orthohypo increase prolactin
Colazapine 3
Last resort agranulocytes can decrease seizue thershold
What else is quetiapine good for
OCD
In for aripiprazole 4
Sch, bipolar, depression, tourettes
AE of Airpiprazole
Drowz seizure ther
Aripiprazole IN
SSRIs or grapefruit juice
