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NUR 114 > Test 2 Meds. > Flashcards

Test 2 Meds. Flashcards

1
Q

olanzapine

A

Use: Anorexia Nervosa
second-generation antipsychotic medication
affects weight gain and improves cognition and body image.

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2
Q

fluoxetine

A

Use: Bulimia nervosa
selective serotonin reuptake inhibitor (SSRI)=antidepressant
has shown mixed results in maintaining weight and preventing relapse.
Helps relieve depression

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3
Q

Anxiolytics

A

Benzodiazepines
Lorazepam, Diazepam, Alprazolam
sleep aids for Dementia pts

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4
Q

topiramate

A

Use: Bulimia nervosa, Binge eating disorder
Anticonvulsant; mood stabilizer
Reduces binge purge/binge episodes, assist in weight loss

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5
Q

ondansetron

A

Use: Bulimia nervosa
Antiemetic; 5 HT antagonists
Reduce binge-purge episodes, increase frequency of normal meals

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6
Q

orlistat

A

Use: Binge eating disorder
Lipase inhibitor
Prohibit fat from storing; extreme diarrhea if consuming fatty foods
Adjunctive therapy to assist in weight loss

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7
Q

traditional

A

3-6 weeks effect

older antipsychotics
target POSITIVE symptoms

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8
Q

atypical

A

can have DM or weight gain issues, increase in cholesterol
newer antipsychotic; first chosen
3-6 weeks effect

diminishes NEGATIVE as well as POSITIVE symptoms
less side effects=higher compliance

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9
Q

Clozapine

A

antipsychotic: atypical

agranulocytosis (low WBC) need to be 3.5 to start
high seizure rate, increased DM risk, weight gain, orthostatic hypotension, high sedative effect

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10
Q

Quetiapine

A

antipsychotic: atypical

strong anticholinergic effects (give at bedtime)
SE: cardiac dysrhythmias, syncope, seizures

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11
Q

Risperidone

A

antipsychotic: atypical

insomnia, high extrapyramidal effects (tremors, slurred speech, anxiety) (dose related), 6-8 mg, low anticholinergic effect Can be given at bedtime to enhance sleep. Assess fall risk

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12
Q

Ziprasidone

A

antipsychotic: atypical

take with food to improve absorption

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13
Q

Olanzapine

A

antipsychotic: atypical

Sedating, give at bedtime. Requires monitoring for metabolic syndrome

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14
Q

**Aripiprazole

A

antipsychotic: atypical
Good for pts with auditory hallucinations and poor social functioning
Can be given during daytime hours; DOES NOT CAUSE WEIGHT GAIN,
Stabilizes DA receptors. Mildly sedative

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15
Q

**Haloperidol

high P=low S

A

antipsychotic: traditional HIGH potency=low sedation
tx for aggressive behavior
can prolong QT interval, lower ACH effects

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16
Q

Triflupoerazine

high P=low S

A

antipsychotic: traditional HIGH potency=low sedation
tx for aggressive behavior
low sedative effect, high incidence of EPS and TD effects

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17
Q

Fluphenazine

high P=low S

A

antipsychotic: traditional HIGH potency=low sedation
tx for aggressive behavior
available in tab, oral concentration, or IM injection; psychosis, agitation, orthostatic hypotension

2-4 week effects

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18
Q

Loxapine

Moderate

A

antipsychotic: traditional Medium potency

moderate sedative, Low ACH
reduces assaultive behavior
tabs, cap, oral concentrate, IM injection, schizophrenia only

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19
Q

Perphenazine

moderate

A

antipsychotic: traditional Medium potency

moderate sedative, Low ACH
reduces assaultive behavior
tabs, cap, oral concentrate, IM injection; schizophrenia only

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20
Q

Chlorpromazine

low P=high S

A

antipsychotic: traditional Low potency=high sedation

moderate sedative, Low ACH, N/v can occur, hiccups
ZOOMBIE MAKER!!!

tabs, solution, IM injection
mania

21
Q

Thioridazine

low P=high S

A

antipsychotic: traditional Low potency=high sedation

moderate sedative, Low ACH, N/v can occur, hiccups
ZOOMBIE MAKER!!!

tabs, solution, IM injection
mania

22
Q

Aphasia

A

language

23
Q

Apraxia

A

loss of purposeful movement w/o loss of muscle power or coordination in general

24
Q

Agnosia

A

does not recognize everyday objects

25
Q

Anomia

A

words

26
Q

Agraphia

A

inability to understand written language

27
Q

Cholinesterase Inhibitors

A

increase acetylcholine to slow progression
mild-moderate alzheimer’s (6-12 months)
SE: N/V, headache

donepezil
rivastigmine
galantamine

28
Q

NMDA receptor antagonist

A

decrease effects of glutamate, CNS excitation
SE: dizziness, constipation, headache
moderate-severe alzheimer’s (6-12 months) “buying time”

Memantine

29
Q

Positive symptoms: alteration in thinking

A

delusions, persecution, grandiosity (king/queen), somatic sensation, thoughts broadcasting

need concrete thinking!

30
Q

Positive symptoms: alteration in speech

A

associative looseness, neologism (making up words), echolalia (echo what you say), clang association, word salad

31
Q

Positive symptoms: alteration in perception

A

hallucinations, illusions, auditory, visual, olfactory, tactile

personal boundary difficulties

32
Q

postitive symptoms: alteration in behavior

A

extreme motor agitation, stereotyped, automatic obedience, waxy flexibility, stupor, negativism

33
Q

Paranoid schizophrenia

A

unable to trust others around them, they are usually guarded, tense, and reserved “ideas of reference”

later in age (20s-30s)

34
Q

catatonic schizophrenia

A

running around or mute no in between

extreme abnormal behavior, agitation, will not eat or move

35
Q

disorganized schizophrenia

A

looseness of association, incoherent speech, poorly organized delusions and hallucinations, bizarre mannerisms, social withdrawal, severe cognitive impairment

early onset (early to middle teens)

36
Q

donepezil
rivastigmine
galantamine

A

Cholinesterase Inhibitors
slows progression of alzheimers
mild-moderate

37
Q

Memantine

A

NMDA receptor antagonist
slows progression of alzheimers
moderate to severe
immediate release/extended release

38
Q

Paroxetine

A 
SSRI 
antidepressant 
SE: sexual problems
good for anxiety can cause weight gain
SES; CAUTION WITH ELDERLY; black box warning
39
Q

Sertraline

A

SSRI
antidepressant
SE: agitation, jittery/nervousness, SI, low sedation
SES; CAUTION WITH ELDERLY; black box warning

40
Q

sensory intervention

A

music therapy
light therapy
hearing aids

41
Q

active therapy/structured therapy

A

dancing, exercise, social interaction, outdoor walking

42
Q

Psychological therapy

A

reality orientation, reminiscence therapy, relaxation training, structured support groups

43
Q

Dementia characteristics

A

chronic
slow but even/months to years
clear awareness, orientation impairment, impaired judgement, normal psychomotor behavior, fragmented sleep/wake cycle, frequent naps

44
Q

Delirium characterisitics

A

acute
abrupt progression, often in the evening
duration can be hours to less than a month, reduced awareness, alertness fluctuates, lethargic-hypervigilant, disorganized and incoherent speech, may have illusions or delusions, variable psychomotor behavior, sleep/wake cycle is disturbed may have days/nights reversed

45
Q 
Tardive Dyskinsia (TD)
AIMS test
A

abnormal involuntary movement

Facial (spasms of tongue)
Limbs (spasms of fingers, toes, neck)
Trunk (spasms of trunk/pelvis)

NO KNOWN TX; very serious

46
Q

Neuroleptic Malignant Syndrome (NMS)

A

“too many antipsychotics”

occur after longterm use
give benzotripine (anticholinergic agent) 
muscle rigidity, dysphasia, temp 103 or higher, tachy, incontinence, diaphoresis
47
Q

Psudoparkinsonism

A

masklike face with stiff drooping posture, shuffling gait, drooling
if pill rolling present give triexyphenidyl (anti-parkinson) or benzotripine (anticholinergic agent)

48
Q

Acute Dystonic Reaction

A

opisthotonos-spasms of face tongue and neck
oculogyric crisis-eyed locked up (white of eyes)

give diphenhydramine (Benadryl)

49
Q

Akathisia

A

inner motor restless (foot tappings, rocking, weight shifting)
decrease dose or change to lower potency meds

give triexyphenidyl (anti-parkinson), benzos, and beta-blocker

NUR 114 (4 decks)

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