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Pharmacotherapeutics - Midterm > Think Beyond Xanax > Flashcards

Think Beyond Xanax Flashcards

1
Q

4 aspects of assessment/presentation of a psych pt

A
  1. acute vs chronic
  2. thorough fam hx
  3. symptoms: SI, duration/frequency, intensity
  4. h/o of previous psychotropics
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2
Q

tool used to assess symptoms in psych pt

A

likert scale

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3
Q

max dose of lexapro

A

40 mg

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4
Q

2 contraindications when considering medications for psych patients

A

didn’t work in the past
increased dpn

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5
Q

4 types of therapy

A
  1. CBT
  2. DBT (dialectical behavior therapy)
  3. EMDR (eye movement desensitization/reprocessing)
  4. mindfulness
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6
Q

therapy for pt’s who have really big emotions (ex histrionic/alexithymia)

A

DBT

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7
Q

therapy for people who have had trauma

A

EMDR

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8
Q

lifestyle questions to ask pt before prescribing meds

A

social etoh?
THC?
party drugs/pills?

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9
Q

t/f: you can do a UA for toxicology screen in primary care

A

t!

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10
Q

screens for psych patients

A

PHQ9
GAD7
MDQ
epworth sleepiness scale
borderline personality screen
likert scale
psycheducation.org

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11
Q

max dose of prozac

A

80 mg

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12
Q

what is the pharmacotherapy journey

A

1-3 mo: to find therapeutic dose
6-9 mo: maintenance/remission phase

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13
Q

total length of the pharmacotherapy journey

A

12 months

~1 year on med for max efficacy

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14
Q

med for seasonal dpn

A

wellbutrin

only dpn med that can be given only during certain times of the year

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15
Q

during what phase of the pharmacotherapy journey can you augment

A

6-9 months

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16
Q

dpn med to avoid in pt w. IBS

A

zoloft -> causes diarrhea

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17
Q

med that is very helpful for acute SI

A

lithium

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18
Q

first line psych med

A

SSRI

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19
Q

you should try __ trials of SSRI
and then switch to __ if it is ineffective

A

2
SNRI

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20
Q

6 sx of serotonin syndrome

A

n/d
restlessness
confusion
tachycardia
hbp
sweating

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21
Q

3 PE exam findings of serotonin syndrome

A

dilated pupils **
loss of muscle coordination/twitching muscles
muscle rigidity

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22
Q

2 SSRI for OCD

A

zoloft (sertraline)
prozac (fluoxetine)

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23
Q

SSRI to avoid for OCD

A

lexapro (escitalopram)

24
Q

SSRI for ED

A

prozac (fluoxetine)

25
SSRI that she rarely prescribes due to harsh s.e profile
prozac (fluoxetine)
26
most serotonergic SSRI
lexapro (escitalopram)
27
what is activation in relation to drug side effects
increase in activity - ex talking really fast, restlessness
28
activation is a predisposition for __ and can tip pt into __
bipolar mania
29
which SSRI is activating
prozac (fluoxetine)
30
3 SNRIs
cymbalta (duloxetine) pristiq (desvenlafaxine) effexor (venlafaxine)
31
which SNRI causes GI upset
cymbalta
32
last resort SNRI due to harsh s.e profile
effexor
33
med combo that is good for psych pt with neuropathy
cymbalta + zoloft
34
2 considerations when starting pt on SNRI
longer time required to increase dose longer time required to taper off
35
when dosing SSRI's, you should titrate up q __
5-7 days
36
max dose of cymbalta
360 mg
37
with SNRI dosing, you should titrate up q __ days
14
38
you should titrate antipsychotics up q __ days
3
39
6 common side effects of psych meds
GI dizzy sedation sexual dysfxn anorexia blunted affect
40
2 iatrogenic consequences of psych meds
TD EPS
41
t/f: TD is irreversible
t!
42
5 adjunct psych meds
buspar wellbutrin abilify lithium lamictal
43
adjunct med for anxiety
buspar
44
adjunct med for motivation/sexual side effects
wellbutrin
45
adjunct med for mood lability/emotional reactivity
abilify
46
adjunct med for SI and dpn
lithium
47
adjunct med for emotional reactivity
lamictal
48
which adjunct med is "borderline glue"
lamictal
49
you need to warn pt about SJS with which adjunct med
lamictal
50
2 non drug approaches to ADHD
executive functioning coaching neurofeedback
51
always check __ history before prescribing stimulant
PDMP
52
2 non stimulants for ADHD
straterra ganfacine/intuniv
53
non stimulant for ADHD with better efficacy for emotional regulation in kids
guanfacine/intuniv
54
5 stimulants for ADHD
adderall vyvanse focalin concerta methylphenidate
55
benefit of stimulants over non stimulants for ADHD
you can take stimulants PRN

Pharmacotherapeutics - Midterm (11 decks)

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