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PSYCH > TOPIC 8-11 MEDS > Flashcards

TOPIC 8-11 MEDS Flashcards

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1
Q

what are three types of date rape drugs

A

GHB
flunitrazepam
ketamine

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2
Q

what does GHB effect

A

the CNS

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3
Q

which date rape drug is hard to detect in a UA

A

GHB

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4
Q

why is GHB hard to detect on a UA

A

it clears from the body within hours

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5
Q

what can GHB be therapeutically used for

A

type 1 narcolepsy

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6
Q

what is dangerous to mix GHB with

A

alcohol

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7
Q

what type of medication is flunitrazepam

A

benzo

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8
Q

what is another name for flunitrazepam

A

forget drug
“roofies”

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9
Q

what is flunitrazepam FDA approved for

A

NO USE

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10
Q

what type of med is ketamine

A

hallucinogenic
psychedelic
dissociative

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11
Q

what is ketamine derived from

A

PCP

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12
Q

what is ketamine therapeutically used for

A

procedural sedation / anesthesia

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13
Q

which date rape drugs cause anterograde amnesia

A

ketamine and GHB

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14
Q

what date rape drug causes both retrograde and anterograde amnesia

A

flunitrazepam

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15
Q

what is anterograde amnesia

A

cant remember new info but can remember info from before the onset of amnesia

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16
Q

what is retrograde amnesia

A

can remember new info but not info from before onset of amnesia

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17
Q

what 3 types of meds are used for treatment of ASD

A

atypical antipsychotics
SSRIs
beta blockers

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18
Q

what behaviors do atypical antipsychotic meds reduce is ASD patients

A

aggressive and self harm behaviors

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19
Q

what behaviors do SSRIs and beta blockers reduce in ASD patients

A

obsessions and anxiety

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20
Q

what is the most effective / first line atypical antipsychotic used for ASD patients

A

risperidone

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21
Q

which two med classifications treat ADHD

A

CNS stimulants
non stimulants

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22
Q

what are 4 CNS stimulant meds used for ADHD treatment

A

methylphenidate
dexmethylphenidate
mixed amphetamine salts
lisdexamfetamine

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23
Q

what types of routes is methylphenidate available in

A

IR
ER
once daily oral liquid
chewable ER
ER transdermal patch

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24
Q

when would you give once daily ER methylphenidate (concerta)

A

first thing in the morning (12 hr before bed)

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25
Q

when would you give IR methylphenidate (ritalin)

A

6-8 hr before bed
(may have multiple doses per day = would change admin times)

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26
Q

what is an important side effect of ritalin to be aware of

A

insomnia

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27
Q

what meds are combined in the use of mixed amphetamine salts

A

dextroamphetamine and amphetamine

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28
Q

when would a client be given a non stimulant med over a CNS stimulant for ADHD treatment

A

if they are not responding to CNS stimulants or if it is preferred

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29
Q

what are three types of non stimulant meds for ADHD treatment

A

atomoxetine
clonidine
guanfacine

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30
Q

what type of med is atomoxetine

A

SNRI

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31
Q

what is an important side effect to be aware of when taking atomoxetine

A

can stunt growth !!!

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32
Q

what form is clonidine usually available in

A

ER

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33
Q

what type of med classification is clonidine and guanfacine

A

anti-hypertensive

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34
Q

what is the goal of dementia treatment medications

A

to slow the progression of the disease (because there is no cure)

35
Q

what two classifications of meds treat dementia

A

cholinesterase inhibitors
NMDA receptor antagonist

36
Q

what stage of dementia do cholinesterase inhibitors treat

A

mild to moderate stages

37
Q

what stage of dementia do NMDA receptor antagonists treat

A

moderate to severe stages

38
Q

what are three meds under the cholinesterase inhibitor classification

A

donepezil
rivastigmine
galantamine

39
Q

what routes is rivastigmine available in

A

oral or transdermal patch
KNOW TD PATCH !!!!

40
Q

what are two types of NMDA receptor antagonist meds

A

memantine
combo drug

41
Q

what meds are used in the combo drug version of a NMDA receptor antagonist

A

namzaric and donepezil

42
Q

what meds can treat co-occurring depressive conditions associated with dementia

A

SSRI
mirtazapine

43
Q

what are beneficial side effects that occur when taking mirtazpine for dementia patients

A

weight gain (for malnourishment related to wandering and distraction)
sedation (for hyperarrousal symptoms and wandering)

44
Q

what 5 meds are used to treat enuresis (childhood elimination disorder)

A

imipramine
desmopressin
oxybutyin
indomethacin
SSRI

45
Q

what meds are used to treat encopresis

A

bowel meds (laxatives, suppositories, enema)

46
Q

what two med classifications treat and prevent convulsions and delirium associated with alcohol withdrawal

A

benzos
anticonvulsants

47
Q

what is the first line treatment for alcohol withdrawal (convulsions and delirium symptoms)

A

benzos

48
Q

what are three types of benzos used for alcohol withdrawal symptoms

A

chlordiazeproxide
diazepam
lorazepam

49
Q

where is diazapam unable to be metabolized

A

the liver

50
Q

what is important teaching / nursing implications for clients after their detox is done and they were using benzos

A

TAPER SLOWLY after detox is finished

51
Q

what are three types of anti convulsant meds for seizure prevention of alcohol withdrawal

A

carbamazepine
valproic acid
magnesium sulfate

52
Q

what is the antidote for benzo overdose

A

flumazenil

53
Q

what is the antidote for opioid overdose

A

naloxone

54
Q

what are three types of CNS depressants

A

barbiturates
alcohol
benzos

55
Q

what are six types of opiates

A

morphine
heroin
codeine
fentanyl
methadone
meperidine

56
Q

what four meds are used for long term opioid use treatment

A

methadone
buprenorphin
naltrexone
clonidine

57
Q

what type of med is methadone

A

opioid agonist

58
Q

what med is most effective for long term opioid use treatment

A

methadone

59
Q

what does methadone do

A

blocks the craving for opioids
used for detox

60
Q

what type of med is buprenorphin

A

opioid agonist antagonist

61
Q

what does buprenorphin do

A

blocks the symptoms of opioid withdrawal

62
Q

what type of med is naltrexone

A

opioid antagonist

63
Q

what effects does naltrexone block

A

euphoric effects

64
Q

what symptoms does clonidine effectively treat

A

somatic symptoms

65
Q

what med in combination with clonidine makes it most effective

A

naltrexone

66
Q

what are four types of CNS stimulants

A

cocaine
methamphetamine
caffeine
nicotine (can be a stimulant, depressant, tranquilizer)

67
Q

what two meds treat CNS stimulant withdrawal

A

desipramine
bromocriptine

68
Q

what type of med is desipramine

A

TCA

69
Q

what type of med is bromocriptine

A

dopamine agonist

70
Q

what three meds are used in treatment of CNS stimulant overdose

A

antipsychotics
ambient cooling
diazepam

71
Q

what is ambient cooling used for in CNS stimulant overdose

A

hyperpyrexia

72
Q

what is diazepam used for in CNS stimulant overdose

A

stop convulsions !

73
Q

what two medications treat cocaine withdrawal

A

desipramine
bromocriptine

74
Q

what are three types of meds to break nicotine addiction and prevent relapse

A

bupropion
varenicline
nicotine patches

75
Q

what are 5 types of club drugs

A

MDMA
MDA
MDE
bath salts
flakka

76
Q

what are three types of hallucinogens

A

LSD
mescaline
psilocybin

77
Q

what are three types of dissociative drugs

A

PCP
ketamine
salvia

78
Q

what med would you never give to a client on PCP

A

phenothiazine

79
Q

what two meds do you give for PCP ingestion

A

diazepam
haloperidol

80
Q

what two meds do you give for LSD ingestion

A

diazepam
chloral hydrate

81
Q

what are two types of preventative supplements to prevent neurologic complications associated with alcohol use disorder

A

thiamine
folic acid

82
Q

what type of vitamin is thiamine

A

B1

83
Q

what type of vitamin is folic acid

A

B9

84
Q

what are three interventional meds used for sobriety maintenance for alcohol use disorder

A

disulfiram
naltrexone
acamprosate

PSYCH (15 decks)

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