TOPIC 8-11 MEDS Flashcards
what are three types of date rape drugs
GHB
flunitrazepam
ketamine
what does GHB effect
the CNS
which date rape drug is hard to detect in a UA
GHB
why is GHB hard to detect on a UA
it clears from the body within hours
what can GHB be therapeutically used for
type 1 narcolepsy
what is dangerous to mix GHB with
alcohol
what type of medication is flunitrazepam
benzo
what is another name for flunitrazepam
forget drug
“roofies”
what is flunitrazepam FDA approved for
NO USE
what type of med is ketamine
hallucinogenic
psychedelic
dissociative
what is ketamine derived from
PCP
what is ketamine therapeutically used for
procedural sedation / anesthesia
which date rape drugs cause anterograde amnesia
ketamine and GHB
what date rape drug causes both retrograde and anterograde amnesia
flunitrazepam
what is anterograde amnesia
cant remember new info but can remember info from before the onset of amnesia
what is retrograde amnesia
can remember new info but not info from before onset of amnesia
what 3 types of meds are used for treatment of ASD
atypical antipsychotics
SSRIs
beta blockers
what behaviors do atypical antipsychotic meds reduce is ASD patients
aggressive and self harm behaviors
what behaviors do SSRIs and beta blockers reduce in ASD patients
obsessions and anxiety
what is the most effective / first line atypical antipsychotic used for ASD patients
risperidone
which two med classifications treat ADHD
CNS stimulants
non stimulants
what are 4 CNS stimulant meds used for ADHD treatment
methylphenidate
dexmethylphenidate
mixed amphetamine salts
lisdexamfetamine
what types of routes is methylphenidate available in
IR
ER
once daily oral liquid
chewable ER
ER transdermal patch
when would you give once daily ER methylphenidate (concerta)
first thing in the morning (12 hr before bed)
when would you give IR methylphenidate (ritalin)
6-8 hr before bed
(may have multiple doses per day = would change admin times)
what is an important side effect of ritalin to be aware of
insomnia
what meds are combined in the use of mixed amphetamine salts
dextroamphetamine and amphetamine
when would a client be given a non stimulant med over a CNS stimulant for ADHD treatment
if they are not responding to CNS stimulants or if it is preferred
what are three types of non stimulant meds for ADHD treatment
atomoxetine
clonidine
guanfacine
what type of med is atomoxetine
SNRI
what is an important side effect to be aware of when taking atomoxetine
can stunt growth !!!
what form is clonidine usually available in
ER
what type of med classification is clonidine and guanfacine
anti-hypertensive
what is the goal of dementia treatment medications
to slow the progression of the disease (because there is no cure)
what two classifications of meds treat dementia
cholinesterase inhibitors
NMDA receptor antagonist
what stage of dementia do cholinesterase inhibitors treat
mild to moderate stages
what stage of dementia do NMDA receptor antagonists treat
moderate to severe stages
what are three meds under the cholinesterase inhibitor classification
donepezil
rivastigmine
galantamine
what routes is rivastigmine available in
oral or transdermal patch
KNOW TD PATCH !!!!
what are two types of NMDA receptor antagonist meds
memantine
combo drug
what meds are used in the combo drug version of a NMDA receptor antagonist
namzaric and donepezil
what meds can treat co-occurring depressive conditions associated with dementia
SSRI
mirtazapine
what are beneficial side effects that occur when taking mirtazpine for dementia patients
weight gain (for malnourishment related to wandering and distraction)
sedation (for hyperarrousal symptoms and wandering)
what 5 meds are used to treat enuresis (childhood elimination disorder)
imipramine
desmopressin
oxybutyin
indomethacin
SSRI
what meds are used to treat encopresis
bowel meds (laxatives, suppositories, enema)
what two med classifications treat and prevent convulsions and delirium associated with alcohol withdrawal
benzos
anticonvulsants
what is the first line treatment for alcohol withdrawal (convulsions and delirium symptoms)
benzos
what are three types of benzos used for alcohol withdrawal symptoms
chlordiazeproxide
diazepam
lorazepam
where is diazapam unable to be metabolized
the liver
what is important teaching / nursing implications for clients after their detox is done and they were using benzos
TAPER SLOWLY after detox is finished
what are three types of anti convulsant meds for seizure prevention of alcohol withdrawal
carbamazepine
valproic acid
magnesium sulfate
what is the antidote for benzo overdose
flumazenil
what is the antidote for opioid overdose
naloxone
what are three types of CNS depressants
barbiturates
alcohol
benzos
what are six types of opiates
morphine
heroin
codeine
fentanyl
methadone
meperidine
what four meds are used for long term opioid use treatment
methadone
buprenorphin
naltrexone
clonidine
what type of med is methadone
opioid agonist
what med is most effective for long term opioid use treatment
methadone
what does methadone do
blocks the craving for opioids
used for detox
what type of med is buprenorphin
opioid agonist antagonist
what does buprenorphin do
blocks the symptoms of opioid withdrawal
what type of med is naltrexone
opioid antagonist
what effects does naltrexone block
euphoric effects
what symptoms does clonidine effectively treat
somatic symptoms
what med in combination with clonidine makes it most effective
naltrexone
what are four types of CNS stimulants
cocaine
methamphetamine
caffeine
nicotine (can be a stimulant, depressant, tranquilizer)
what two meds treat CNS stimulant withdrawal
desipramine
bromocriptine
what type of med is desipramine
TCA
what type of med is bromocriptine
dopamine agonist
what three meds are used in treatment of CNS stimulant overdose
antipsychotics
ambient cooling
diazepam
what is ambient cooling used for in CNS stimulant overdose
hyperpyrexia
what is diazepam used for in CNS stimulant overdose
stop convulsions !
what two medications treat cocaine withdrawal
desipramine
bromocriptine
what are three types of meds to break nicotine addiction and prevent relapse
bupropion
varenicline
nicotine patches
what are 5 types of club drugs
MDMA
MDA
MDE
bath salts
flakka
what are three types of hallucinogens
LSD
mescaline
psilocybin
what are three types of dissociative drugs
PCP
ketamine
salvia
what med would you never give to a client on PCP
phenothiazine
what two meds do you give for PCP ingestion
diazepam
haloperidol
what two meds do you give for LSD ingestion
diazepam
chloral hydrate
what are two types of preventative supplements to prevent neurologic complications associated with alcohol use disorder
thiamine
folic acid
what type of vitamin is thiamine
B1
what type of vitamin is folic acid
B9
what are three interventional meds used for sobriety maintenance for alcohol use disorder
disulfiram
naltrexone
acamprosate
