Lecture 9 Psychotropic Drugs Flashcards
all psych drugs cause
hypotension and weight changes
for most you have to take 2-4 weeks before beneficial
Phenothiazine
typical antipsychotic / 1st gen psychotic
-ZINE .. zines for zany
reduce psych symptoms
SE:
A - anticholinergic
B - blurred vision
C - constipation
D - drowziness
E - EPS
F - photosensitivity
aG - aGanulocytosis
decanoate
long acting IM form given to non compliant pts
tricyclic antidepressants
for depression
elavil, tofranil, aventyl, desyrel
A - anticholinergic
B - blurred vision
C - constipation
D - drowsiness
E - euphoria
Benzodiazepines
Diazepam, lorazepam
Minor Tranquilizer
SE:
A anticholinergic
B blurred vision
C constipation
D drowsiness
MAOI
antidepressant
Marplan, Nardil, Parnate
A anticholinergic
B blurred vision
C constipation
D drowsiness
avoid tyramine to avoid hypertensive crisis
no OTC meds
tyramine
no aged cheese
yogurt
meats
alcohol
caffeine
chocolate
fermented foods
bananas
avocados
any dried fruits
Lithium
bipolar - for the mania
peeing pooping parasthesia
TOXIC - tremors, metallic tastem severe diarrhea
interventions
1. increase fluids
2 watch Na
SSRI
A anticholinergic
B blurred vision
C constipation
D drowsiness
E euphoria
GIVE IT BEFORE NOON CAUSES INSOMNIA
watch for increased risk of suicide
Haldol
A anticholinergic
B blurred vision
C constipation
D drowsiness
E EPS
F photosensitivity
G agranulocytosis
NMS!!!! neuroleptic maligant syndrome
hyperpyrexia
TAKE TEMP WITH PT HAS ANXIETY AND TREMORS
Clozapine
atypical antipsychotic
severe schizophrenia
Agranulocytosis - MONITOR WBC
Sertaline
SSRI
Interactions
1.) Liver problems
2.) St Johns Wort - Serotonin Syndrome
3.) Warfarin - pt can bleed out.
Sertaline
SSRI
Interactions
1.) Liver problems
2.) St Johns Wort - Serotonin Syndrome
3.) Warfarin - pt can bleed out.
