Drugs Flashcards

1
Q

Haldol/Haloperidol

A

Typical Antipsychotic

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2
Q

Loxitane/Loxapine

A

Typical Antipsychotic

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3
Q

Moban/molindone

A

Typical Antipsychotic

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4
Q

mellaril/thioridazine

A

Typical Antipsychotic

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5
Q

prolixin/fluphenazine

A

Typical Antipsychotic

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6
Q

serentil/mesidazine

A

Typical Antipsychotic

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7
Q

stelazine/trifluperazine

A

Typical Antipsychotic

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8
Q

thorazine/chlorpromazine

A

Typical Antipsychotic

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9
Q

trilafon/perphenazine

A

Typical Antipsychotic

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10
Q

navane/thiothixene

A

Typical Antipsychotic

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11
Q

clozaril/clozapine

A

Atypical Antipsychotic

2nd Generation

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12
Q

risperdal/risperidone

A

Atypical Antipsychotic

2nd Generation

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13
Q

zyprexa/olanzapine

A

Atypical Antipsychotic

2nd Generation

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14
Q

seroquel/quetiapine

A

Atypical Antipsychotic

2nd Generation

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15
Q

geodon/ziprasidone

A

Atypical Antipsychotic

3rd Generation

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16
Q

abilify/aripiprazole

A

Atypical Antipsychotic

3rd Generation

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17
Q

invega/paliperidone

A

Atypical Antipsychotic

3rd Generation

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18
Q

fanapt/iloperodone

A

Atypical Antipsychotic

3rd Generation

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19
Q

saphris (sublingual)/asenapine

A

Atypcial Antipsychotic

3rd Generation

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20
Q

latuda/lurasidone

A

Atypical Antipsychotic

3rd Generation

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21
Q

ativan/lorazepam

A

Benzodiazepine

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22
Q

centrax/prazepam

A

Benzodiazepine

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23
Q

dalmane/flurazepam

A

Benzodiazepine

24
Q

doral/quazepam

A

Benzodiazepine

25
Q

halcion/triazolam

A

Benzodiazepine

26
Q

klonopin/clonazepam

A

Benzodiazepine

27
Q

librium/chlordiazepoxide

A

Benzodiazepine

28
Q

paxipam/halazepam

A

Benzodiazepine

29
Q

restoril/temazepam

A

Benzodiazepine

30
Q

serax/oxazepam

A

Benzodiazepine

31
Q

tranxene/chlorazepate

A

Benzodiazepine

32
Q

valium/diazepam

A

Benzodiazepine

33
Q

versed/midazolam

A

Benzodiazepine

34
Q

xanax/alprazolam

A

Benzodiazepine

35
Q

How do Benzodiazepines work?

A

They depress the CNS, increasing the effect of GABA, which produces relaxation, and may depress the limbic system.

36
Q

Have anxiety reducing (anxiolytic), sedative-hypnotic, muscle relaxing and anticonvulsant actions.

A

Benzodiazepines

37
Q

Benzodiazepines are contraindicated in clients with:

A

acute narrow-angle glaucoma, and should be used in caution with children and older adults

*Interact with other CNS medications, and could cause additive effects

38
Q

(True/False) Acute withdrawal from Benzodiazepines could be life threatening.

A

TRUE

39
Q

_____ acting Benzodiazepines have more addiction potential

A

Shorter

*Withdrawal is more severe with shorter-acting Benzos

40
Q

What is the pharmacological treatment for acute Benzodiazepine reactions?

A

Flumazenil (Romazicon)

*Administered IV and reverses reaction in 5 minutes

41
Q

A client being treated for acute toxicity with Benzodiazepines may experience:

A

Agitation, restlessness, discomfort, and anxiety

42
Q

What are acute signs and symptoms of Benzodiazepine toxicity?

A
  • Somnolence
  • Confusion
  • Restless and coma
43
Q

Abrupt of too rapid withdrawal from Benzodiazepines results in the following symptoms:

A
  • Restlessness
  • Irritability
  • Insomnia
  • Hand Tremors
  • Abdominal or muscle cramps
  • Sweating
  • Vomiting
  • Seizures
44
Q

What neurotransmitter does Antipsychotics work on?

A

It affects DOPAMINE receptors in the brain, reducing psychotic symptoms.

45
Q

What do antipsychotics do?

A

They improve the thought processes and behavior of the client with psychotic symptoms, especially with clients with schizophrenia.

46
Q

Which type of antipsychotic is most effective for POSITIVE symptoms of Schizophrenia?

A

Typical Antipsychotics

-such as hallucinations, aggressions, and delusions

47
Q

Which type of antipsychotic is more effective for treating NEGATIVE symptoms of Schizophrenia?

A

Atypical Antipsychotics

-such as avolition, apathy, and alogia

48
Q

What are the Anticholinergic side effects of Antipsychotics?

A
  • dry mouth
  • increased heart rate
  • urinary retention
  • constipation
  • hypotension
49
Q

What are the Extrapyramidal (EPS) side effects of Antipsychotics?

A
  • tremors
  • mask-like faces
  • rigidity
  • shuffling gait
  • dysphagia
  • drooling
50
Q

What are dystonia effects of Antipsychotics?

A
  1. Abnormal or involuntary eye movements, including oculogyric crisis
  2. Facial grimacing
  3. Twisting of the torso or other muscle groups
51
Q

Akathisia effects of Antipsychotics

A
  1. Restlessness

2. Constant moving about

52
Q

Tardive Dyskinesia/ Antipsychotics

A

Tardive Dyskinesia

  1. Protrusion of the tongue
  2. Chewing motion
  3. Involuntary movements of the body and extremities
53
Q

What are other side effects of Antipsychotics?

A
  1. Drowsiness
  2. Blood dyscrasias
  3. Pruritus
  4. Photosensitivity
  5. Elevated blood glucose level, dyslipidemia
  6. Increased weight
  7. Impaired body temperature regulation
  8. Gynecomastia
  9. Lactation
54
Q

What Antipsychotic has an increased risk of cateracts?

A
  1. Quetiapine (Seroquel)
55
Q

a potentially fatal syndrome that may occur at any time during therapy with neuroleptic (antipsychotic) medications

Although rare, ____ more commonly occurs at the initiation of therapy, after the client has changed from one medication to another, after a dosage increase, or when a combination of medications is used

A

Neuroleptic Malignant Syndrome (NMS)

  1. Dyspnea or tachypnea
  2. Tachycardia or irregular pulse rate
  3. Fever
  4. High or low blood pressure
  5. Increased sweating
  6. Loss of bladder control
  7. Skeletal muscle rigidity, “lead pipe rigidity”
  8. Pale skin
  9. Excessive weakness or fatigue
  10. Altered level of consciousness
  11. Seizures
  12. Severe extrapyramidal side effects (EPS)
  13. Difficulty swallowing
  14. Excessive salivation
  15. Oculgyric crisis
  16. Dyskinesia
  17. Elevated white blood cell count, liver function results, and creatine phosphokinase level