4. CNS/Mental Health Flashcards

Question

Duloxetine Patient Education

Answer 1

* Cymbalta™ * Irenka™ * Drizalma Sprinkle™ * Therapeutic effects may take as long as 4 weeks * Swallow the capsule whole. Do not crush, chew, break, or open it. * You may open the capsule and sprinkle the contents over one tablespoon (15 mL) of applesauce. Swallow the mixture right away and do not save any of the mixture * You may open the capsule and pour the contents to an all plastic catheter tip syringe and add 50 mL of water. Do not use other liquids. Gently shake it for 10 seconds, and then use it through a nasogastric tube. * Do not take duloxetine if you have used an MAO inhibitor (MAOI) within the past 14 days. Do not start taking an MAO inhibitor within 5 days of stopping duloxetine. * Increases suicidal thoughts * Do not drink alcohol.

Answer 2

Lexapro™ * SSRI * Antidepressant * Antianxiety

Answer 3

Lexapro™ * Generalized anxiety disorder * Major depressive disorder (MDD)

Answer 4

Lexapro™ * Diaphoresis (sweating) * Nausea * Constipation, diarrhea, indigestion * Dry mouth * Somnolence (Excessive sleepiness) * Disorder of ejaculation * Orgasm incapacity (females, 2% to 6% ), * Reduced libido * Fatigue * Withdrawal symptom (56% )

Answer 5

Lexapro™ * Tablets * Oral solution

Answer 6

Lexapro™ * May impair cognitive and motor performance * Avoid alcohol * Do not abruptly discontinue treatment * Consult your doctor if need to take OTC * This medicine may cause Serotonin syndrome, Low sodium levels, Increased risk of bleeding problem * Allergic reactions may occur.

Answer 7

* Prozac™ * SSRI * Antidepressant

Answer 8

* Prozac™ * Bulimia * Depressed bipolar I disorder * Major depressive disorder * Major depressive disorder treatment resistant in combination with olanzapine obsessive-compulsive disorder * Panic disorder * Premenstrual dysphoric disorder

Answer 9

* Prozac™ * Diarrhea * Indigestion * Loss of appetite * Nauseam * Xerostomia * Asthenia * Dizziness * Insomnia * Somnolence * Tremor * Anxiety * Feeling nervous * Pharyngitis * Rhinitis * Influenza-like symptoms

Answer 10

* Prozac™ * Capsules * Tablet * Solution * Syrup

Answer 11

* Prozac™ * Instruct patient to report anxiety, panic attacks, worsening depression, suicidal ideation, or unusual changes in behavior, especially at initiation of therapy or with dose changes * Counsel patient to report symptoms of QT prolongation and ventricular arrhythmias (Torsade de pointes) * Advise patient to avoid activities requiring mental alertness or coordination until drug effects are realized * Drug may cause sweating, weight loss, dyspepsia, anorexia, nausea, asthenia, insomnia, tremor, abnormal ejaculation, or impotence * Counsel patient to report symptoms of serotonin syndrome (agitation, confusion, diaphoresis, hallucinations, hyperreflexia) * Advise patient to report abnormal bruising or bleeding * Tell patient to report a skin rash, with or without systemic symptoms (fever, edema, pulmonary effects), as drug may cause a serious cutaneous systemic illness * Instruct diabetic patients to monitor for symptoms of hypoglycemia and report any changes in glycemic control * Advise patient against sudden discontinuation of drug * Warn patient to limit alcohol use with this drug

Answer 12

Ativan™ * Benzodiazpam * Antianxiety * Anticonvulsant * Sedative

Answer 13

Ativan™ * Anxiety * Insomnia, due to anxiety or situational stress * Premedication for anesthetic procedure * Status epilepticus

Answer 14

Ativan™ * Asthenia * Dizziness * Sedated * Unsteadiness present * Depression * Acidosis * Delirium

Answer 15

Ativan™ * Injection * Solution * Tablet

Answer 16

Ativan™ * Recommend patient avoid activities requiring mental alertness or coordination until drug effects are realized, as drug may cause somnolence * Warn female patient to avoid pregnancy during therapy * Side effects may include CNS or respiratory depression, dizziness, weakness, unsteadiness, fatigue, confusion, depression, asthenia, or vertigo * Advise patient against sudden discontinuation of drug * Advise patient to avoid alcohol and other CNS depressants

Answer 17

Zoloft™ * SSRI * Antidepressant

Answer 18

Zoloft™ * Major depressive disorder * Obsessive-compulsive disorder * Panic disorder * Posttraumatic stress disorder * Premenstrual dysphoric disorder * Social phobia

Answer 19

Zoloft™ * Constipation * Diarrhea * Indigestion * Nausea * Nausea and vomiting * Dizziness * Headache * Insomnia * Somnolence * Tremor * Abnormal ejaculation * Reduced libido * Fatigue

Answer 20

Zoloft™ * Oral solution * Tablet

Answer 21

Zoloft™ * Advise patient to avoid activities requiring mental alertness or coordination until drug effects are realized * Warn patient with latex allergy to use caution with oral concentrate. The dropper contains dry natural rubber * Instruct patient to report symptoms of serotonin syndrome (eg, mental status changes, autonomic instability, gastrointestinal symptoms, neuromuscular changes, seizures) * Drug may cause ejaculation failure, dry mouth, increased sweating, somnolence, dizziness, tremor, fatigue, diarrhea, dyspepsia, nausea, insomnia, or reduced libido * Advise patient that symptomatic improvement may not be seen for a few weeks * Instruct patient to report worsening depression, suicidal ideation, or unusual changes in behavior * Advise patient against sudden discontinuation of drug, as this may cause dysphoric mood, irritability, agitation, dizziness, sensory disturbances, anxiety, confusion, headache, lethargy, emotional lability, insomnia, or hypomania * Instruct patient using oral concentrate that dilution is required prior to dose (eg, water, ginger ale, lemon/lime soda, lemonade, orange juice) * Warn patient that alcohol use is not advised with drug

Answer 22

Ambien™ * Central Nervous System Agent/Hypnotic

Answer 23

Ambien™ * Insomnia

Answer 24

Ambien™ * Diarrhea * Nausea * Allergic * Dizziness * Drugged state * Headache * Somnolence * Visual disturbance * Fatigue

Answer 25

Ambien™ * Tablet * Tablet, ER * Tablet, SL * Oral Spray

Answer 26

Ambien™ * Warn patient to report complex sleep behaviors (eg, sleep-walking, sleep-driving, preparing and eating food, making phone calls, having sex) while not fully awake * Counsel patient to avoid activities requiring mental alertness or coordination until drug effects are realized, as drug may cause vision changes, dizziness, next-day psychomotor impairment and increase the risk of falls * Advise patient to report worsening depression, suicidal ideation, abnormal thoughts, unusual changes in behavior, or anxiety * Side effects may include headache, fatigue, nausea, diarrhea, and constipation * Spray, tablets: Instruct patient not to take drug with or immediately following meals * SL tablet: Tell patient to place tablet under the tongue, to not swallow it whole, and to not take it with water * Advise patient to avoid alcohol and other CNS depressants

4. CNS/Mental Health Flashcards

(50 cards)