chapter 19 Flashcards

(23 cards)

1
Q

Benzodiazepines

A

Most widely prescribed for anxiety
Exerts action on limbic system
May cause physical and psychological dependence

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2
Q

alprazolam -benzo

A

Xanax

PO 0.25-2mg tid

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3
Q

clonazepam - benzo

A

Klonopin
PO 0.5mg tid
May increase by 0.5 to 1mg every 3rd day
Do not exceed 20mg

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4
Q

diazepam - benzo

A

Valium

PO 2-10mg 2 to 4 times daily

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5
Q

lorazepam - benzo

A

Ativan

PO 2-6mg daily in 2 to 3 doses

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6
Q

Benzo’s

A

NO alcohol
CNS - drowsiness, dizziness, fatigue, dry mouth, N/V
Acute withdrawl symptoms
pre -op anxiety

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7
Q

Antidepressant agent

A

most common illness in US today
25% women
15% men

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8
Q

SSRI’s

A

Block reabsorption of serotonin
used for SAD, OCD, PD
Prozac, Zoloft, Luvox
DON’T use with MAOI’s -potentially fatal reactions

weight gain/weight loss, dizziness, drowsiness, HA

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9
Q

Prozac SSRI

A

PO 20mg daily in am Max dose 80mg

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10
Q

Zoloft SSRI

A

PO 50mg daily am or pm initially - do not exceed 200mg per day

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11
Q

Paxil SSRI

A

PO 20mg am - do not exceed 50mg daily

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12
Q

Luvox SSRI

A

PO 50mg daily bedtime - do not exceed 300mg

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13
Q

SNRI’s

A

Inhibit the uptake of serotonin and norepinephrine
used for depression, GAD, SAD
Effexor - loss of appetite, constipation, dry mouth

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14
Q

TCA’s

A

Three ring tricyclic
raise levels of serotonin and norepinephrine
likely to relieve endogenous depression

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15
Q

Tofranil (imipramine HCL)

Pamelor (nortriptyline HCL)

A

Excessive sweating
flushing
blurred vision-intraocular pressure-need reg vision checks

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16
Q

MAOI’s -Monitor BP

A
block breakdown of norepinephrine
agoraphobia, hysteroid dysphoria
many contraindications
follow strict diet
effects last 2 weeks after stopping
Nardil and Parnate
17
Q

Food to avoid on MAOI’s

A

cheese,raisins,bananas,avocados,chocolate,soy sauce,yeast extracts, wine,beer,pickles,yogurt,protein aged foods

18
Q

Antimanic agents

A

bipolar - manic and depressive and mixed

19
Q

Lithium - antimanic - muscle cramps

A

Does not produce sedation
alters sodium transport
prophylaxis and treatment
CONTRAINDICATIONS - renal, cardio, severe dehydration, pregnancy, sever debiliation

20
Q

Lithium - Nausea, aches, pains, tremors, TAKE WITH FOOD

A
DONT switch brands
NO alcohol or caffeine
Lab draws to check levels
takes 3 to 5 days to work
metallic taste
lithium intox - looks like stroke symptoms
21
Q

Antipsychotic agents-neuroleptics

A

Modifies psychotic behavior
Schizophrenia
Manic phase of bipolar
Severe depression

22
Q

Risperdal and Zyprexa and Abilify
Many serious side effects
fatal in neuroleptic malignant syndrome

A

Antipsychotic

23
Q

Antipsychotic SE

A

drowsiness, dry mouth, constipation, urinary retention, blurred vision, dizziness, EPS - looks like parinsons