class worksheets Flashcards

(65 cards)

1
Q

______ is an antipsychotic used to promote connection with reality. It also helps with delusions and hallucinations

A

chlorpromazine

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2
Q

chlorpromazine does NOT help with _______

A

motivation

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3
Q

______ helps pt take care of themselves and helps with delusions and hallucinations

A

risperidone

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4
Q

what 2 antipsychotics help with hallucinations and delusions?

A

chlorpromazine
risperidone

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5
Q

_______ is an SSRI used to decrease depression and long term anxiety

A

citalopram

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6
Q

_______ is used for short term anxiety

A

lorazepam

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7
Q

lorazepam is also called ______

A

Ativan

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8
Q

__________ is used for depression with high degree of lethality on overdose

A

amitriptyline

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9
Q

_______. treats the side effects of antipsychotics

A

benztropine

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10
Q

201 is ________

A

voluntary; sign self in

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11
Q

302 is _________

A

involuntary

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12
Q

a pt is 302ed if:

A

they are a danger to self or others

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13
Q

when is the nurse allowed to force meds?

A

if the pt is in clear and present danger to self or others

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14
Q

_______ can cause low sodium levels

A

antidepressants

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15
Q

antidepressents can cause _______(high/low) _____ levels

A

low sodium

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16
Q

normal sodium lab values

A

135-145

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17
Q

normal potassium lab values

A

3.5-5

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18
Q

normal total serum cholesterol lab value

A

<200 mg/dl

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19
Q

normal LDL lab value

A

<100 mg/dl

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20
Q

normal HDL lab values:

men: ______

women:_______

A

men: >40 mg/dl

women: >50 mg/dl

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21
Q

normal triglycerides lab

A

<150 mg/dl

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22
Q

an irritational thought pattern is a _____ _______

A

cognitive distortion

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23
Q

what does the nurse need to do before medicating?

A

assess the pt

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24
Q

normal WBC

A

5,000-10,000

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25
normal hemoglobin: males: _____ females: _____
males: 14-18 females: 12-16
26
normal RBC: males:_____ females:______
males: 4.7-6.1 females: 4.2-5.4
27
PRN meds can occur only after what has been utilized
non medication means
28
acronym for 6 rights of med administration
PMDDTR right Patient right Med right Dose right Documentation right Time right Route
29
3 checks of med administration: 1.) check ______ ______with MAR when obtaining med 2.) check when ______ meds 3.) check ____ administering at bedside
1.) drug label 2.) preparing 3.) before
30
what 2 things to do before administering meds?
1.) assess pt 2.) check for allergies
31
only use _____-______ tie for restraints
quick-release
32
_______, _____, and ______ of restrained limbs needs to be assessed every 10-15 mins
sensation pulse movement
33
sensation, pulse, and movement of restrained limbs needs to be assessed every ___-___ minutes
10-15
34
medical order must be obtained within ______ of application of restraints
1 hour
35
______ _____ must be obtained within 1 hour of application of restraints
medical order
36
antipsychotics are _____ _____ soluble
highly lipid
37
antipsychotics have _______ half life
long
38
antipsychotics useful in _______
Tourettes
39
antipsychotics MOA: block ______ _____ receptors leading to increase of the _______ concentration of 2nd messenger _______
-dopamine D-2 -intracellular -cAMP
40
______ inhibits prolactin and regulates body movement
dopamine
41
dopamine inhibits _______ and regulates _____ ________
-prolactin -body movements
42
antipsychotics can cause ______ from increased prolactin production
galactorrhea
43
antipsychotics can cause galactorrhea from increased _____ production
prolactin
44
________ ________ can occur from long term antipsychotic use
tardive dyskinesia
45
dopamine blockage can cause ______, _______ reactions, and _______ ______ syndrome
-akathisia -dystonic reactions -neoleptic malignant syndrome
46
______ blockage can occur from long term antipsychotic use
dopamine
47
_______ is the inability to remain still
akathisia
48
what type of reactions are reactions from thorazine
dystonic reactions
49
what is the rare, life threatening idiosyncratic reaction to neuroleptic meds?
neuroleptic malignant syndrome
50
neuroleptic malignant syndrome is characterized by: ______ muscle _____ altered ____ ____ _____ dysfunction
-fever -rigidity -altered mental status -autonomic dysfunction
51
antipsychotics block _____ __ adrenergic receptors resulting in _______
-alpha 1 -hypotension
52
antipsychotics block _______ receptors
cholinergic
53
anticholergic symptoms caused by antipsychotics (2)
-dry mouth -constipation
54
what level of anxiety: -increased alertness -heightened perception
mild
55
what level of anxiety: -narrowed perception -difficulty focusing -shaking
moderate
56
what level of anxiety: -ineffective problem solving -automatic behaviors and thoughts -hyperventilation
severe
57
what level of anxiety: -hallucinations -inability to function or communicate
panic attack
58
malignant hyperthermia is caused by genetic mutation of _______ receptor 1
ryanodine
59
malignant hyperthermia is treated with ______
dantrolene
60
neuroleptic malignant syndrome is caused by _________ meds
antidopiminergic
61
muscle breakdown is often seen with _______ _______ syndrome
neuroleptic malignanct
62
what is the treatment for neuroleptic malignant syndrome?
dantrolene
63
treatement for serotonin syndrome
cyproheptadine
64
ADPIE
Assessment Diagnosis Planning Implementation Evalutation
65
what are the most dangerous type of hallucinations?
command