CNS DRUGS Flashcards

Question

TRICYCLIC ANTIDEPRESSANTS (TCA'S) Relevant Lab Values

Answer 1

ANTIDPRESSANT

Answer 2

DEPRESSIVE EPISODES BIPOLAR OCD NEUROPATHY ENURESIS

Answer 3

TIP T - TRANYLCPROMINE I - ISOCARBOXAZID P - PHENELZINE

Answer 4

INCREASED SUICIDE RISK PATIENT WHO WAS THINKING SUICIDE MAY NOW HAVE THE ENERGY TO ACTUALLY DO IT

Answer 5

LET ME GIVE YOU A TIP TIP T - TRANYLCPROMINE I - ISOCARBOXAZID P - PHENELZINE

Answer 6

TYRAMINE RESTRICTED DIET CAN LEAD TO HYPERTENSIVE CRISIS - DEADLY TAKE IN AM UP TO 4 WEEKS TO BE EFFECTIVE

Answer 7

FERMENTED PRODUCTS CHEESE MEATS / LIVER OVER RIPE FRUIT SOUR CREAM / YOGURT

Answer 8

DO NOT TAKE SSRIS OR TCAS WHILE ON MAOIS

Answer 9

ANTI ANXIETY (ANXIOLYTICS)

Answer 10

ACUTE ANXIETY SEDATION / MUSCLE RELAXER SEIZURES ALCOHOL WITHDRAWAL

Answer 11

ZOLAM' / 'ZEPAM' ALPRASOLAM LORAZAPAM DIAZEPAM CLONAZEPAM

Answer 12

HYPOTENSION RESPIRATORY ARREST APNEA AIRWAY OCCLUSION

Answer 13

FLU FAST IN MY MERCEDES BENZ

Answer 14

NOT MEANT FOR LONG TERM THERAPY - LEADS TO TOLERANCE MUST BE TAPERED AT PM SINCE CAUSE DROWSINESS

Answer 15

ANTIDOTE - FLUMANZENIL NOT MEANT FOR LONG TERM THERAPY - LEADS TO TOLERANCE MUST BE TAPERED AT PM SINCE CAUSE DROWSINESS

Answer 16

NORMAL O2 95-100 NORMAL RR 12-20/MIN

Answer 17

MOOD STABILIZER

Answer 18

BIPOLAR MOOD SWINGS (DEPRESSION / MANIA)

Answer 19

EXPECTED SIDE EFFECTS DROWSY WEIGHT GAIN DRY MOUTH LITHIUM TOXICITY >1.5 MEQL/L TOXICITY HAPPENS BY DEHYDRATION DECREASED RENAL FUNCTION DIET LOW IN NA+ DRUG INTERACTIONS (NSAIDS / THIAZIDE DIURETICS)

Answer 20

GI - NAUSEA / VOMITING / DARRHEA NEURO - ATAXIA / CONFUSION / AGITATION / NEUROMUSCULAR EXCITABILITY

Answer 21

LITHIUM IS A LONG TERM MAINTENANCE THERAPY

Answer 22

DO NOT RESTRICT NA+ / H20 TO AVOID HYPONATREMIA OR DEHYDRATION BLOOD DRAW EVERY 1-2 MONTHS - MONITOR LITHIUM LEVELS DRY MOUTH - SUCK ON ICE CHIPS / SUGAR FREE GUM / HARD CANDY / DRINK H20

Answer 23

BLOOD DRAW EVERY 1-2 MONTHS - MONITOR LITHIUM OTXICITY

Answer 24

LITHIUM TOXICITY > 1.5

Answer 25

ANTI ANXIETY (ANXIOLYTICS) NONBENZODIAZEPINES

Answer 26

ANXIETY DISORDERS

Answer 27

BUSES ARE SLOW AND SO IS BUSPIRONE

Answer 28

DIFFERENT THAN BENZOS - DOES NOT CAUSE DEPENDENCE TOLERANCE CNS DEPRESSION WITHDRAWAL SYMPTOMS

Answer 29

HAS SLOW ONSET - NOT FOR ACUTE ANXIETY OR PANIC ATTACKS

Answer 30

ANTICONVULSTANT (HYDANTOINS)

Answer 31

TONIC CLONIC SEIZURE tonic clonic seixure tonic state - lose conssciousness / body goes stiff / fall to floor clonic state - limbs jerk / lose bladder control / bite tongue / difficulty breathing

Answer 32

GINGIVAL HYPERPLASIA (GUMS PUFFY AND RED) HYPERSENSITIVITY - STEVENS JOHNSON SYNDROME (PAINFUL RASH / FLU LIKE SYMPTOMS

Answer 33

FOR GINGIVAL HYPERPLASIA GOOD ORAL HYGIENE SOFT BRISLTE TOOTHBRUSH REGULAR DENTAL VISITS FOLIC ACID SUPPS DO NOT ABRUPTLY STOP - MAY CAUSE STATUS EPILEPTICUS (A seizure that lasts longer than 5 minutes, or having more than 1 seizure within a 5 minutes period, without returning to a normal level of consciousness between episodes is called status epilepticus.)

Answer 34

TOXICITY S / S ATAXIA NYSTAGMUS UNSTEADY GAIT SLURRED SPEECH CONFUSION COMA STOP IF SIGNS OF STEVENS JOHNSON ALSO

Answer 35

THERAPEUTIC RANGE 10-20

Answer 36

CARBOXYLIC ACID DERIVATIVE

Answer 37

EPILEPSY MIGRAINES HEADACHES MANIA

Answer 38

VALPRIOC ACID (AKA DEPAKOTE)

Answer 39

NAUSEA VOMITING DIARRHEA HEARTBURN ADRS HEPATOTOXICITY PROLONGED BLEEDING TIME

Answer 40

DO NOT STOP ABRUPTLY TAPER TO PREVENT CONVULSIONS SWALLOW WHOLE (NO CRUSH / CHEW) TAKE WITH MEALS (DECREASE GI UPSET)

Answer 41

MONTIOR PLATELETS / BLEEDING TIME MONITOR LIVER FUNCTION TESTS (ALT / AST)

Answer 42

LOOK FOR PLATELET AND BLEEDING TIME LAB VALUES AND ALT AND AST VALUE RANGES

Answer 43

SEROTONIN AGONIST Serotonin agonists - bind to /activate serotonin receptors. -triggers response from receptors, increasing amount of serotonin in central nervous system. Serotonin antagonists bind to serotonin receptors but do not activate them / trigger a response.

Answer 44

ACUTE MIGRAINES CLUSTER HEADACHES WORK BY CONSTRICTING BLOOD VESSELS

Answer 45

TRIPTAN' SUMATRIPTAN ZOLMITRIPTAN ALMOTRIPTAN ELETRIPTAN

Answer 46

TRIPTANS TREAT MIGRAINES NOT PREVENT MIGRAINES

Answer 47

TAKE FIRST DOSE AT FIRST SIGN OF MIGRAINE

Answer 48

CONTRAINDICATED IN CORONARY ARTERY DIEASES / UNCONTROLLED HYPERTENSION (BECAUSE MED WORKS BY CONSTRICTING BLOOD VESSELS)

Answer 49

CARD MISSING

Answer 50

CARD MISSING

Answer 51

CARD MISSING

Answer 52

CARD MISSING

Answer 53

CARD MISSING

Answer 54

CARD MISSING

Answer 55

CARD MISSING

Answer 56

CARD MISSING

Answer 57

ATYPICAL ANTIPSYCHOTIC (SECOND GENERATION ANTIPSYCHOTIC - SGA's)

Answer 58

DIMINISH POSITIVE SYMPTOMS OF SHIXIPHRENIA HEALPS NEGATIVE SYMTPOMS AS WELL positive symptoms - and change in behaviour / thoughts (hallucinations / delusions) - things that are there that should not be negative symptoms - withdrawal from world / no interest in everyday social interactions / emotionless / flat

Answer 59

RISPERIDONE

Answer 60

NEUROLEPTIC MALIGNANT SYNDROME (but lower risk of this than FGA's) INCREASED WEIGHT HIGH CHOLESTEROL HIGH TRIGLYCERIDES HIGH BLOOD SUGAR OTHER S/S HIGH FEVER MUSCLE RIGIDITY ALTERED MENTAL STATUS AUTONOMIC DISTURBANCES (SWEATING / HIGH BP / HR) - MOSTLY SEEN WITH TYPICAL ANTIPSYCHOS BUT CAN HAPPEN WITH ATYPICALS AS WELL

Answer 61

6-10 WEEKS TO BE EFFECTIVE ADVISE EXERCISE / LOW CALORIE DIET / MONITOR WEIGHT TO COMBAT WEIGHT GAIN

Answer 62

BLOOD SUGAR LDL TRIGLYCERIDES

Answer 63

ATYPICAL ANTIPSYCHOTIC (SECOND GENERATION ANTIPSYCHOTIC - SGA's)

Answer 64

DIMINISH POSITIVE SYMPTOMS OF SHIXIPHRENIA HEALPS NEGATIVE SYMTPOMS AS WELL positive symptoms - and change in behaviour / thoughts (hallucinations / delusions) - things that are there that should not be negative symptoms - withdrawal from world / no interest in everyday social interactions / emotionless / flat

Answer 65

CAN CAUSE AGRANULOCYTOSIS absolute neutrophile count < 100 - high risk of sever infection NEUROLEPTIC MALIGNANT SYNDROME (but lower risk of this than FGA's) INCREASED WEIGHT HIGH CHOLESTEROL HIGH TRIGLYCERIDES HIGH BLOOD SUGAR OTHER S/S HIGH FEVER MUSCLE RIGIDITY ALTERED MENTAL STATUS AUTONOMIC DISTURBANCES (SWEATING / HIGH BP / HR) - MOSTLY SEEN WITH TYPICAL ANTIPSYCHOS BUT CAN HAPPEN WITH ATYPICALS AS WELL

Answer 66

6-10 WEEKS TO BE EFFECTIVE ADVISE EXERCISE / LOW CALORIE DIET / MONITOR WEIGHT TO COMBAT WEIGHT GAIN REPORT SIGNS OF INFECTION (FEVER / FLU LIKE SYMPTOMS)

Answer 67

MONITOR NEUTROPHIL COUNT

Answer 68

ABSOLUTE NEUTROPHIL COUNT

Answer 69

ATYPICAL ANTIPSYCHOTIC (SECOND GENERATION ANTIPSYCHOTIC - SGA's)

Answer 70

DIMINISH POSITIVE SYMPTOMS OF SHIXIPHRENIA HEALPS NEGATIVE SYMTPOMS AS WELL positive symptoms - and change in behaviour / thoughts (hallucinations / delusions) - things that are there that should not be negative symptoms - withdrawal from world / no interest in everyday social interactions / emotionless / flat

Answer 71

ZIPRASIDONE

Answer 72

CAN CAUSE PROLONGED QT INTERVALS (LEADING TO TORSADES DE POINTES - type of vtac (fast hear rhythym - begins in ventricles) NEUROLEPTIC MALIGNANT SYNDROME (but lower risk of this than FGA's) INCREASED WEIGHT HIGH CHOLESTEROL HIGH TRIGLYCERIDES HIGH BLOOD SUGAR

Answer 73

6-10 WEEKS TO BE EFFECTIVE ADVISE EXERCISE / LOW CALORIE DIET / MONITOR WEIGHT TO COMBAT WEIGHT GAIN

Answer 74

MONITOR BLOOD SUGAR / TRIGLYCERIDES / CHOLESTEROL / WEIGHT

Answer 75

BLOOD SUGAR / TRIGLYCERIDES / CHOLESTEROL /

Answer 76

CENTRAL NERVOUS STIMULANT (CNS)

Answer 77

ADHD NARCOLEPSY IMPROVES FOCUS IMPROVES SCHOOL WORK IMPROVES SOCIAL RELATIONSHIPS

Answer 78

METHYLPHENIDATE

Answer 79

LOSS OF APPETITE DELAYED GROWTH DRY MOUTH INCREASED HR/ BP

Answer 80

need information

Answer 81

MONITOR WEIGHT / BP / CARDIAC FUNCTION DECREASE CAFFEINE (DECREASE IRRITABILITY) DO NOT TAKE AT NIGHT (STIMULANT)

Answer 82

need information

Answer 83

need information

Answer 84

DOPAMINERGIC increase dopamine related activity in the brain dopaminergic neurons - midbrain - main source of dopamine - their loss - associated with parkinsons

Answer 85

PARKINSONS DISEASE DOES NOT IMPROVE MEMORY OR CURE DECREASES TREMORS / RIGIDITY

Answer 86

CARBIDOPA / LEVODOPA

Answer 87

DARK COLOR URINE / SWEAT / SALIVA (HARMLESS)

Answer 88

need information

Answer 89

TAKE WITH FOOD SEVERAL MONTHS TO BE EFFECTIVE CHANGE POSITIONS SLOWLY (ORTHOSTATIC HYPOTENSION)

Answer 90

ORTHOSTATIC HYPOTENSION DON'T TAKE WITH MAO'S - RISK HYPERTENSIVE CRISIS)

Answer 91

need information

Answer 92

DECREASE ANXIETY POST OP SEDATION RELIEVES PAIN (MI) DIARRHEA / INTESTINAL CRAMPING

Answer 93

DONE' / ' ONE' HYDROMORPHONE CODEINE OXYCODONE FENTANYL MORPHINE SULFATE (MOST COMMONLY USED OPIOD FOR CHRONIC PAIN - PO / NASAL / SUBCUT / IM / IV / SUPPOSITORY)

Answer 94

RESPIRATORY DEPRESSION SLOW GI (CONSTIPATION) - LONG TERM USE - WILL NOT BUILD TOLERANCE DECREASED HR (BRADYCARDIA) / BP (HYPOTENSION) / RR (RESPIRATORY DEPRESSION) - SHORT TERM USE - CLIENT WILL BUILD TOLERANCE NAUSEA VOMITING ITCHING

Answer 95

SLOW WHEN IT COMES TO OPIODS - EVERYTHING IS SLOW SLOW GI SLOW RR SLOW HR SLOW BP

Answer 96

FLUIDS / FIBERS / FRUITS FILL UP THE TOILET - AVOID CONSTIPATION LAXATIVES / STOOL SOFTENERS

Answer 97

ANTIDOTE - NALOXONE (REPEATED DOSES MAY BE NEEDED - EFFECTS OF OPIOIDS LAST LONGER THAN NALOXONE) STOP MED IF RR <12 UNAROUSABLE FALLS ASLEEP MID SENTENCE

Answer 98

need information

Answer 99

MILD - MODERATE PAIN MENSTRUAL CRAMPS FEVER OSTEOARTHRITIS / RHEUMATOID ARTHRITIS

Answer 100

PROFEN' / 'OLAC' IBUPROFEN FENOPROFEN FLUBRIPROFEN DICLOFENAC CELECOXIB KETOROLAC NAPROXEN INDOMETHACIN

Answer 101

GI UPSET NAUSEA / DIARRHEA / VOMITING HEART HTN / HF KIDNEY CLOGGING (NEPHROTOXIC) BLOOD CLOTS / STROKE

Answer 102

BAN B - BETA BLOCKERS A - ASPIRIN N - NSAIDS BAN THESE MEDS FROM ASTHMA PATIENTS - ALL CAN CAUSE BRONCHOSPASMA IF ASTHMA

Answer 103

REPORT GI BLEEDING ( BLACK TARRY STOOLS / COFFEE GROUND EMESIS / ABDOMINAL CRAMPING)

Answer 104

BAN B - BETA BLOCKERS A - ASPIRIN N - NSAIDS BAN THESE MEDS FROM ASTHMA PATIENTS - ALL CAN CAUSE BRONCHOSPASMA IF ASTHMA

Answer 105

need information

Answer 106

MILD - MODERATE PAIN ASPIRIN SUBSTITUTE FOR THOSE WHO ARE ALLERGIC TO ASPIRIN / OR HAVE BLEEDING TENDENCIES FEVER / FLU LIKE SYMPTOMS

Answer 107

ACETAMINOPHEN

Answer 108

HARD ON THE LIVER (HEPATOTOXIC) LIVER DAMAGE HEPATOXICITY HEPATIVE FAILURE JAUNDICE

Answer 109

need information

Answer 110

MALNOURISHED / CHRONIC ALCOHOL USE - INCREASED RISK FOR LIVER DAMAGE MAX DOSE 1-2 G / DAY (IE 1,000-2,000 MG / DAY)

Answer 111

ANTIDOTE: ACETYLCYSTEINE

Answer 112

MISSING CARD

Answer 113

MISSING CARD

Answer 114

MISSING CARD

Answer 115

MISSING CARD

Answer 116

MISSING CARD

Answer 117

MISSING CARD

Answer 118

MISSING CARD

Answer 119

MISSING CARD

Answer 120

OSMOTIC DIURETIC

Answer 121

INTRAOCULAR PRESSURE (IOP) INTRACRANIAL PRESSURE (ICP) CEREBRAL EDEMA IRRIGATION SOLUTION ) PROSTATE PROCEDURES PROMOTES DIURESIS (ACUTE RENAL FAILURE)

Answer 122

HIGH RISK - FVO MONITOR FOR S/S HF (ACUTE WEIGHT GAIN / CRACKLES / EDEMA)

Answer 123

need information

Answer 124

need information

Answer 125

MUST BE GIVEN IV DO NOT GIVE IF SEVERE RENAL DISEASE DEHYDRATION INTRACRANIAL BLEEDING SEVERE PULMONARY EDEMA CARDIAC FAILURE

Answer 126

need information

CNS DRUGS Flashcards

(171 cards)