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CNS Meds Flashcards

(51 cards)

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1
Q

Tricyclic MOA

A

blocks reuptake of serotonin and norepi in presynaptic terminals

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2
Q

Tricyclic side effects

A

anticholinergic, weight gain, GI, sedating, dysrhythmias, tachycardia

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3
Q

Contraindications of tricyclic

A

recent MI or stent, heart issues, diabetes, seizures, MAOI use

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4
Q

Tricyclic nursing considerations

A

give at night, watch for suicidal thoughts, dont stop abrupty

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5
Q

SSRIs MOA

A

block reuptake of serotonin

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6
Q

SSRIs Side Effects

A

drowsiness, dizziness, sexual dysfunction, urinary retention, h/a

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7
Q

SSRIs contraindications

A

MAOIS

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8
Q

SSRI nursing considerations

A

give in morning, takes time to work and dont stop abruptly

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9
Q

MAOI’s MOA

A

blocks enzymes that break down norepi, dopamine and serotonin allowing it to reaccumulate

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10
Q

MAOI’s Side Effects

A

agitation, mania, insomnia, HTN, tachycardia

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11
Q

MAOI’s nursing considerations

A

dont eat cheese pickles or wine; monitor HTN CRISIS, renal/hepatic impairment

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12
Q

Most common MAOI

A

isocarboxazia (marplan)

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13
Q

SNRIs MOA

A

increase levels of serotonin and norepi

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14
Q

SNRI side effects

A

GI, sexual dysfunction, constipation, tachycardia

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15
Q

SNRI contraindications

A

pts with high bp

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16
Q

Atypical antidepressants MOA

A

works on norepi., dopamine and serotonin

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17
Q

Atypical antidepressants Side effects

A

agitation, increase risk for seizures

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18
Q

Atypical antidepressants contraindications

A

epilepsy

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19
Q

Atypical antidepressants can also be used for…

A

smoking cessation

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20
Q

Benzodiazepines endings

A

-pam or -lam

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21
Q

Benzodiazepines MOA

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A

works to accentuate GABA

22
Q

Benzodiazepine uses

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A

anxiety, alcohol withdrawals, anesthesia, seizures

23
Q

Benzodiazepine Side Effects

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A

drowsiness, dependance and depression
3 D’s

24
Q

Benzodiazepine Reversal Agent

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A

Flumazenil (romazicon)

25
Barbiturates ending
-barbital
26
Barbiturates MOA
enhances GABA
27
Barbiturates side effects
drowsiness, DEPENDANCE, respiratory depression, confusion, urinary retention, libido
28
Barbiturates toxic level
> 40 mcg/dl
29
Buspar
anxiolytic used to treat low level anxiety
30
Lunesta
anxiolytic sleep aid
31
Precedex
used in hospitals IV, used to get pts off narcotics
32
Hydantoins ending
-toin
33
Hydantoins MOA
inhibit sodium to decrease neuro firing
34
Hydantoins SE
lethargy, dysrhythmias, bone marrow suppression
35
Hydantoins Toxic level
> 50 mcg/ml
36
Hydantoins nursing considerations
teratogenic (D), watch liver fx
37
Partial Seizure MOA
work on sodium and calcium channels to decrease neuro firing and increase GABA
38
Partial Seizures SE
drowsiness, bone marrow supression
39
Valporic Acid/ Sodium valproate MOA and SE
increases GABA, SE: pancreatitis, bleeding disorders
40
Typical Antipsychotics MOA
blocks dopamine receptors
41
Typical Antipsychotics SE
anticholinergic, dizziness, hypotension, agranulocytosis
42
Which antipsychotic is higher risk for ESP
typical
43
Atypical antipsychotic MOA
blocks dopamine and serotonin
44
Atypical antipsychotic SE
sedation, weight gain, increased triglycerides/ LDL if used for long time, agranulocytosis
45
CNS Stimulants MOA
increases catecholamines in brain
46
CNS Stimulants uses
add/adhd; off label uses are narcolepsy and weight loss
47
CNS Stimulants SE
insomnia, HTN, Tachycardia, anxiety, decreased appetite
48
CNS Stimulant nursing considerations
avoid caffeine and alcohol and get a baseline EKG; HIGHLY REGULATED SUBSTANCE (2)
49
Narcotic MOA
causes reaction/attachment to opioid receptors in body
50
Narcotic SE
GI Motility, respiratory depression, urinary retention, orthostatic hypotension
51
Narcotic reversal agents
narcan and revia

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