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Drugs Flashcards

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1
Q

Risperidone is used to treat-

A

Autism
Sleep Problems
BPD

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2
Q

Resperidone can cause what to happen to boys and girls?

A

Breast development in boys + girls

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3
Q

Resperidone can lead to -

A

Sexual Dysfunction (Because of Increased Prolactin)
Motor Difficulties
Orthostatic Hypotension

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4
Q

Don’t give Risperidone with-

A

Lorazepam

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5
Q

Risperidone has been approved for-

A

Acute Mania

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6
Q

Lurasidone is used to treat -

A

Bipolar Depression

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7
Q

Side effects of Lurasidone include-

A

Sedation
Extrapyramidal Symptoms/ EDS (Affected Motor Control + Coordination + Tardive Dyskenesia)

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8
Q

Tardive Dyskenesia is-

A

A disorder that causes involuntary facial tics after prolonged anti-psychotic use

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9
Q

What should you monitor for Lurasidone?

A

AIMS
Serum Glucose Levels
Liver Enzymes

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10
Q

Olanzapine is used for -

A

Schizophrenia

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11
Q

What are the side effects of Olanzapine?

A

Sedation
Weight Gain
Hyperglycemia
New Onset Type 2 Diabetes

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12
Q

Must monitor Olanzapine for-

A

New onset type 2 diabetes

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13
Q

Must monitor Olanzapine for-

A

Excess Sedation

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14
Q

What are the things that you must monitor for in general whenever it comes to 2nd Gen Anti-Psychotics?

A

Fall Risks
Metabolic Syndrome
Weight Gain

Risk of Stroke for Older PT’s

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15
Q

Amphetamine / Dextroamphetamine is used to treat -

A

ADHD + Narcolepsy

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16
Q

Atypical Antipsychotics include:

A

Olanzapine, Risperidone, Risperidone ER, Lurasidone, Paliperidone, Paliperidone ER, Quetiapine

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17
Q

Paliperidone + Paliperidone ER has the same SE and Treatments as-

A

Risperidone

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18
Q

Clozapine is a last resort due to-

A

WBC, especially Neutrophil Count

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19
Q

Clozapine treats-

A

Severely Ill PT’s with Schizophrenia

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20
Q

What should you monitor a PT taking Clozapine for?

A

Monitor their labs

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21
Q

When can clozapine be prescribed?

A

PT’s are put on a registry so they can’t take it until they’ve had lab results done

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22
Q

Quetiapine treats-

A

Bipolar Depression + Sleep Problems

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23
Q

Quetiapine PT’s should be monitored for-

A

Weight Gain,
Higher risk of Metabolic Syndrome,
Monitor Blood Sugar

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24
Q

Atypical Anti-Psychotics are-

A

2nd Gen Anti-Psychotics

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25
Name off a buncha Stimulants:
Amphetamine/ Dextroamphetamine, Methylphenidate + Methylphenidate ER, Lisdexamfetamine, Dexmethylphenidate
26
Amphetamine / Dextroamphetamine treats-
ADHD + Narcolepsy
27
Amphetamine / Dextroamphetamine SE =
Higher Alertness, BP + HR, Vasoconstriction, Blood Sugar Level
28
What can long-term or high doses of amphetamines cause?
Heart Problems, Psychosis, Anger
29
Methylphenidate + Methylphenidate ER has the same SE and Treatment Uses as-
Amphetamine / Dextroamphetamine
30
Lisdexamfetamine Treats-
ADHD, Binge-Eating Disorder
31
Lisdexamfetamine SE =
Dry Mouth, Insomnia
32
Dexmethylphenidate Treats-
ADHD
33
What should you monitor in a PT taking Dexmethylphenidate?
Seizure, BP + Cardiac Status, Potential Abuse + Dependance on Drug
34
What lab tests should you expect from a PT taking Dexmethylphenidate?
Periodic CBC, Differential Platelet Counts, Abnormal Liver Function Test (LFT)
35
Atomoxetine is a-
Non-Stimulant
36
Atomoxetine is used to treat-
ADHD
37
Atomoxetine SE =
Lower Appetite, Weight Loss, Fatigue, and Dizziness
38
What do you need to be able to take Atomoxetine?
Baseline liver function test & enzymes
39
Atomoxetine is contraindicated for PT’s with- Why?
Severe Cardiovascular Disease. Because of it’s potential to raise BP + HR
40
Aripiprazole is a -
3rd Generation Antipsychotic
41
Aripiprazole has SE’s that are similar to Risperidone, but name a unique SE that this med has that Risperidone doesn’t.
Unique SE = Orthostatic Hypotension.
42
Aripiprizole can be used to -
Improve Relatedness, Decrease Anxiety, Compulsive Behaviors, Agitation. Helps improve irritability that’s expressed in sever temper tantrums, aggression, & self-injurious behavior
43
1st Generation Anti-Psychotics are-
Typical Anti-Psychotics
44
What generation of Anti-Psychotics are rarely used?
Typical Anti-Psychotics
45
Name off some typical anti-psychotics:
Haloperidol, Chlorpromazine, Fluphenazine
46
Haloperidol is used to treat-
Schizophrenia
47
What are things that you do for a PT taking Haloperidol? Why do you do these things?
You keep them hydrated, check their vitals, and test for muscle fragility. Due to risk of Neuroleptic Malignant Syndrome
48
What is Neuroleptic Malignant Syndrome?
A life-threatening neurological syndrome caused by anti-psychotics that can cause mental status changes, rigidity, fever, and dysautonomia (Autonomic Processes in the body stop working right)
49
Chlorpromazine SE =
Very Sedating, Injections can cause pain, Hypotension
50
Fluphenazine SE =
Higher risk of Extrapyramidal (Drug-Induced Movement Disorders) SE’s + Moderate change in prolactin
51
What do you monitor in a PT taking Fluphenazide?
Monitor Kidney + Liver Function, BP, and I/O
52
What is Fluphenazide used for?
Acute + Chronic Psychosis
53
Typical Anti-Psychotic drugs all cause this symptom:
Causes Shuffling of Feet
54
A PT taking any of the 3 groups of Anti-Psychotics needs to be monitored for- A PT taking any of the 3 groups of Anti-Psychotics needs to have what labs monitored?
Parkinson’s-Like Symptoms (Lip-Smacking, Winking, Facial Twitching, Moving Arm Up & Down Involuntarily) Labs (Liver Enzymes, High Cholesterol, High Blood Sugar)
55
What is the black box warning for anti-psychotics?
Don’t give to dementia PT’s
56
If someone is taking anti-psychotics, what precautions do they need to be put on?
Fall Precautions
57
MAOI’s are-
Not prescribed often
58
Black Box Warning for Atypical Anti-Psychotics?
Increased risk of dementia-related psychosis in older Pt’s
59
Black Box Warning for Mood Stabilizers?
Suicide Risk in children and adolescents
60
Black Box Warning for SNRI’s?
Suicide Risk in children and adolescents from certain antidepressants
61
Black Box Warning for SSRI’s?
The use of certain anti-depressants to treat Major Depressive Disorder (MDD) in adolescents increases risk of suicidal ideations + behaviors
62
Black Box Warning for Stimulants?
Potential for Abuse & Diversion (giving drugs out illegally)
63
What do you need to avoid when taking an SSRI?
NSAID’s, Antiplatelets, Other Anti-Depressants, St John’s Wort
64
What do you need to avoid when taking a mood stabilizer?
High-Fat Meals (Oils, Chicken Skin, Red Meats + Processed Meats, Dairy, Deep Fried Foods, Avocados, Eggs, Seeds + Nuts) Caffeine Bipolar Meds
65
What do you need to avoid when taking an atypical psychotic?
Grapefruit, Nicotine, Caffeine Antidepressants, Tricyclic Drugs, Anticholinergic Drugs
66
What do you need to avoid when taking an SNRI?
MAOI’s Foods + Drinks High in Caffeine St. John’s Wort Weight Loss Drugs Blood Thinners Central Nervous System Active Drugs
67
Advil & Motrin are both -
Ibuprofen
68
Coumadin & Jantoven are both-
Warfarin
69
Ibuprofen & Warfarin are both -
Blood Thinners
70
What do you need to avoid if taking stimulants?
Caffeine (Coffees, Teas, Chocolates, Caffeinated Drinks)
71
IM Inj is at what degree angle?
90
72
What are the IM injection sites for kids under 18 months old?
Vastus Lateralis
73
What are the IM injection sites for kids that are 18 months to 3 years old?
Vastus Lateralis OR Deltoid
74
These are often used as first-line pharmacotherapy for depression and numerous other psychiatric disorders due to their safety, efficacy, and tolerability =
SSRI’s
75
What do you need to monitor when a pt takes Duloxetine?
Liver Enzymes
76
What are the side effects of Tricyclic Antidepressants (TCA’s)?
Dysrhythmias Heart Block Tachycardia Myocardial Infarction
77
What meds shouldn’t be taken with TCA’s?
MAOI’s Benzodiazepines Anti-Hypertensives Anti-Coagulants Oral Contraceptives Abtabuse Barbiturates Phenothiazines
78
What non-med things should a pt taking TCA’s avoid?
Tyramine & Alcohol
79
Does Fluoxetine have a discontinuation syndrome?
Nah
80
How can the Vagus nerve be stimulated?
By boosting neurotransmitters (Like Serotonin)
81
What is stimulation of the Vagus Nerve used for?
Treating Depression
82
What are the manifestations of Serotonin Syndrome?
Abdominal Pain Diarrhea Sweating Fever Tachycardia Hypertension Delirium Muscle Spasms Irritability Hostility High Fever Cardiovascular Shock Death
83
When should you watch for Serotonin Syndrome?
When the pt is on Dual Serotonin Enhancing Agents MAOI’s with SSRI’s are contraindicated
84
How long should you stop taking an SSRI before taking a MAOI?
2-5 Weeks
85
Whenever an SSRI dose is rapidly increased, what can occur?
Serotonin Syndrome
86
What’s the most effective treatment against acute treatment for depression?
Electroconvulsive Therapy
87
What is Transcranial Magnetic Stimulation (TMS)?
The use of strong magnets to briefly interrupt normal brain activity as a way to study brain regions
88
If a pt has brain metal implants, this process can’t be undone =
TMS
89
What herbal treatment messes with all Psychotropic meds?
St. John’s Wort
90
What meds are used for acute symptoms of anger and violence?
Anti-Anxiety Meds Anti-Psychotic Meds
91
What’s the most common Anti-Psychotic used during aggressive or violent incidents?
Haloperidol

Mental Health Drugs To Know (3 decks)

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