Exam 1 Meds Flashcards

(38 cards)

1
Q

what are SSRIs

A

selective serotonin reuptake inhibitors

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2
Q

action of SSRIs

A

inhibit reuptake of serotonin

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3
Q

physiological effects of SSRIs

A

decreased depression*, control anxiety, and control obsessions

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4
Q

side effects of SSRIs

A

nausea, agitation, headaches, sexual dysfunction

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5
Q

what is the first med used for depression

A

SSRIs

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6
Q

names of SSRIs

A

Prozac, Lexipro, Zoloft, Celexa, Paxil

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7
Q

describe serotonin syndrome

A

increased serotonin levels

shivers, flu like symptoms

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8
Q

describe discontinuation syndrome

A
occurs if SSRIs are stopped abruptly 
TAPER OFF (do not stop abruptly)
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9
Q

safety issues for antidepressants

A
increased risk of suicidal ideation
increased sedation
orthostatic HTN
hyponatremia
blurred vision
constipation
 serotonin syndrome
discontinuation syndrome
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10
Q

what is an important consideration for SSRIs and other antidepressants

A

cause increased suicidal ideation so start at low dose

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11
Q

what is the action of MAO inhibitors

A

increased norepinephrine and serotonin

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12
Q

physiological effects of MAO inhibitors

A

decreased depression and control anxiety*

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13
Q

side effects of MAO inhibitors

A

sedation, dizziness, sexual dysfunction, HTN crisis

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14
Q

describe how a hypertensive crisis occurs

A

if eat the wrong foods while on MAO inhibitors

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15
Q

what foods have a lot of tyramine

A

cheese, meats, sauces, beans, alcoholic beverages, overripe fruit

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16
Q

what is an important consideration for MAO inhibitors

A

AVOID foods high in tyramine

SEVERE dietary restrictions (ie/ no cheese and wine)

17
Q

is the process of neurotransmitter inactivation

18
Q

anxiety med

19
Q

SSNRI action

A
increased norepinephrine (which increases BP)
increased serotonin
20
Q

physiological effects of SSNRI

A

decreased depression
relieve pain of neuropathy
relieve anxiety

21
Q

side effects of SSNRI

A

nausea, sweating, insomnia, tremors, sexual dysfunction

22
Q

SSNRI drugs

A

Pristiq, Cymbalta, Effexor

23
Q

what is used for chronic pain(like fibromyalga) and is also and antidepressant

24
Q

these are older meds not used as much anymore

helpful with chronic pain

A

tricyclic antidepressants

25
physiological effects of tricyclic antidepressants
decreased depression, relief of severe pain, prevent panic attacks
26
side effects of tricyclic antidepressants
sexual dysfunction, sedation, weight gain, dry mouth, constipation, blurred vision, urinary retention, tachycardia
27
nursing considerations for tricyclic antidepressants
a little is lethal | takes 4-6 wks to reach full therapeutic effect
28
physiological effects of bupropion
decreased depression, aids in smoking cessation, decreased ADHD symptoms
29
side effects of bupropion
insomnia, dry mouth, tremor, seizure
30
tricyclic antidepressants drugs
amitriptyline and amoxapine
31
what does bupropion work on
dopamine (addiction neurotransmitter)
32
bupropion drug
wellbutrin
33
nursing considerations for bupropion
watch for increased BP due to increased norepinephrine | cannot take med if eating disorder (will cause seizures)
34
this is used to sleep/sedation
trazodone
35
nursing consideration for trazodone
priapism (erection goes down)
36
physiological effects of trazodone
decreased anxiety and depression
37
side effects of trazodone
nausea, sedation, orthostasis, priapism
38
trazodone drug
desyrel