Lecture nine- PSYCH MEDS

Question 1

all psych drugs cause

Answer 1

low bp and weight changes

Question 2

phenothiazines are

Answer 2

first gen antipsychotics

Question 3

phenothiazines all end in

Answer 3

zine

“we use zines for the zaney (crazies)”

Question 4

what should also be administered w phenothiazines?

Answer 4

sm dose antiemetics

Question 5

phenothiazines are major

Answer 5

tranquillizers “big guns”

Question 6

phenothiazine ss

ABCDEFG

Answer 6

Anticholinergic mouth/dry
Blurry vision
Constipation
Drowsy
EPS "parkinsons ss"
Fphotosensitivity
Gagranulocytosis (low wbc)

Question 7

decanate

Answer 7

psych drug that can be court ordered; lasts 2wks to a month

Question 8

tricyclic antidepressants

Answer 8

NSSRIs
non selective serotonin reuptake inhibitors
mood elevators to tx depression

Question 9

tricyclics take ___to___ to work

Answer 9

2-4wks

Question 10

tricyclic NSSRI drugs

Answer 10

elavil, tofranil, dventyl, desyrel

Question 11

tricyclic antidepressant NSSRI SE

ABCDE

Answer 11

Anticholinergic
Blurry vision
Constipation
Drowsy
Euphoria

Question 12

zeps and zines are

Answer 12

tranquilizers

to put someone to sleep (ZZZ) us the Z’s

Question 13

Benzodiazepines are

Answer 13

antianxiety, minor tranquilizers

Question 14

Benzodiazepines always have ___ in them

Answer 14

Zep

Question 15

Benzo examples

Answer 15

lam, pam, vallium and zep

Question 16

benzos are also used for

Answer 16

preop, muscle relaxants, seizures, alcohol withdrawal, and ventilators

Question 17

benzos work

Answer 17

fast; cant be taken longer than 2-4wks

Question 18

Benzo SE

ABCD

Answer 18

mo safety!
Anticholinergic
Blurry vision
Constipation
Drowsy

Question 19

MAOIs

Answer 19

begin w mar,nar,par

Question 20

MAOI SE

ABCD

Answer 20

Anticholinergic
Blurry vision
Constipation
Drowsy

Question 21

MAOI pt teaching

Answer 21

to prevent HTN pt must avoid all tyramine foods; fermented, processed meat, aged cheese, bananas, raisins/dried fruit, organ meat, avocado, yogurt, alcohol, chocolate

Question 22

MAOI pts should not take

Answer 22

OTC meds

Question 23

lithium tx

Answer 23

bipolar/mania

“neurotransmitter stabilizer”

Question 24

lithium range

Answer 24

0.6-1.2

Question 25

lithium SE

Answer 25

polyuria, pooping, paresthesia, tremors increase fluids assess for dehydration

Question 26

Prozac/SRI SE | ABCDE

Answer 26

``` Anitcholinergic mouth Blurry vision Constipation Dehydration Euphoria insomnia ```

Question 27

administed prozac when

Answer 27

early

Question 28

prozac assessment

Answer 28

assess for suicidal ideation

Question 29

Haldol

Answer 29

decanoate form, long acting

Question 30

haldol is a ___ gen antipsychotic

Answer 30

first generation

Question 31

haldol SE | ABCDE

Answer 31

``` Anticholinergic mouth Blurry vision Constipation Dehydration Euphoria ```

Question 32

when a pt is on haldol mo for

Answer 32

neuroleptic malignant syndrome

Question 33

neuroleptic malignant syndrome ss

Answer 33

temp >105 tremors MED EMERGENCY

Question 34

haldol dose for elderly should be

Answer 34

half of adult dose

Question 35

2nd gen atypical antipsychotics end in

Answer 35

zapine

Question 36

zapines (2nd gen atypical antipsych) cause increased rx of

Answer 36

metabolic syndrome and altered glucose metabolism | mo bg

Question 37

clozapine is a

Answer 37

2nd gen atypical

Question 38

clozapine mo for

Answer 38

agranulocytosis

Question 39

mo __ for all atypical antipsychotics

Answer 39

wbc

Question 40

geodon

Answer 40

prolongs QT interval and can cause sudden cardiac arrest | blackbox warning*

Question 41

zoloft/sertraline

Answer 41

increases the drug toxicity of other drugs

Question 42

zoloft and saint johns wart taken together can increase the rx of

Answer 42

serotonin syndrome

Question 43

zoloft SE | SAD Headache

Answer 43

Sweaty Apprehensive Dizzy Headache

Question 44

zoloft and warfarin or coumadin taken together increases rx of

Answer 44

bleeding out

Question 45

when taking zoloft and or saint johns wart or coumadin/warfarin the pt should

Answer 45

decrease doses of saint johns wart, coumadin, warfarin