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Pysch > Medications > Flashcards

Medications Flashcards

1
Q

Haloperidol

A

Typical 1st Antipsychotic
Dopamine Antagonist

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2
Q

Risperdone, Clozapine, Zyprexa, Geodon

A

Atypical 2nd Antipsychotic
Weaker Dopamine Antagonist

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3
Q

Typical/Atypical Antipsychotic contraindications

A

CNS depression
Blood dyscrasias
Parkinson’s
Liver
Poor serizure

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4
Q

Typical/Atypical Antipsychotic Black Box

A

Elderly with neurocognitive disorders

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5
Q

Typical/Atypical Antipsychotic Cardiac Alert

A

QTc >500 increased risk VFIB/VTACH

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6
Q

Typical/Atypical Antipsychotic side effect

A

anticolinergic, adrenergic
prolactin elevation
agranulocytosis
liver failure

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7
Q

Zyprexa (Olanzapine) side effect

A

Histamine Blockade
Weight gain
Sedation
SSRI

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8
Q

EPS side effects

A

pseudoparkinsonism
akinesia
akathisia
acute dystonia
oculogyric crisis
tardive dyskinesia

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9
Q

Pseudoparkinsonism

A

pill rolling, tremour

treatment: antiparkinsonian, cogentin or artane (trihexyphenidyl)

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10
Q

Akinesia

A

muscular weakness

treatment:
carbidopa/levodopa

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11
Q

Akathisia

A

restless, repetitive movement

treatment: antiparkinson plus propranolol and lorazepam

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12
Q

Acute dystonia
Oculogyric crisis

A

sustained contraction
(OC eyes up)

treatment: cogentin and benadryl

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13
Q

Tardive Dyskinesia

A

facial/tongue movement

treatment: cogentin, benadryl and symmertrel (amantadine)

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14
Q

Neuroleptic Malignant Syndrome

A

rigidity, hyperpyrexia, tachy, stupor/coma

treatment: bromocriptine (parlodel) dantrolene
cooling blankets

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15
Q

Atypical Antipsychotic side effect

A

Metabolic syndrome

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16
Q

Decanoate / maintena / sustenna

A

long acting IM antipsych schizo

17
Q

Phenelzine (Nardil)
selegiline transdermal (Emsam)
Tranylcupromide (Parnate)
Isocarboxazide (Marplan)

A

MAOI

Avoid Tyramine (r/o hypertensive crisis (treat with lavage, charcoal, nitro)

18
Q

MAOI + Tricyclics

A

Cardiac Arrhythmia

19
Q

Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Citalopram (Celexa)
Escitalopram (Lexapro)

A

SSRI

20
Q

SSRI side effects

A

sexual dysfunction, insomnia, headache, aggitation, D/C syndrome

21
Q

Seratonin Syndrome

A

altered mental, abd pain, tachy

Treatment: stop and support

22
Q

duloxetine (cymbalta)

A

SNRI
Chronic pain
Cognitive symptoms

23
Q

desvenlafaxine (Pristiq)

A

SNRI
menopause

24
Q

Vortioxetine (Trintellix)

A

seratonin modulation

decrease aggression

increase sex/cognition

SE: Nausea

25
Q

Bupropin (Wellbutrin)

A

relieves sexual dysfunction/apathy from SNRI

26
Q

Mitrazapine (Remeron)

A

@ HS
Sedate
stim appeitie

27
Q

Lithium carbonate

A

Antimanic

28
Q

Lithium contraindications

A

sodium depletion

29
Q

Lithium side effects

A

D’s
Drowsy, dizzy, dry mouth, diarrhea

30
Q

Lithium therapeutic range

A

0.6-1.2

31
Q

Lithium toxicity

A

coarse hand tremor, tinnitus, stupor, blurred vision, death

32
Q

Fine VS Coarse tremor

A

Fine: symmetric, hands
(REDUCE CAFFEINE)

Coarse: irregular, widespread

33
Q

Lithium teaching

A

2g sodium
1500-3000 ml/day

34
Q

Valproic Acid (Depakene)
Lamotrigine (Lamictal)

A

anticonvulsant as mood stabilizers for rapid cycling

35
Q

Anticonvulsant side effect

A

blood dyscrasias, liver failure

36
Q

Anticonvulsant black box (2)

A

suicidal thoughts
hepatotoxicity

37
Q

Anticonvulsant therapeutic level

A

50-100mcg/mL

38
Q

Anticonvulsant med interaction

A

antiacid, aspirin

39
Q

Why are antipsychotics used in biploar disorder as an adj. therapy?

A

work faster than mood stabilizers to control behavior and stabilize mood

Pysch (7 decks)

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