Medications

Question 1

Schizophrenia (positive symptoms)

Answer 1

Hallucinations, Delusions, Disorganized Speech, Disorganized or Catatonic Behavior

Question 2

Schizophrenia (negative symptoms)

Answer 2

Affective Flattening, Alogia, Avolition, Anhedonia

Question 3

First Generation Antipsychotics- Nuerotransmitter

Answer 3

Dopamine (D2 Receptor)

Question 4

Haldol Indications

Answer 4

Schizophrenia, Agitation, Mania

Question 5

Haldol Side Effects

Answer 5

Sedation (Fall risk), EPS, QTc prolongation

Question 6

Thorazine Indications

Answer 6

Schizophrenia, Agitation, Psychotic depression

Question 7

Thorazine Side Effects

Answer 7

Sedation, hypotension, QTc prolongation, orthostatic hypotension, gynecomastia
(don’t use with Geodon)

Question 8

Dystonia

Answer 8

Spasms

Question 9

Akathisia

Answer 9

“bones are on fire” restlessness

Question 10

Parkinsonism

Answer 10

the shuffle, slow resting tremor

Question 11

Tardive Dyskinesia

Question 12

Clozapine Indications

Answer 12

Tx refractory schizophrenia

Question 13

Clozapine Side Effects

Answer 13

Constipation, hypotension drooling, sedation, weight gain, SEIZURES, AGRANULOCYTOSIS, MYOCARDITIS

Question 14

Olanzapine Indications

Answer 14

Schizophrenia, Agitation, Bipolar Disorder

Question 15

Olanzapine Side Effects

Answer 15

Sedation, Wight gain, hyperlipidemia, orthostatic hypotension.
(Do NOT use with IM Lorazepam)
(Sublingual good for patients that cheek)

Question 16

Risperidone Indications

Answer 16

Schizophrenia, Agitation, Bipolar Disorder

Question 17

Risperidone Side Effects

Answer 17

EPS, Sedation, Metabolic side effects, hyperprolactinemia.
(Consta injection requires 3-6 week oral overlap)

Question 18

Quetiapine Indication

Answer 18

Schizophrenia, Agitation, Bipolar, Depression

Question 19

Quetiapine Side Effects

Answer 19

SEDATION, wieght gain, somnolence, dizziness, headaches.
(quetiapine is abused on the street)

Question 20

Ziprasidone Indications

Answer 20

Schizophrenia, Agitation, Bipolar

Question 21

Ziprasidone Side Effects

Answer 21

EPS, headache, nausea, dizziness
(EKG changes)
(Give with a meal {60% bioavailability})

Question 22

Aripiprazole Indications

Answer 22

Schizophrenia, agitation, depression, autism, bipolar

Question 23

Aripiprazole Side Effects

Answer 23

headache, anxiety, insomnia, akathisia, constipation, vomitting
(less metabolic effects)
(Effects delayed up to 12 hours with Fatty Meal)

Question 24

Second Generation Antipsychotics

Question 25

Neuroleptic Malignant Syndrom

Answer 25

Fever, Severe muscular rigidity, Autonomic dysfunction, altered level of consciousness.

Question 26

Serotonin Syndrome

Answer 26

agitation, anxiety, restlessness, disorientation, diaphoresis, hyperthermia, tachycardia, nausea, vomiting, tremor, muscle rigidity, hyperreflexia, myoclonus, dilated pupils, ocular clonus, dry mucous membranes, flushed skin, increased bowel sounds, and a bilateral Babinski sign.

Question 27

Lithium Indications

Answer 27

Bipolar Disorder, Mania

Question 28

Lithium Side Effects

Answer 28

Polyuria, alopecia, GI UPSET, metabolic effects, tremor, Diabetes insipidus, KIDNEY DISFUNCTION. (NSAIDs increase concentration of Lithium)

Question 29

Lithium Therapeutic Range

Answer 29

0.6-1.2

Question 30

Divalproex Sodium Indications

Answer 30

Seizures, Agitation, Bipolar disorder

Question 31

Divalproex Sodium

Answer 31

Sedation, weight gain, GI upset, alepecia, headache, thrombocytopenia (liver dysfunction)

Question 32

Divalproex Sodium Therapeutic Level

Answer 32

40-100 mcg/mL

Question 33

Lamotrigine Indications

Answer 33

Seizures, Bipolar Disorder

Question 34

Lamotrigine Side Effects

Answer 34

RASH, sedation and headache. Stevens Johnson Syndrome- blistering/peeling skin, hives, itching or painful sores in mouth or around the eyes.

Question 35

Tegretol- therapeutic levels

Answer 35

4-12 mg/L