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Meds for Final Flashcards

1
Q

first line of meds for depression

A

SSRIs( selctive serotonin reuptake inhibitors)

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2
Q

side effects of SSRIs

A

nausea, agitation, headache, sexual dysfunction

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3
Q

what are examples of SSRIs

A

Zoloft, Lexipro, Prozac

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4
Q

safety issues for antidepressants

A 
serotonin syndrom
increased risk of suicidal ideation
increased sedation
orthostatic HTN
blurred vision
constipation
discontinuation syndrome
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5
Q

this causes shivers and flu like symptoms

occurs when there is an increase in serotonin levels

A

serotonin syndrome

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6
Q

most important nursing considerations for SSRIs

A

do not stop abruptly, taper off
serotonin syndrome
tell them to raise from bed slowly if orthostatic HTN
risk for suicide (start at low dose)

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7
Q

this is primarily given to control anxiety

A

MAO inhibitors

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8
Q

side effects of MAO inhibitors

A

sedation, dizziness, sexual dysfunction, HTN crisis

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9
Q

what is IMPERATIVE to remember of MAO inhibitors

A

AVOID foods high in TYRAMINE
severe dietary restrictions
no cheese and wine

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10
Q

what occurs if on MAO inhibitors and eat tyramine

A

cause hypertensive crisis

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11
Q

this is another med used to treat depression

A

SSNRI

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12
Q

side effects of SSNRI

A

nausea, sweating, tremors, sexual dysfunction

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13
Q

what are examples of SSNRI

A

Cymbalta, Effexor, Pristiq

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14
Q

this is an older antidepressant not used as commonly anymore

A

Tricyclic antidepressants

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15
Q

other than depression, what are tricyclics also helpful with

A

chronic pain

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16
Q

side effects of tricyclic antidepressants

A

sexual dysfunction, sedation, weight gain, dry mouth, constipation, blurred vision, urinary retention, tachycardia

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17
Q

what is IMPERATIVE to remember of tricyclic antidepressants

A

a LITTLE is LETHAL

takes 4-6 wks to reach full therapeutic effect

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18
Q

this is another antidepressant that can also aid in smoking cessation

A

Bupropion

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19
Q

what are examples of tricyclic antidepressants

A

amitriptyline and amoxapine

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20
Q

what are the side effects of bupropion

A

insomnia, dry mouth, tremor, seizure

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21
Q

what should you watch for if on bupropion

A

increased BP and increased norepinephrine

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22
Q

what is important to remember for bupropion

A

cannot take med if have eating disorder(cause seizures)

works on dopamine (addiction neurotransmitter)

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23
Q

example of bupropion

A

Wellbutrin

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24
Q

antidepressant that can also be used as a sedative

A

Trazodone

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25
what re the side effects of trazodone
nausea, sedation, orthostasis, priapism
26
what is important to remember for trazodone
priapism- erection goes down | used to help at night for sleep/sedation
27
what is an example of trazodone
desyrel
28
what are antipsychotics also called
neuroleptics
29
what meds are used for schizophrenia
antipsychotics
30
describe first generation antipsychotics
``` Typical many side effects higher risk of EPS target positive symptoms, make negative worse inexpensive will dry pt out ```
31
what are the side effects of Extrapyramidal (EPS)
akinesia, akathisia, dystonia, oculogyric crisis
32
what should be treated as an emergency
dystonia and oculogyric crisis due to laryngospams
33
muscle weaknesss
akinesia
34
continuous restlessness and fidgeting
akathisia
35
involuntary muscle movement | spasms of face, arms, legs, neck
dystonia
36
uncontrolled rolling back of the eyes
oculogyric crisis
37
what is used to treat OC and EPS in general
antiparkinsonia, anticholinergics, antihistamines (Benadryl)
38
describe second generation antipsychotics
Atypical less symptoms early EPS TD
39
involuntary repetitive movement
tardive dyskinesia
40
most antipsychotics cause what
weight gain and increased prolactin levels (increased breast tissue)
41
most common medication that is known to trigger manic response are
steroids
42
side effects of antipsychotics
nausea, GI upset, rash, sedation, orthostatic hypotension, photosensitivity, EKG, hypersalivation, agranulocytosis, hyperglycemia, weight gain, TD, EPS
43
education of antipsychotics
``` do not stop abruptly wear sunscreen report weekly for blood draws risks with pregnancy do not drink alcohol do not take with other meds ```
44
what is clozapine
antipsychotic
45
what is important to remember about clozapine
can cause agranulocytosis- fatal blood disorder that decreased WBC levels to very low
46
what is the primary meds for bipolar/mania
lithium, divalproex, carbamazepine, atypical antipsychotics
47
what is the acute and maintenance dose of lithium in the blood
acute 1-1.5 | main: 0.6-1.2
48
what are the toxicity symptoms of lithium
NVD, ataxia, blurred vision, tinnitus, increased tremors, increased output
49
lithium education
``` take regularly drowsiness/dizziness is common notify physician if NVD, causes sodium loss carry ID card about lithium weight gain is a problem serum checked every 1-2 months ```
50
meds given for PTSD
Paxil, Prozac, Zoloft, Effexor
51
anti anxiety meds
Clonazepam, Lorazepam (Ativan), Buspirone (Buspar), Diazepam (Valium)
52
panic and GAD meds
anxiolytics, antidepressants, antihypertensive agents
53
phobic disorder meds
anxiolytics, antidepressants, antihypertensive agents
54
OCD and body dysmorphic meds
antidepressants
55
hair pulling disorder meds
chlorpromazine, amitriptyline, lithium, SSRI, olanzapine
56
meds for anorexia nervosa
prozac and zyrexa
57
meds for bulimia nervosa
prozac and nardil
58
med for BED
topamax
59
what meds are given for eating disorders
prescribed for associated symptoms of anxiety and depression
60
meds for Austism spectrum disorder
risperidone and aripipazole
61
meds for ADHD
CNS stimulants dextroamphetamine, methamphetamine "phetamine"
62
meds for tourette's
antipsychotics | alpha agents
63
NCD meds for cognitive impairment
Cogex, Aricept, Exelan, Razadyne
64
NCD meds for agitation, aggression, hallucinations
Risperidone and Olazapine | antipsychotics
65
what anti anxiety drug should not be used long term
valium
66
what drugs are used in substitution therapy for alcohol addiction
chlordiazepoxide, oxazepam, lorazepam, diazepam
67
pharmacology for alcoholism
antabuse, compral
68
psychopharmacology for alcoholism
benzos, anticonvulsants, multivitamin, thiamine
69
what antianxiety drug does not depress the CNS
Buspirone (buspar)
70
first line of defense for anxiety
SSRI | Buspar
71
short term med for anxiety
Benzos | addictive

Psych Nursing (21 decks)

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