Mental Health - Week 6 Tips Flashcards by Joshua De Jesus

3 Drugs to D/C 2 weeks before ECT

Lithium
MAOIs
Seizure threshold medications

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How to treat post-ECT short term memory loss

Re-orientation

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Anxiety Disorder Tx

Assess risks, triggers, and responses

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Abuse Cycle (3)

Tension building
Battering
Honeymoon

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Communication style if…

Pt is aggressive/violent

calm, short/simple sentences

set boundaires

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Selective Serotonin Reuptake Inhibitors (SSRIs) examples (3)

Avoid what herb?

Citalopram (Celexa)
Fluxetine (Prozac)
Sertraline (Zoloft)

St. John’s Wort

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Amitriptyline (Elavil) Class and 2 ADFX

Tricyclic Antidepressant (TCA) 
Anticholinergic FX and Orthostatic Hypotension

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Anticholinergic effects (3)

dry mouth
urinary retention
constipation

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Anticholinergic examples (2)

Scopolamine

Dimenhydrinate

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Anticholinergic function?

Treat motion sickness

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Monoamine Oxidase Inhibitors (MAOIs) examples (3) and function?

Isocarboxazid (Marplan)
Tranylcypromine (Parnate)
Selegiline (Emsam)

block MAO to brain r/in ↑ norepinephrine, dopamine, and serotonin (relieve depression)

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MAOI ADFX (4)

CNS stimulation
Orthostatic Hypotension
HTN crisis
Local rash

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MAOI Rash?

Expected, apply topical glucocorticoid

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HTN crisis counter medications (2)?

Phentoalamine (Regitine) IV

Nifedipine (Procardia)

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Glucocorticoid function?

Prevent inflammation (not immediate)

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Glucocorticoid INHALED examples (5)

Budesonide
Fluticasone
Formoterol
Salmeterol
Mometasone Furosate

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Glucocorticoid IV examples (2)

Hydrocortisone Sodium succinate

Methylprednisolone sodium succinate

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Atypical Antidepressants example and function

Bupriopion HCL (Wellbutrin), treats depression b/c SSRI’s r/in sexual dysfunction

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Atypical Antidepressants ADFX (2)

Suppressed appetite
Seizures
GI complications

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Serotonin NOREpinephrine Reuptake Inhibitors (SNRIs) 2 examples and 3 ADFX

Venlafaxine (Effexor)
Duloxetine (Cymbalta)

nausea, weight gain, sex dysfunction

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Agonists vs. Antagonists

Agonists produce therapeutic effects

Antagonists PREVENT body from performing functions

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Antidote Atropine treats…? (2)

Muscarinic Agonists/Cholinesterase Inhibitors
Bethanechol (Urecholine)
Neostigmine (Prostigmin)

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Antidote Phyosostigmine (Antilirium) treats…?

Study These Flashcards

Anticholinergic drugs, Atropine

Anticholinergic function?

Study These Flashcards

Block muscarinic receptors in bronchi, r/in bronchodilation

Muscarinic Agonist example and function

Bethanechol (Urecholine) | Stimulates muscarine receptors in GU tract r/in relaxation of sphinter muscles

Muscarinic Antagonist example and funciton

Oxybutynin (Ditropan), inhibits muscarinic receptors r/in contraction of sphinter muscles (specifically bladder)

Cholinesterase Inhibitor example and function

Neostigmine (Prostigmin), prevent cholinesterase from inactivating ACh, r/in ↑ nerve impulses

Antidote Digibind treats...?

Digoxin toxicity

Antidote Vitamin K treats?

Warfarin (Couadmin) OD

Antidote Protamine Sulfate treats?

Heparin OD

Antidote Glucagon treats?

Insulin-induced HYPOglycemia

Antidote Acetylcystine (Mucomyst) treats?

Acetaminophen (Tylenol) poisoning

Bronchodilator 2 Types

Beta2-Adrenergic Agonists | Methylxanthines

Beta2-Adrenergic Agonist function

act on bronchial smooth muscle and r/in bronchodilation for SHORT TERM RELIEF

Beta2-Adrenergic Agonist medication examples (3)

AlbuTEROL (Proventil, Ventolin) FormoTEROL (Foradil Aerolizer) salmeTEROL (Serevent) TEROL, VENT, BREATH

B2-Adrenergic Agonist ADFX (3) TAT ↑%A

Tachycardia Angina Tremors ↑% Asthma attacks

Methylaxanthine example and function

Theophylline (Theolair) ALSO r/in bronchodilation for LONG-TERM asthma

Theophylline Toxicity Level S/S mild S/S moderate Other affecting medications (3C↑ 2P↓)

``` ↑ 20 mcg/mL GI distress/restlessness Dysrhythmias/Seizures Caffeine, Cimetidine (Tagamet) and Ciprofloxacin (Cipro) = ↑ Phenobarbital, Phenytoin = ↓ ```

Histamine2- Receptor Antagonist examples (4) and function

Ranitidine Hydrochloride (Zantac) Cimetidine (Tagamet) Famotidine (Pepcid) Nizatitdine (Axid) PO ONLY suppress gastric acid secretion

Fluoroquinolone Antibiotic + Steroid Medication example and function

Ciprofloxacin (Cipro) antibiotic + anti-inflammatory

Antiepileptics (AEDs) PPPCVE

``` Phenobarbital (Luminal) Primidone (Mysoline) Phenytoin (Dilantin) Carbamazepine (Tegretol) Valproic Acid (Depakote) Ethosuximide (Zarontin) ```

ACE Inhibitors function? treats (2)?

block production angiotensin II, r/in vasodilation, Na/H2O excretion, and K retention Cardiovascular Dz's and Neuropathy

ACE Inhibitor examples (5) Education

``` CaptoPRIL (Capoten) EnalaPRIL (Vasotec) FosinoPRIL (Monopril) LisinoPRIL (Prinivil) RamiPRIL (Atlace) ``` ↑% Hyperkalemia/Lithium Toxicity

ONLY CaptoPRIL (Capoten) education with food

take 1 hour before meals, other ACE inhibitors are NOT effected by food.

Angioedema

swelling under skin surface

Vasodilators (7) AAAACHO!!!

``` Alpha-Adrenergic Blockers Apha2 Agonists ACE Inhibitors Angiotensin II Receptor Blockers Calcium Channel Blockers HTN Crisis Meds Organic Nitrates ```

Alpha Adrenergic Blockers (2) examples. Education

PraZOSIN (Minipress) DoxaZOSIN (Cardura) negative interaction with NSAIDS/Clonidine

Alpha2 Agonists (3) examples Education

Clonidine (Catapres) Guanfacine (Tenex) Methyldopa (Aldomet) R/in CNS depression

Angiotensin 2 Receptor Blockers (5) examples Education

``` LoSARTAN (Cozzar) ValSARTAN (Diovan) IrbeSARTAN (Avapro) CandeSARTAN (Atacand) OlmeSARTAN (Benicar) ``` Fetal injury if used during 2nd - 3rd trimester

Calcium Channel Blockers (6) examples Education

NifeDIPINE (Procardia) AmloDIPINE (Norasc) FeloDIPINE (Plendil) NicarDIPINE (Cardene) Verapamil (Calan) Diltiazem (Cardizem) Grapefruit = ↑ toxicity ↑% Digoxin Toxicity

HTN Crisis Medications (4) Education

Sodium Nitroprusside Labetalol (Trandate) Diazoxide (Hyperstat) Fenoldopam (Corlopam) Monitor for Cyanide/Thiocyanate poisoning (headache, ♥ arrest/▲ mental status)

Organic Nitrates (2) examples

``` NITRoglycerine (Nitrol/stat) Isosorbide diNITate (Imdur) ```

Electrolyte Replacements: Na (1)

NSS

Electrolyte Replacements: K (4)

NEVER PUSH Dilute to ↓ 40 mEq/L to prevent irritation Administer NO faster than 10 mEq/L Antidote = Kayexalate

Electrolyte Replacements: Ca (2)

``` Calcium Citrate (Citrical) Seizure precautions ```

Electrolyte Replacements: Mg (4)

Magnesium sulfate/gluconate/hydroxide Monitor BP/respirations Monitor ↓ Deep tendon Reflexes (toxicity) Antidoe = calcium gluconate

Electrolyte Replacements: HCO2 (1)

Sodium Bicarbonate

Mental Health - Week 6 Tips Flashcards

(57 cards)