New Material

Question 1

Narcotic + anticholinergic =

Answer 1

Slows peristalsis

Question 2

Anticholinergics

Answer 2

Dilate pupils, decrease gi motility
More localized effect
Encourage fibers and fluids

Question 3

Antidote for cholinergic poisoning

Answer 3

Atropine

Question 4

Rapid acting

Answer 4

Onset: 5-15 min
Peak: 1-3 hours
Duration: 2-5 hours

Question 5

Short acting

Answer 5

Onset: 10 min- 1 hour
Peak: 2.5-5 hours
Duration: 6-8 hours

Question 6

Intermediate acting

Answer 6

Onset: 1-2 hours
Peak: 6-12 hours
Duration:18-24 hours

Question 7

Long-acting combos

Answer 7

Onset: 3-4 hours
Peak: 6-8 hours
Duration: 24 hours

Question 8

Psychotherapeutic that is addicting and has cross tolerance

Answer 8

Antianxiety

Ex: alcohol

Question 9

Hallucinations

Answer 9

No stimulus

Ex: visual

Question 10

Delusions

Answer 10

Fixed, false belief

Ex: worms

Question 11

Psychotic break

Answer 11

Acute, too much too fast emotionally

Question 12

Antiparkinsons

Answer 12

Used to treat side effects of anti-psychotics

Question 13

Antidepressants

Answer 13

Changes in sleep, appetite, decrease energy level
Anticholinergic, arrhythmias, hypotension, sedation, weight gain
Take 3-4 weeks for meds to work

Question 14

Antimanic

Answer 14

Racing thoughts

Difficulty with impulse control

Question 15

Antipsychotic

Answer 15

Effect dopamine and serotonin levels
Organize thinking
Diminish intensity of psychotic process

Question 16

Atypical

Answer 16

Less side effects

Question 17

Typical

Answer 17

Older, more side effects

Question 18

Long acting help with

Answer 18

Med noncompliance

Question 19

Side effects of antipsychotics

Answer 19

Anticholinergic
Lactation, constipation, photosensitivity
Treat with ice chips, and sugarless gum

Question 20

Common in typical drugs

Answer 20

Extrapyramidal symptoms (eps)

Question 21

Dystonia

Answer 21

Involuntary pulling of muscle
Ratchet like reaction
Cog wheeling***
Rigidity

Question 22

Akasthesia

Answer 22

Usually middle aged women

Restlessness and fidgeting

Question 23

Pseudoparkinsons

Answer 23

Elderly more at risk
Shuffling, mask face
Drooling, arms at sides

Question 24

Tardive dyskinesia

Answer 24

Irreversible
AIMS scale
Rapid eye blinking
Puffing, lip pursing
Vermiform movements (worm-like)

Question 25

Call immediately for all EPS symptoms except

Answer 25

Tardive dyskinesia

Question 26

Neuroleptic malignant syndrome

Answer 26

Rigidity, high fever, unstable bp, diaphoresis, pallor, delirium, elevated enzymes, weight gain Long half life

Question 27

Concerns related to Clozaril

Answer 27

Decreased WBC's | Weekly blood monitoring

Question 28

Antidepressants interact with three neurotransmitters

Answer 28

Serotonin, norepinephrine, dopamine

Question 29

Desyrl

Answer 29

Sleep med

Question 30

MAO antidepressants

Answer 30

``` Older Inhibit enzyme Interact with Tyramine SE: cva, coma, red face Avoid aged foods ```

Question 31

SSRI

Answer 31

Most common More at risk for suicide when first start taking Give after noon SE: anxiety, agitation

Question 32

Treat Antimanic with

Answer 32

Lithium

Question 33

Lithium

Answer 33

Salt that competes for salt receptor sites Narrow therapeutic window 0.5-1.5 ❗️ 7-10 days before level is therapeutic Antipsychotic given until then

Question 34

Sodium increases

Answer 34

Lithium decreases

Question 35

Toxic levels of lithium mimic

Answer 35

Flu symptoms

Question 36

If lithium level 1.5

Answer 36

Hold lithium Notify physician Push fluids

Question 37

Antianxiety drugs

Answer 37

Addicting! Decrease anxiety, insomnia, OCD, depression, PTSD, alcohol withdrawal Benzodiapines potentiate effects of alcohol Euphoria, sedative effect

Question 38

Indirect Acting Cholinergic agonists

Answer 38

Act on enzyme not receptor Treat glaucoma Treat myo. gravis