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0NCLEX Meds > Psych > Flashcards

Psych Flashcards

(66 cards)

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1
Q

Propranolol

A
  • effective for akathisia
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2
Q

Haloperiodol

A
  • schizophrenia
  • detremental in treating dystonia (involuntary muscle contract, twisting)
    • avoid with Parkinson’s
  • can prolong QT interval
  • anticholinergic effects are common
    • blurred vision
    • memory impairment
    • constipation
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3
Q

Thiamin

A

B vitamin for alcohol withdrawal

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4
Q

Risperidone

A
  • schizophrenia
  • autism
  • behavioral disturbances
  • delusions
  • bipolar
  • increases prolactin levels
  • causes gynecomastia/glactorrhea (man boobs)
  • chew sugar-free gum for dry mouth
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5
Q

Bupropion

A
  • antidepressant
  • gives increased energy = lose weight
    • AVOID in bulimia
  • does not cause sexual side effects
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6
Q

Buprenorphine

A
  • used for opiod use disorder
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7
Q

Buspirone

A
  • mainly for anxiety
  • takes 2-4 weeks to work
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8
Q

Lithium

A
  • bipolar (LI=BI)
  • continue consistent salt intake
  • 3 P’s
    • peeing
    • pooping
    • paresthesia (numbness + tingling)
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9
Q

Paroxetine

A
  • SSRI
  • broad-spectrum anxiety disorders
  • depression
  • OCD
  • don’t give if pregnant
  • 6-8 weeks to work
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10
Q

Amitriptyline

A
  • TCA - antidepressant
  • treats panic disorder
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11
Q

Diazepam

A
  • benzo
  • treats anxiety, insomnia, and panic
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12
Q

Phenelzine

A
  • MAOI
  • treats social anxiety, depression, and panic
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13
Q

Zolpidem

A
  • non-benzo = HYPNOTIC
  • treats insomnia
  • concern in somnambulation (sleep walking)
  • fall risk
  • Ambien
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14
Q

Varenicline

A
  • helps with smoking cessation
  • start 7 days before planned quit date
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15
Q

Venlafaxine

A
  • serotonin-norepinephrine reuptake inhibitor
  • depression/anxiety med
  • may increase suicidal thoughts
  • avoid St. Johns Wort
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16
Q

Excessive ingestion of tricyclic antidepressants (TCAs)

A
  • long QT interval
  • torsade de pointes
  • sudden cardiac death
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17
Q

Clozapine

A
  • treats schizophrenia
  • worst metabolic disturbances
    • hyperglycemia
    • weight gain
    • hyperlipidemia
  • obtain baseline weight
  • obtain neutrophil count, liver test, fasting glucose, and hemoglobin

reserved for treatment-resistant psychotic disorders

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18
Q

Valporic acid (VPA)

A
  • mood stabilizer
    • manic episodes
  • can cause thrombocytopenia
    • monitor CBC
  • hepatotoxic
    • liver function tests needed
  • acts quickly when given through IV
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19
Q

Donepezil

A
  • Alzheimer’s
  • dementia
  • takes 1 month to work
  • gastric distress most common side effect!!!
  • monitor for
    • bradycardia
    • syncope
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20
Q

Dont use in Alzhermier’s

A
  • Anticholinergics such as diphenhydramine
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21
Q

Methadone

A
  • helps withdrawal with opiod use disorder
  • decreased transmission of HIV and Hep C
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22
Q

Naltrexone

A
  • helps is opioid use disorder
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23
Q

Flumazenil

A
  • reverse effects of benzos
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24
Q

Nortriptyline

A
  • depression
  • OCD disorders
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25
Fluphenazine
- schizo - dystopia reaction (all typical antipsychotic) - give diphenhydramine
26
ADHD stimulates
- Methylphenidate
27
ADHD nonstimulants
- no nervousness, weight loss, or tics - monitor liver - Atomoxetine - may cause liver injury - monitor live function tests - Guanfacine - abrupt stop = rebound hypertension - Clonidine - abrupt stop = rebound hypertension
28
Typical antipsychotics (1st gen)
- -zine, -dol - dystonia - give anticholinergics like diphenhydramine - thiothixene - fluphenazine - haloperidol - chlorpromazine
29
Atypical antipsychotics (2nd gen)
- -done, -pine, -zole - preferred because of decreased risk of movement disorders - risk of increased glucose and weight - risperidone - olanzapine - quetiapine - clozapine - lurasidone - ziprasidone - aripiprazole - brexpiprazole
30
Extrapyramidal side effects (EPS)
- akathisia - inability to remain still - dystonia - face, neck, shoulders spasm involuntarily - repeatitive twisting - pseudo parkinsonism - slowed movements - muscle stiffness - shufflig walk - tardive dyskinesia - involuntary facial tics - uncontrollable lip-smacking - happens many months-years after taking antipsychotics
31
Amobarbital
barbiturate (sedative) used for sedation and insomnia
32
Concern with 2nd gen
- increase in glucose and weight - especially clozapine and olanzapine - For any generation antipsychotic - monitor for neuroleptic malignant syndrome (NMS) - fever, muscle rigidity, delirium, and tachycardia
33
Ziprasidone
- 2nd gen atypical antipsychotic - prolong QT interval - increase prolactin levels and weight
34
Imipramine
- TCA - depression - bed wetting
35
Fluoxetine
- SSRI, mood elevator - depression - OCD - anorexia - causes insomnia - suicide risk when changing dose in adolescents (Prozac)
36
Fluvoxamine
- SSRI - OCD
37
Sertraline
- antidepressant - can cause insomnia - interacts with St. John’s Wart and Warfarin - s/e SAD HEAD - sweating - apprehensive (feeling of doom) - dizziness - headache (Zoloft)
38
Escitalopram
- depression - generalized anxiety - OCD
39
All psych meds s/e
- weight changes (usually weight gain) - low BP
40
Lithium risks
- hair loss - weight gain - risk for hypothyroidism (thyroid panel test) - toxic symptoms - hand tremor (resolves in 1-2 weeks) - metallic taste - diarrhea | avoid NSAIDs, ACE, and DIURETICS!!
41
Lamotrigine
- mood stabilizer for bipolar/depression - can also treat epilepsy (anticonvulsant) - titrate slowly d/t risk of rash - first rash (d/t fast tritrate) - painful blisters on upper body, eyes, lips and mouth (Steven-Johnson’s Syndrome) = report immediately - second rash - benign, no symptoms when titrated up
42
Hydroxyzine (psych)
- treats anxiety
43
Citalopram
- SSRI antidepressant - depression and anxiety disorders
44
Neuroleptic Malignant Syndrome (NMS)
- risk from antipsychotics - muscle rigidity - client feels like lead pipe - fever! - tachycardia
45
46
Clonidine
- alpha2-adrenergic agonist - hypertension - delirium tremens - ADHD - abrupt stop = rebound hypertension - sedative - avoid alcohol
47
Prazosin
- hypertension - PTSD - prostatic hyperplasia
48
Lurasidone
- atypical - bipolar (mood stabilizer) - schizophrenia
49
Monitor _____ when taking MAOI
blood pressure -can cause both hypertension and hypotension.  - Severe hypertension if the client consumes excessive tyramine - avoid smoked meats, overripe fruit, aged cheese/meats (Swiss cheese) - avoid SSRI (fluoxetine) - serotonin syndrome
50
Tranylcypromine
- MAOI - major depression when other meds don’t work
51
MAOI
- major depression - give when conventional meds don’t work - SSRI - citalopram - fluvoxamine - fluoxetine
52
Bipolar meds
- catatonia (absent movement/speech) - mood stabilizers - quetiapine - lithium - lurasidone - carbamazepine
53
SSRI considerations
- can cause insomnia - take in morning - do not take with St. John’s Wort - swallow whole, do not chew
54
Carbamazepine
- bipolar med - anticonvulsant - causes blood dyscrasias - pancytopenia - low RBC, WBC, platelets - obtain order for CBC
55
Trazodone
- serotonergic med - depression - insomnia - sedative = dizziness = fall risk - dry mouth is common - can cause priapism - prolonged/painful erection of penis - can result in ischemia
56
Midazolam
- benzo - sedation
57
Acamprosate
- supports recently quit alcohol - decreases cravings - common side effect is diarrhea - can be combined with naltrexone - take 3 times a day
58
Disulfiram
- drinking alcohol will cause headaches, nausea, vomiting
59
Serotonin syndrome
- serotonin toxicity - hyper-alert - rigid muscles - diarrhea - sweating - tachycardia - significant fever!!!! - stomach upset - sexual dysfunction - avoid combo of SSRI and MAOI
60
Alpha2-adenergic agonist
- non-stimulant ADHD meds (second-line to stimulants) - helps brain become more calm - easier to concentrate
61
Aldosterone receptor antagonist
- bodyguards for blood pressure - aldosterone tell kidneys to hold on to more salt and water in kidneys - this will raise your BP - these meds block aldosterone so kidneys can flush out the excess salt and water - DIURETIC
62
Meds for personality disorders
- NO APPROVED MEDS - SEEK COUNSELING/THERAPY
63
Beta-2 agonist
- asthma / COPD - relax muscles around airways - makes airways wider - allowing more air - Albuterol - Salmeterol
64
Amphetamine intoxication
- central nervous stimulant - profound hypertension - tachycardia - agitation/irritable/impulsive - euphoria - vomiting - hallucinations/paranoia
65
Benzodiazepine intoxication
- irritability - hypertension - anxiety - confusion
66
Alcohol intoxication
- central nervous depressant - ataxia = poor coordination - slurring - impaired memory/attention - diuretic effect - hypotension - tachycardia - vomiting - NO HYPERTENSJON OR PARANOIA

0NCLEX Meds (13 decks)

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