Psych Deck 2

Question 1

Stimulants are the most

Answer 1

typically prescribed drugs for the treatment of ADHD

Question 2

Stimulant MOA

Answer 2

block reuptake of NE and DA

Question 3

Stimulant Adverse Effects

Answer 3

Activating/Agitating
– Cardiac issues
– Appetite Suppressant

Question 4

Stimulant formulations can be

Answer 4

short acting or extended release

Question 5

Risks for stimulatns

Answer 5

misuse/abuse

Question 6

stimulants are also used for

Answer 6

narcolepsy, neurobehavioral symptoms after TBI, Elderly for fatigue like depression, weight loss, cognitive impairment who have HIV infection

Question 7

Stimulants’ are

Answer 7

controlled substances

Question 8

stimulants do what

Answer 8

increase motor active, focus, attention, and elevation of the persons food.

Question 9

simulant side effects

Answer 9

irritability, insomnia, dizznies, palpatations, euphoria, weight loss, sudden death, depdendece and psychosis.

Question 10

stimulant contraindications

Answer 10

diabetes, hyperthyroidism, hypertension, issues with aggression, bipolar disorder, psychosis, terets disoroder

Question 11

Ticks

Answer 11

can be unmasked by stimulant disorders

Question 12

If you have been on a stimulant for a long time

Answer 12

do not abruptly stop or you will experience withdrawal

Question 13

Stimulant two types

Answer 13

Methylphenidate Products

Amphetamine Salt Products

Question 14

Methylphenidate (d) Formulations examples

Answer 14

Focalin, Focalin XR

Question 15

Methylphenidate (d,l) Formulations examples

Answer 15

Ritalin IR and ER, Metadate,
Concerta, QuilliChew, Aptensio,
Quillivant, Daytrana, etc.

Question 16

Amphetamine Mixed Salts (d,l)

Formulations

Answer 16

Adderall IR and XR, Adzenys XR

ODT, Mydayis, Dyanavel XR

Question 17

Dextroamphetamine (d)

Formulations (amphetamine salt)

Answer 17

Dexedrine, ProCentra, Zenzedi

Question 18

Lisdexamfetamine (amphetamine salt)

Answer 18

Vyvanse

Question 19

the d-isomer is more potent for

Answer 19

dopamine
transporter (DAT) binding, both d- and l- isomers
are equally potent for NE (NET) transporter
binding.

Question 20

d-amphetamine will have more action on

Answer 20

DAT

than NET

Question 21

Mood stabilizer drug class

Answer 21

Lithium
– Antiseizure Drugs
– Atypical Antipsychotics

Question 22

mood stabilizers used in

Answer 22

bipolar disorder, impulsivity, aggression, depression, anxiety, mood liability, chronic pain, pszhoeffecive disorder

Question 23

gold standard for bipolar

Answer 23

lithium

Question 24

lithium long term use can

Answer 24

damage thyroid and kidneys

Question 25

lithium MOA

Answer 25

``` Competes with sodium to enter cell- acts like sodium in the body • Cholinergic and GABA activity, dopamine receptor sensitivity, serotonergic activity, inhibits second messenger system ```

Question 26

lithium blood levels

Answer 26

Blood levels: 0.6-1.5 mEq/L

Question 27

lithium baseline labs

Answer 27

levels of renal, cardiac, | thyroid, and electrolytes.

Question 28

Lithium can lead to

Answer 28

neuroprotective actions and | long-term plasticity in the brain

Question 29

Monitor what with lithium

Answer 29

sodium levels, when sodium is lost (dehydration, excessive sweating, etc.)

Question 30

lithium toxicity S/S

Answer 30

(ataxia, slurred speech, tremor, N/V, tinnitus, blurred vision)

Question 31

Lithium overdose treated with

Answer 31

hemodialysis and supportive | care.

Question 32

Lithium levels above ___ cause ___

Answer 32

Levels above 2.5 mEq/L can | cause coma, seizure, and death.

Question 33

Things that effect lithium level

Answer 33

dehydration, excessive sweating, illness, AKI. Anything that effects fluid an electrolyte imbalance.

Question 34

If there is a change in a lithium level we want to know

Answer 34

what caused that change

Question 35

Lithium is excreated through

Answer 35

the kidneys

Question 36

Lithium can lead to

Answer 36

long term palcicity and protective actions in the brain when treated early.

Question 37

Lithium patient education

Answer 37

limit ETOH and caffene, avoid tasks requirein coodination, may cause dry mouth, maintain steady salt, fluid intake, report vomiting, diarrhea, muscle weakness, tremors, drowsiness, ataxia, monitor levels

Question 38

Aticonvulsants

Answer 38

Carbamazepines – Drugs that affect GABA: gabapentin, topiramate, lamotrigine – Valproic Acid REVIEW THESE FROM MODULE FOUR

Question 39

First line treatment for anxiety and second line

Answer 39

CBT then antidepressants

Question 40

Benzodiazepines work by

Answer 40

increasing GABA

Question 41

Benzodiazepines work

Answer 41

really well for anxiety

Question 42

You can ____ from benzo withdrawal

Answer 42

die

Question 43

Benzodiazapines ADR

Answer 43

withdrawal, dizziness, fall risk in elderly, cognitive effects long term

Question 44

serotonergic Anxiolytic example

Answer 44

buspirone

Question 45

Buspirone works by

Answer 45

increasing serotonin

Question 46

buspirone is used on

Answer 46

a daily prescirbed basis as an adjuct to an SSRI

Question 47

Barbituates

Answer 47

short and log acting formulations. Work on GABA in a different way than benzo, CNS depressants. Risk for tolerance, dependence and overdose.

Question 48

Sedative hypnotics

Answer 48

Nonbenzodiazepine Hypnotic

Question 49

GABA non-benzodiazepine receptor examples

Answer 49

(zolpidem (Ambien), zaleplon (Sonata), | eszopiclone (Lunesta)

Question 50

melatonin receptor agonist example

Answer 50

(ramelteon | Rozerum

Question 51

Orexin receptor antagonist example

Answer 51

Orexin receptor antagonist