Psych Drugs

Question 1

Types of GABA receptors

Answer 1

GABAa-benzos,barbiturates,alcohol
GABAb-associated with pain,memory,mood
GABAc

Question 2

Types of Benzos for Anxiety

Answer 2

-diazepam(Valium)
-clonazepam(Klonopin)
-alprazolam(Xanax)

Question 3

Types of Benzos for Insomnia

Answer 3

-flurazepam
-temazepam
-triazolam
-estazolam
-quazepam

Question 4

What is the drug Buspirone?

Answer 4

-Reduces anxiety without being overly sedative
-less likely to be abused
-increases serotonin

Question 5

What are SSRIs often used for?

Answer 5

-OCD
-Social Anxiety
-Anxiety
-panic disorder

Question 6

What is Venlafaxine used for?

Answer 6

-anxiety
-Social anxiety
-panic disorder

Question 7

How long should you use Benzos?

Answer 7

Use during initial phase only

Question 8

Side effects of SSRIs

Answer 8

GI bleeding

Question 9

Nursing Implications

Answer 9

-sometimes used for alcohol withdrawal
-abrupt cessation of benzos may cause withdrawal

Question 10

Seizure Precautions

Answer 10

-have oxygen/suctioning ready
-saline lock if no IV access
-place mattress on floor instead of siderails

Question 11

Withdrawal symptoms from Benzos

Answer 11

-convulsion
-insomnia
-involuntary movements
-tachycardia
-diaphoresis

Question 12

Overdose/Withdrawal sx of Opiates

Answer 12

-Overdose: decreased respirations,clammy,seizures
-Withdrawal: watery eyes,runny nose, sweating,tremors

Question 13

Examples of Tricyclic Antidepressants

Answer 13

-amitriptyline
-desipramine
-doxepin
-imipramine

Question 14

Uses/Side effects of Tricyclic Antidepressants

Answer 14

Uses- must be used in combo with other analgesics
Side effects: anticholinergic effects and ortho hypo

Question 15

St.John’s Wort

Answer 15

may be used for moderate depression, but not to be used with MAOIs or SSRIs

Question 16

What are first-line and second line drugs ?

Answer 16

First-line: TCAs,SSRIs,SNRIs
Second-line: MAOIs

Question 17

Foods High in Tyramine

Answer 17

-aged cheeses
-red wine
-pickled fish
-fermented meat

Question 18

Why should you avoid these foods with MAOIs?

Answer 18

can cause a life threatening hypertensive crisis

Question 19

Monitor with MAOIs

Answer 19

-if discontinue meds,avoid tyramine foods still for 2 weeks
-go to ER immediately for headaches

Question 20

Monitor with SSRIs

Answer 20

-take with food if GI upset
-take in morning
-decreased libido

Question 21

Implications for Serotonin Syndrome

Answer 21

Sx: mental status change,increased pulse,fluctuating BP, hyperthermia
Treatment: stop meds, IV fluids, decrease temp

Question 22

What do you monitor in patients taking Lithium for Bipolar Disorder?

Answer 22

Serum lithium levels to avoid toxicity

Question 23

Serious/Common Effects

Answer 23

Common: fine hand tremor,polyuria,thirst,nausea,diarrhea
Serious: neurological/cardio effects

Question 24

What should you not administer Lithium?

Answer 24

-pregnant women, if no other choice try to give at least after 1st trimester