Psych Meds

Question 1

Psych med changes to body

Answer 1

-weight changes
-decrease BP, slow position changes
-sexual dysfunction
-sleep changes, hypersomnia, insomnia

Question 2

Anti-depressant things to avoid

Answer 2

-avoid st john worts
-never mix MAOIs with other anti-depressant drugs, 2 week washout
-taper on and off slowly

Question 3

Types of Anti-depressants

Answer 3

1. SSRI
2. TCA Antidepressant
3. Dualoxatine antidepressant
4. MAOI
5. Atypical antidepressant

Question 4

SSRI names

Answer 4

-sertraline
-fluoxetine
-citalopram
-escitalopram

Question 5

SSRI effects

Answer 5

-serotonin syndrome can occur, report to HCP
-SRI
-S: sweating, hot, fever
-R:rigid muscles,restlessness,agitation
I: increased HR,tachycardia

Question 6

TCA Antidepressant names

Answer 6

-amitriptyline
-imipramine

Question 7

TCA effects

Answer 7

Slow position chsnges
-urinary retention

Question 8

Dualoxatine Antidepressant

Answer 8

-dual purpose for pain and depression

Question 9

MAOI Antidepressant names

Answer 9

-phenelzine
-isocarvoxazid
-selegiline

Question 10

MAOI what to avoid

Answer 10

-avoid taking other anti depressants
-avoid high tyromine foods (wine, cheese, sausage, chocolate)
-avoid over the counter drugs, no antacid, NSAIDS, acetaminophen

Question 11

Atypical Antidepressant names

Answer 11

-trazodone
-bupropion

Question 12

Atypical antidepressant side effects

Answer 12

-trazodone puts in sleepy state, take at night
-bupropion never crush or chew

Question 13

Antipsychotics names

Answer 13

-haloperidol
-clozapine
-Ziprasidone
For schizophrenia

Question 14

Haloperidol function, side effects

Answer 14

-for schizophrenia, helps control motor movements
-causes NMS, neuroleptic malignant syndrome= life threatening
-NMS Signs: high fever, sweating, change in mental status,muscle rigidity, tremors
-NMS signs need to hold drugs, access and stay with client, notify HCP

Question 15

Clozapine function and side effects

Answer 15

-for schizophrenia
-decreases WBC, increase infection risk, sore throat

Question 16

Ziprasidone function and side effects

Answer 16

-for schizophrenia and acute bipolar mania
-can cause hypotension, monitor widening/increasing QT intervals

Question 17

Anxiolytics types

Answer 17

-for anxiety
-benzodiazipine
-phenobarbital
-buspirone

Question 18

Benzodiazipine names, effects, what to avoid, antidote

Answer 18

-ends in pam and lam
-highly addictive
-sedative, take at night
-decrease BP AND RR, low and slow
-avoid valerian root
-avoid muscle relaxants
Antidote:flumazenil (pam and lam “flu” out of benz)

Question 19

Phenobarbital function, effects

Answer 19

-anti anxiety meds
-sedative
-lasts long in body compared to benzos, longer to kick in and out

Question 20

Buspirone function and effects

Answer 20

-not a sedative
-takes a long time to kick in “bus”
-for anti anxiety

Question 21

Bipolar meds names

Answer 21

-Lithium
-carbamezopine
-valperic acid

Question 22

Lithium function, side effects, toxic levels

Answer 22

-for bipolar
-LITH
-L: higher than 1.5=deadly
-I: increase fluids and Na ( hold when dehydrated and na lower than 135
T: toxic signs (excess urination, extreme thirst, vomiting, diarrhea, tremors, jerks)
H: hold NSAIDS, decreases renal flow

Question 23

Withdrawal medication names and function

Answer 23

-methadone: for opioid withdrawal
-disulfiram:stops alcohol abuse

Question 24

Methadone function and what to monitor

Answer 24

-for opioid withdrawal
-monitor for low and slow
-stays in body for long, monitor for toxicity ( prolonged QT jntervals, O2 sats lower than 90%, sedation