Psych meds

Question 1

alleviates psychosis, these meds work by blocking flow of dopamine

Answer 1

Antipsychotics

Question 2

Grandfather of all psych meds
can cause EPS and excess slee
Orthostatic Postural Hypotension

Answer 2

Thorazine

Question 3

Name two anti psychotics that can be given IM that have very severe EPS

Answer 3

Haldol

Prolixin

Question 4

Prolixin can cause severe liver or cardiac disease and lasts up to

Answer 4

6 weeks

Question 5

name three anti psychotics that have the lowest EPS

Answer 5

Clozaril
Risperdal
Zyprexia

Question 6

name three S/E of antipsychotic drugs

Answer 6

Psuedoparkinsonian symptoms
Akathisia
dystonia

Question 7

Anticholinergic effects of anti psychotics

Answer 7

Photosensitivity
blurred vision
dry mouth
urinary retention

Question 8

Neuroleptic malignant syndrome symptoms

can occur frequent in first 2 wks of tx

Answer 8

Severe catatonia, fever, inc creatine, altered LOC, Dysregulation in CV function

Question 9

name 3 immediate interventions for patients with NMS

Answer 9

stop drugs
notify MD
Cooling blankets
Hydration

Question 10

Irreversible involuntary movement of tongue face and mouth that can progress to fingers trunk and lungs due to LT use of anti psychotics

Answer 10

Tardive dyskenesia

Question 11

An antianxiety used also for seizures

Answer 11

Valium

Question 12

an anti anxiety also used to tx delerium tremens during alcohol detox

Answer 12

Librium

antabuse

Question 13

highly addictive anti anxiety drugs

Answer 13

Ativan

XANAX

Question 14

Less addictive anti anxiety drugs

Answer 14

Klonopin

Buspar

Question 15

S/E of antipsychotic where pt has a shuffling gait, masked facies, drools, tremors, stiff posture and pill rolling

Answer 15

Psuedoparkinsonian

Question 16

uncomfortable sense of internal restlessness

cannot sit still

Answer 16

Akathesia

Question 17

best tx for Akathesia

Answer 17

go for awalk

Question 18

S/E of anti psychotics where pt has muscle spasms of jaw, tongue,jerking, laryngospasms, eyes rolling back

Answer 18

dystonia

Question 19

drug of choice for EPS

Answer 19

Cogentin
artane
benadryl

Question 20

The number one anti manic mood stabalizer

Answer 20

Lithium

Question 21

Lithium therapeutic level

Answer 21

.5 - 1.2

Question 22

Lithium effects within how many days

Answer 22

7-10 days

Question 23

S/S of lithium toxicity

Answer 23

NVD, Altered LOC, hypotension, HA, Tremors

Question 24

immediate intervention for lithium toxicity

Answer 24

hold meds

stat level check

Question 25

Drug of choice used when pt does not respond to lithium, may cause bone marrow suppression and agranulocytosis, (dec WBC)

Answer 25

Tegretol

Question 26

mood stabalizer used to treat manic depressives and can cause liver toxicity.

Answer 26

Valproic acid Depakote

Question 27

lab work for Clozaril and Tegretol

Answer 27

CBC

Question 28

name four tricyclic anti depressants

Answer 28

``` Sinequan Elavil Tofranil Pamelor Anafranil ```

Question 29

what to monitor before giving tricyclic anti depressants

Answer 29

CV Urinary retention glaucoma Prostatic hypertrophy

Question 30

By decreasing seratonin levels these anti depressants have fewer side effects and are the best anti depressants to be given

Answer 30

SSRI

Question 31

name four types of SSRI's

Answer 31

Luvox Prozac Paxil Zoloft

Question 32

a serious side effect of SSRI anti depressants that causes altered LOC, altered muscle one, fever and autonomic dysfunction

Answer 32

Seratonin syndrome

Question 33

a tyramine restrictive diet must be maintained in what type of anti depressants or it can inc B/P and cause hypertensive crisis

Answer 33

MAOI's

Question 34

what type of foods must be avoided when given MAOI anti depressants

Answer 34

``` aged food aged cheese peperoni salami tap beers red wine saurkraut soy sauce ```

Question 35

types of MAOI anti depressants

Answer 35

NARDIL | PARNATE

Question 36

an anti anxiety used as a sleep aid

Answer 36

Trazadone

Question 37

smoke detterent anti anxiety

Answer 37

wellbutrin

Question 38

Drug that reduces craving for alcohol

Answer 38

Campral

Question 39

Long term tx for alcohol rehab maintenance

Answer 39

Antabuse

Question 40

Two antidepressants also used for OCD

Answer 40

Anafranil | Luvox

Question 41

Psychotropic drugs are also called

Answer 41

Neuroleptics