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Psych Pharm Flashcards

(68 cards)

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1
Q

4 psychoactive depressant drugs

A

EtOH, Opiodes, Barbiturates, Benzodiazepines

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2
Q

pt is emotional, slurs, ataxia, then coma. high serum GGT (gamma-glutamyl transferase). AST 2x the ALT.

A

Alcohol intoxication

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3
Q

pt with anxiety, tremors, seizures. when severe has autonomic hyperactivity, and DTs.

A

Alcohol withdrawal

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4
Q

Tx for DTs

A

Benzodiazepines

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5
Q

pt with euphoria, CNS and resp depression, decreased gag reflex, miosis, seizures (OD)

A

Opioid intoxication

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6
Q

opiod intoxication tx

A

Naltrexone or Naloxone

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7
Q

pt with sweating, mydriasis, piloerection, fever, rhinorhea, yawning, nausea, stomach cramps, diarrhea.

A

Opioid withdrawal

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8
Q

opioid withdrawal tx

A

long-term support, methadone, buprenorphine

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9
Q

pt with delirium and life threatening CV collapse

A

Barbiturate withdrawal

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10
Q

pt with severe respiratory depression, attending concerned bc of the narrow therapeutic window associated.

A

barbiturate intoxication

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11
Q

Pt with ataxia and minor respiratory depression. greater safety margin than barbs

A

benzodiazepine intoxication

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12
Q

competitive benzodiasepine antagonist

A

flumazenil

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13
Q

pt with sleep disturbance, depression, rebound anxiety and in severe cases, seizure.

A

benzodiazepine withdrawal.

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14
Q

acute barb intoxication management.

A

symptome management; assist resp and increase BP

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15
Q

psychoactive stimulants

A

amphetamines, cocaine, caffeine, nicotine

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16
Q

Pt with mydriasis, anorexia, paranoia, HTN, tachycardia, cardiac arrest or seizures.

A

amphetamine intoxication

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17
Q

Pt with increased diuresis, restlessness, twitching

A

caffeine tox

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18
Q

impaired judgement, mydriasis, tactile hallucinations (others), paranoia, sudden cardiac death

A

cocaine tox

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19
Q

Cocaine tox tx

A

benzodiazepines

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20
Q

pt with anhedonia, increased appetite, hypersomnolence, and existential crisis.

A

amphetamine withdrawal

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21
Q

pt with hypersomnolence, malaise, psychological craving, depression and suicidality.

A

cocaine withdrawal

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22
Q

pt with lack of concentration and headache

A

caffeine withdrawal

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23
Q

pt with irritability, anxiety, and craving.

A

nicotine withdrawal

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24
Q

treatment for nicotine withdrawal

A

bupropion/varenicline

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25
hallucinogens
PCP, LSD, Cannabis
26
pt with belligerence, psycho, analgesia, vert and horiz nystagmus, homicidal, tachycardia, seizures
PCP
27
PCP tox tx
benzodiazepines, rapid acting anti-psychotics
28
pt with anergia, depression, anxiety, thought and sleep disturbance.
PCP withdrawal
29
pt with perceptual distortion, depersonalization, anxiety, paranoia, psychosis, flashbacks.
LSD
30
antiemetic in chemotherapy and stimulates apetite in AIDS.
dronabinol (cannabis)
31
paranoid delusions, dry mouth, and conjunctival injections.
cannabis
32
long acting oral opiate, heroin detox and long-term maintenance
methadone
33
heroine withdrawal treatment with abuse potential
oral naloxone with buprenorphin
34
wernicke triad
confusion, ophthalmoplegia, and ataxia
35
irreversible memory loss, confabulation, and personality change.
korsakoff
36
Mallory-weiss syndrome
longitudinal lacerations of esophagus, vomiting associated with alcoholism
37
painful esophageal bleeding
mallory weiss as opposed to esopha varices
38
DTs
2-5 days after last drink. ANS hyperactivity, hallucinations, confusion
39
DT Tx
benzodiazepine
40
induces vomiting from alcoholic byproduct buildup
disulfiram
41
AnxietyTx
SSRIs, SNRIs, buspirone
42
ADHD tx
methylphenidate, and amphetamines
43
bipolar Tx
mood stabilizers: lithium, valproic acid, carbamazapine. and atypicals
44
bulimia tx
SSRIs
45
depression tx
SSRI, SNRI, TCA, buspirone, mirtazapine
46
depression with insomnia tx
mirtazapine
47
OCD tx
SSRIs, clomipramine
48
panic disorder tx
SSRIs, venlafaxine, benzodiazepines
49
PTSD Tx
SSRI
50
schizophrenia
antipsychotics
51
social phobias tx
SSRIs
52
Tourrette's Syndrome Tx
antipsychotics - haldol, risperidone
53
3 CNS stimulants
Methylphenidate, dextroamphetamine, methamphetamine
54
MOA of CNS stimulants and use
increase synaptic catecholamines - ADHD, narcolepsy, appetite control
55
neuroleptics (antipsychotics) 5
haloperidol + -azines (trifluoperazine, fluphenazine, thioridazine, chlorpromazine)
56
MOA of typical neuroleptics
block D2 receptors; increase cAMP
57
Try to Fly High
in ref to high potency neuroleptics: trifluoperazine, fluphenazine, and haloperidol
58
Cheating Thieves are Low
ref to low potency neuroleptics: Chlorpromazine and Thiaridazine
59
side effects of high potency neuroleptics
extrapyramidal - tardive dyskinesia
60
side effects of low potency neuroleptics
non-neurologic - alpha1 blockade, anticholinergic and antihistamine
61
neuroleptic that leaves corneal deposits
chlorpromazine
62
neuroleptic that leaves retinal deposits
thioridazine
63
EPS evolution of effects with neuroleptics
4hr, days, wks, mos. acute dystonia, akathisia, bradykinesia, tardive dyskinesia.
64
It's atypical for OLd CLOSets to QUIETly RISPER from A to Z.
Olanzapine, Clozapine, Quetiapine, Risperidone, aripiprazole, ziprasidone
65
Tx of possitive and negative symptoms of schizophrenia
atypical antipsychotics
66
clinical use of atypical antipsychotics
schizo, bipolar, OCD, anxiety, depression, mania, tourettes
67
atypicals associated with weight gain
olanzapine and clozapine
68
requires weekly WBC monitoring
clozapine - due to agranulocytosis and seizure

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