Psychiatric Meds

Question 1

Anti-Anxiety Sides

Answer 1

ABCDS
A-altered vital signs (Bradycardia, low BP)
B-Blurry Vision
C-Constipation, confusion
D-Dry mouth, Dizzy
S-Stasis of Urine, Sedation

Question 2

Benzodiazepines

Answer 2

END in PAM or LAM
Very addictive
Short term use only
Don’t stop abruptly
Watch for respiratory depression
Flumazenil is antidote for OD

Question 3

Buspirone

Answer 3

OCD/PTSD/Anxiety
Lower sedative than benzos..
No Grapefruit

Question 4

Zolpidem

Answer 4

Insomnia Treatment
Take immediately before sleep
Headaches Common side
Sleep walking common
Addictive

Question 5

SSRI’s - Selective Reuptake Inhibitors Names

Answer 5

Fluoxetine, Citalopram, Sertraline

Question 6

SSRI’S Sides

Answer 6

Agitation
Blurred Vision
Dry Mouth
Constipation
Sleep issues
Anorexia

Question 7

SSRI NCLEX TIPS

Answer 7

Suicidal ideations common
Take 4 to 6 weeks to work
Don’t give with disulfiram
No alcohol
Never give with MAOI

Question 8

MAOI (monoamine oxidate Inhibitors) names

Answer 8

Isocarboxazid
Phenelzine
Tranylcypromine

Question 9

MAOI Sides

Answer 9

Anorexia
Blurred Vision
Constipation
Dry mouth
Sweating
Rigidity in muscles

Question 10

MAOI NCLEX tips

Answer 10

Never give with SSRIs
Takes 4 to 6 weeks to work
NO THRAMINE FOODS - will cause severe hypertension

Question 11

Tyramine - restricted diet - Meat

Answer 11

No organ or preserved (bacon, sausage, bologna, pepperoni, salami, nitrates)

Question 12

Tyramine - restricted diet - Grains

Answer 12

Nothing with active yeast

Question 13

Tyramine - restricted diet - Vegetables and Fruit

Answer 13

No BAR
Banana
avocados
Raisins

Question 14

Tyramine - restricted diet - Dairy

Answer 14

No cheese or yogurt

Question 15

Tyramine - restricted diet - Sweets/Oils

Answer 15

No coffee, tea, chocolate

Question 16

Tyramine - restricted diet - Soy Products

Answer 16

No soy sauce, togu, or teriyaki

Question 17

Tyramine - restricted diet - Nuts & Seeds

Answer 17

No nuts, peanut butter, pumpkin seeds

Question 18

Tyramine - restricted diet - CAN HAVE

Answer 18

Decaffeinated coffee
Fruit Juices
Club soda
All pastas
all cereal

Question 19

Anti-Psychotics Typical Meds

Answer 19

Thorazine
Compazine
Stelazine
Promethazine
Halperidol
Chlopromazine

Question 20

Anti-Psychotics Routes

Answer 20

PO
IV
IM (lasts longest)

Question 21

Anti-Psychotics Indication

Answer 21

Positive psychotic Symptoms
Delusions
Hallucinations
Neolgisms

Question 22

Anti-Psychotics Side Effects

Answer 22

Agitation
Blurred vision
Constipation
Difficulty urinating
Dry mouth, drowsy
Erectile dysfunction
Extrapyramidal symptoms (Benztropine reduces this side)

Question 23

Anti-Psychotics - Adverse Effects

Answer 23

Neuroleptic malignant syndrome

Question 24

Anti-Psychotics Atypical Medications

Answer 24

Clozapine
Risperidone
Aripiprazole
Olanzapine
Quetiapine

Question 25

Anti-Psychotics Atypical - Routes

Answer 25

PO IV IM (Last longests)

Question 26

Anti-Psychotics Atypical Indications

Answer 26

Positive Psychotic Symptoms Delusions Hallucinations Neologisms

Question 27

Anti-Psychotics Atypical Side Effects

Answer 27

Metabolic changes: Hyperglycemia Dyslipidemia Weight Gain

Question 28

Anti-Psychotics: Atypical Adverse Effects

Answer 28

Agranulocytosis