Psychiatric Meds Flashcards Preview

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Flashcards in Psychiatric Meds Deck (50):
1

alprazolam

Benzodiazepines

2

Clonazepam( klonopin)

Benzodiazepines

3

Diazepam (Valium )

Benzodiazepines

4

Lorazepam (Ativan)

Benzodiazepines

5

Temazepam (restoril)

Benzodiazepines

6

Benzodiazepines

Meds that end in zepam

Is a short term med for anxiety/depression

7

Benzodiazepines nclex tips

1.) very addictive
2.) short acting
3.) do not stop abruptly
4.) Watch for respiratory depression

Side effect are ABCDs

A-altered vital signs ( Brady , low BP )
B- blurred vision
C- constipation, confusion
D-dry mouth , dizziness
S-statsis of urine , sedation

Can be use as a anti-convulsants
Sedatives and relaxes muscles

Safer then Haldol in elderly clients
Monitor The liver function

8

If a client overdoses on Benzodiazepines give ___?

Flumazenil

floo-MAZ-a-nil

9

Selective serotonin reuptake inhibitor or SSRI


These medications help you keep ______ in the system longer which in turn makes you ____😊

All SSRI can cause serotonin syndrome or serotonin overload of too much of the drug is given!

Never give as SSRI WITH _____ and ; ___EVER

These medications help you keep serotonin in the system longer which in turn makes you happier😊

All SSRI can cause serotonin syndrome or serotonin overload of too much of the drug is given!

Never give as SSRI WITH MAOI and ST John herb EVER

10

What is Fluoxetine

floo-OX-e-teen

Causes _____ in children

Will cause ____

Give early before ___

(Prozac)

A SSRI

Causes suicidal ideation in children

Will cause insomnia

Give early before 2pm

11

What is Citalopram

sye-TAL-oh-pram

Do not take ______ or _______ with this med


(Celexa)

Do not take alcohol or drive with this med


SSRI

12

What is Sertraline

SER-tra-lee


Do not give with _____ but can give in the ____

(Zoloft)

Do not give with Disulfiram (By mouth)

dye-SUL-fi-ram

but can give in the evening

SSRI

13

venlafaxine

ven-la-FAX-zeen

Do not give with ______ or _______


will cause _____ , give _____

(Effexor )

Do not give with lithium or Cimetidine

will cause insomnia , give early

SSRI

14

What is escitalopram

es-sye-TAL-oh-pram

(Lexapro)

SSRI

15

What is Paroxetine

par-OX-e-teen


(Paxil)
SSRI

16

SSRI SIDE EFFECTS

Sexual dysfunction
headache
ABCD's

17

MAOI

Antidepressants

These meds help u hold onto longer
1. norepinephrine
2. Dopamine
3. Serotonin

Which will make u happier

18

What are the 3 MAOI meds

1. Marplan(Isocarboxazid)= eye-so-kar-BOX-a-zid

2. Nardil (Phenelzine)
FEN-L-zeen

3. Pardate (Tranylcypromine)
tran-no-Sye-foe-meen

19

MAOI side effects

ABCDss

20

MAOI's Contraindications


1. Never give with a _____
2. This is med take___to_______weeks to work

3.Know the dietary restrictions; your patient will not be allowed to eat anything with _______ in it while taking an a MAOL

1. Never give with a SSRI
2. This is med takes 4 to 6 weeks to work

3.Know the dietary restrictions; your patient will not be allowed to eat anything with tyramine in it while taking an a MAOL

21

Tyramine restricted diet


Meats-____ or ______

Grains-no _____ with ____

Vegetables- No_____

Fruits- No ____

Dairy-no ______ except ___, no ___

Sweets/oils-no _______, ____ or ______


Condiments-no _______

Meats-no organ or preserved

Grains-no grains with active yeast

Vegetables- No BAR (Banana, Avocado or Raisins)

Fruits- No BAR again

Dairy-no cheese except cottage cheese, no yogurt

Sweets/oils-no coffees, teas or chocolate


Condiments-no soy sauce

22

Lithium


Is a electrolyte thats also a mood stabilizer


Therapeutic level is __________!-

lithium can become ______ in the system quick

Give with ___

Do not give with ____

This is not a _____ is acting drug med will work after _____ weeks,

Also must be ____ off do not _______

Is a electrolyte thats also a mood stabilizer


Therapeutic level is 0.6-1.2!-lithium can become toxic in the system quick

Give with food

Do not give with diuretics

This is med will work after two weeks,not a fast is acting drug

Also must be tapered off do not stop abruptly

23

Phenothiazine

Drugs that end in azine

This is med is antipsychotic and will help patients with problems associated with schizophrenia (delusions, hallucinations, and paranoia)

24

Thorazine

Route given : PO, IV or IM ( IM last the longest)

Phenothiazine are typical antipsychotics

25

Typical psych drugs work best on the

positive psychotic symptoms

26

Haloperidol (haldol)

Typical antipsychotics

27

Thiothixene (Navene)

Typical antipsychotics

28

Perphenazine( Trilafon)

Typical antipsychotics

29

Chlorpromazine (Thorazine)

Typical antipsychotics

30

Typical antipsychotics are also called for generation antipsychotics ( because

these drugs were the first kinds of medication to be given

31

Caution! First -generation or typical antipsychotics cause?

neurolepsis

32

What does neurolepsis (NMS) mean?



_________ ________status

____________ level of consciousness

______motor skills



It could occur anytime a client is on?

What 6 signs ?

What actions do u take to correct?

Altered mental status

Decreased level of consciousness

Poor motor skills



It could occur anytime a client is on antipsychotic medication, most commonly when treating begins or doses are increased


Tachycardia-

Extreme fever

Altered LOC

Seizures

muscle rigidity

Elevated lab values ( WBC/LFT)

Discontinue the medication initially safety and seizures precautions.


Give antipyretic to reduce fever

33

Side effects of phenothiazines

ABCDS + extra pyramidal symptoms (neurolepsis)

34

Nursing Assessments for neurolepsis

Monitor for tardive dyskinesia

Monitor vital signs with temperature

35

What Drug can we give to lessen the side affects of first generation antipsychotic?

Cogentin ( benztropine ) a. Anti-Parkinson medication

36

Isocarboxazid

Maoi- marplan

37

Tranylcypromine

Maoi- parnate

38

Phenelzine

Maoi - Nardil

40

Nursing care for neurolepsis (NMS)?

Stop meds

Flush out system

Control temp

41

Clozapine

Atypical antipsychotics

42

Olanzapine

Atypical antipsychotics

43

Risperidone

Atypical antipsychotics

44

Quetiapine ( seroquel)

Atypical antipsychotics

45

Apripiprazole ( abilify)

Atypical antipsychotics

46

What the side effects of Atypical antipsychotics

ABCDs

47

Atypical antipsychotics have________

Monitor your patient for ________

Fewer extrapyramidal symptoms ( uncontrolled movement)

Monitor your patient for metabolic changes

48

Atypical antipsychotics can cause

1.) Hyperglycemia or diabetes mellitus

2.) Dyslipidemia-Abnormally elevated cholesterol or fats (lipids) in the blood.


3.)weight gain

49

When your patient is on atypical at psychotic medications, monitor them for

agranulocytosis ( low WBCs)

50

If they have agranulocytosis ( low WBCs) They will complain of?

1.) fever

2.)chills

3.) body aches

4.)sore throat etc. basically signs of the flu

51

Ziprasidone hydrochloride (Geodon)

Atypical antipsychotics

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