Psychiatric Meds Flashcards Preview

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Flashcards in Psychiatric Meds Deck (51)
1

alprazolam

Benzodiazepines

2

Clonazepam( klonopin)

Benzodiazepines

3

Diazepam (Valium )

Benzodiazepines

4

Lorazepam (Ativan)

Benzodiazepines

5

Temazepam (restoril)

Benzodiazepines

6

Benzodiazepines

What do these meds end in ? Except ?

Is it long or short term?
What do they treat?

Meds that end in zepam except alprazolam

Is a short term med for anxiety/depression

7

Benzodiazepines nclex tips


What are the side effects ?

1.) very addictive
2.) short acting
3.) do not stop abruptly
4.) Watch for respiratory depression
5.)Safer then Haldol in elderly clients
6.)Monitor The liver function
7.)Can be use as a anti-convulsants
Sedatives and relaxes muscles


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 (also known as urinary retention , sedation

8

If a client overdoses on Benzodiazepines give ___?

Flumazenil

floo-MAZ-a-nil

9

Selective serotonin reuptake inhibitor or SSRI
6

What do These medications help you do ? Which in turn make you ?

All SSRI can cause ____ if too much is given ?

Never give as SSRI WITH what 2things ?

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 Paroxetine

par-OX-e-teen

What’s the brand name ?

(Paxil)
SSRI

11

What is Fluoxetine

flu-OX-e-teen

What’s the brand name ?

Causes _____ in children/adults

Will cause ____

When do you give this med ?

(Prozac)

A SSRI

Will cause insomnia so Give early before 2pm


Causes suicidal ideation in children/adults

12

venlafaxine

ven-la-FAX-zeen(rhymes with teen)


What’s the brand name ?

Do not give with ______ or _______


will cause _____ , give _____

(Effexor )

will cause insomnia , give early

Do not give with lithium or Cimetidine

SSRI

13

What is Sertraline

SIR-tra-lean

What’s the brand name ?

Do not give with _____ but can give in the ____

(Zoloft)

can give in the evening

Do not give with Disulfiram (By mouth)

dye-SUL-fi-ram

SSRI

14

What is Citalopram

sye-TAL-oh-pram

What’s the brand name ?


Do not take ______ or _______ with this med

(Celexa)

Do not take alcohol or drive with this med


SSRI

15

What is escitalopram

es-sye-TAL-oh-pram

What’s the brand name ?

(Lexapro)

SSRI

16

SSRI SIDE EFFECTS of

Sexual dysfunction
headache
ABCD's

17

MAOI

What type med is is ?

What do this med do? Which make you ?

Antidepressants

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

Which will make u happier

18

What are the 4 MAOI meds

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

2. Nardil (Phenelzine)
FIN-L-zeen(rhymes with teen)

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

4.) selegiline ( Eldepryl)

19

MAOI side effects

ABCDss

20

MAOI's Contraindications


1. Never give with a _____
2. This is medtake___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 ____

What 2 things can cause toxicity?

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

Also must be ____ off do not _______

1.)Is a electrolyte thats also a 1.)Is a electrolyte thats also a mood stabilizer
2.),not a fast is acting drug-This is med will work after 2week
3.)Also must be tapered off do not stop abruptly
4.)lithium can become toxic in the system quick!!
5.)Low sodium/hyponatremia can cause toxicity
6.))Do not give with diuretics
7.)Give with food
8.)Therapeutic level is 0.6-1.2

23

Phenothiazine

Drugs that end in ? Except which 2 drugs?

What type of drug is this ?


This help patients associated with ?

Name those problems

What route can it be given

azine except Haloperidol (haldol) ,Thiothixene (Navene)


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

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

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 besides the Abcds?

neurolepsis

32

What does neurolepsis (NMS) mean?



_________ ________status


______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

39

Nursing care for neurolepsis (NMS)?

Stop meds

Flush out system

Control temp

40

Clozapine

Atypical antipsychotics

41

Olanzapine

Atypical antipsychotics

42

Risperidone

Atypical antipsychotics

43

Quetiapine ( seroquel)

Atypical antipsychotics

44

Apripiprazole ( abilify)


Ziprasidone hydrochloride (Geodon)

Risperidone

Atypical antipsychotics

45

What the side effects of Atypical antipsychotics

ABCDs

46

Atypical antipsychotics have________

Monitor your patient for ________

Fewer extrapyramidal symptoms ( uncontrolled movement)

Monitor your patient for metabolic changes

47

Atypical antipsychotics can cause

1.) diabetes mellitus 2 or
Hyperglycemia

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


3.)weight gain

48

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

agranulocytosis ( low WBCs)

49

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

basically signs of the flu

1.)sore throat etc.
2.)fever
3.)chills
4.)body aches

50

Ziprasidone hydrochloride (Geodon)

Atypical antipsychotics

51

selegiline (eldepryl)

Maoi

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