Psychotropic drugs Flashcards
Psychotherapeutic Drugs
Used in the treatment of mental disorders, when they significantly affect ability to carry out normal functions
used for moderate,
severe, and very severe illness
Define level of illness
Very healthy –
Healthy –
Moderate illness –
Severe illness –
Very severe illness –
Very healthy – self-actualized
Healthy – use of healthy coping mechanisms to deal with
anxiety and stress; may experience mild anxiety
Moderate illness – use of ego defense mechanisms and
somatic responses to deal with anxiety/stress/crisis;
subjective distress that interferes with role functioning
Severe illness – unable to meet basic needs
Very severe illness – unable to maintain safety (of self and/or
others)
Psychotherapeutic Drugs:
Nursing Implications
Before beginning therapy, assess physical and
emotional status of patients
Obtain baseline vital signs, including postural BP
readings
Obtain liver and renal function tests
What drug category is for the mental illness
Anxiety disorders
Depressive Disorders
Bipolar disorders
Psychotic disorders
Neurocognitive disorders
Sleep disorders
Attention Deficit/Hyperactivity
disorders
Anxiety disorders- Anxiolytic
Depressive Disorders- Antidepressant
Bipolar disorders- Mood-stabilizing
Psychotic disorders- Antipsychotic
Neurocognitive disorders- Drugs for Dementia
Sleep disorders- Sedative-hypnotic
Attention Deficit/Hyperactivity
disorders -
Drugs for ADHD
Classifications of Anxiolytic drugs
- antihistamines
- benzodiazepines
- azaspirodecanediones
Classification of antidepressant drugs
Tricyclics
MAOI
Norepinephrine-dopamine reuptake inhibitors NDRI
SSRI
SNRI
Classification of mood stabilizing drugs
Lithium
Anticonvulsants
Calcium channel blockers
Classification of antipsychotic drugs
Phenothiazines - typical 1st gen
Phenylbutylpiperadines - typical 1st gen
Dibenzepines - atypical 2nd gen
Classification of drugs to treat side effects of antipsychotics
Antihistamines
Anticholinergics
to treat NMS
-Skeletal muscle relaxant
Classification of drugs for dementias
Cholinesterase inhibitors
NMDA receptor antagonist
Classification of sedative-hypnotic drugs
BEnzodiazepines
nonbenzodiazepines
Classification of stimulants drugs
CNS stimulants
Alpha adrenergic agonists
Norepinephrine reuptake inhibitors
Herbal products: GINSENG
Uses
Side effects
interactions
Uses - Stress reduction, improve physical endurance and concentration
Side: ^bp, chest pain, palpitations, anxiety, insomnia, headache, GI
Interaction: Anticoagulants, immunosuppressants, anticonvulsants, antidiabetic
TCA
Prototype
USES
MOA
Adverse effect
IMIPRAMINE (TOFRANIL)
–Depression, childhood enuresis, OCD, chronic pain - trigeminal neuralgia
*2nd line drug when SSRI fails
-Block reuptake of neurotransmitter causing accumulation at nerve ending
–Sedation, impotence, orthostatic hypotension
