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Flashcards in psychotropic medications Deck (31)
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1

difference between typical and atypical antipsychotics

atypical are less likely to cause EPS
atypical treats both positive and negative symptoms of schizophrenia, rarely causes agranulocytosis
typical antipsychotics- blocks norepinephrine which causes hypotension and sedative effects

2

drug interactions with antipsychotic drugs

alcohol
hypnotics
sedatives
narcotics
barbiturates

3

classic major side effects of typical antipsychotics (haldol and prolixin)

puritis, photosensitivity, sedation, dizziness, h/a, seizures, dry mouth, nasal congestion, blurred vision, urinary retention, gi distress, EPS
prolixin- periphrial edema, tachycardia
haldol- orthostatic hypotension

4

what is prolixin?

a typical antipsychotic, manages the symptoms of schizophrenia

5

interactions and contraindications of prolixin- fluphazine

renal and liver damage, hypersensitivity, blood dyscrasia, cns depressents, etoh, kava kava

6

interactions and contraindications of haldol

narrow angle glaucoma, liver kidney damage, orthostatic hypotension, dysrythmia, urinary retention, cns depression, anticholinergics (increased toxicity), decreased effects with phenobarbital, carbamazepine, caffeine

7

side effects of atypical antipsychotics

sedation, drowsiness, wt gain, wt loss, h/a, fatigue, blurred vision, hyper/hypoglycemia, insomnia, agitation, anxiety, constipation, n/v, dizziness, sexual dysfunction

8

adverse effects of atypical antipsychotics

orthostatic hypotension, seizures, hypertension, tachycardia, bradycardia, EPS, seizures, angina, angioedema, diabetes, suicidal ideation, NMS, agranulocytosis, neutropenia, luekopenia

9

contraindications of atypical antipsychotics

dysrythmias, blood dyscrasia, liver damage

10

Nursing interventions for antipsychotics

vs/ cheeking meds, give w food, IM not IV, EPS, NMS, WBC, may turn urine brown or pink, 3-6 weeks to work

11

side effects of benzodiazepines

drowsiness, dizziness, confusions, blurred vision, weakness, restlessness, sleep disturbance, hallucinations, GI distress

12

signs and symptoms of benzo withdrawal

tremor, agitation, nervousness, sweating, insomnia, anorexia, muscle cramping

13

nursing interventions for patients taking benzos

encourage client to drink fluids, may take 1-2 weeks to work, no more than 2-4 wks to prevent tolerance, do not take with other cns depressants, NO kava kava, do not take w antacids or caffeine, take w food to prevent gi discomfort, warn client against abrupt stopping, take w food to prevent GI discomfort, warn client against abrupt discontinuation of drugs

14

SSRIs side effects

H/a, nervousness, restlessness, insomnia, seizures, tremors, GI distress, sexual dysfunction, *suicidal ideation*, works over 2-4 weeks
*can cause hyper or hypotension*

15

prototype- fluoxitine

increased effects with hypoglycemia, increased risk for respiratory depression, GI distress, sexual dysfunction,

16

SNRI prototype

venlafaxine (Effexor)

17

side effects of venlafaxine (Effexor)

drowsiness, dizziness, nervousness, confusion

18

MAOIS uses

only used in patients with depression uncontrolled by TCAs

19

side effects of MAOIS

agitation, restlessness, insomnia, anticholinergic effects, orthostatic hypotension, hypertension with tyramines

20

drug interactions with MAOIS

VS, mood, suicidal tendencies, cold medicine, take with food, do not drive, do not stop abruptly, take before BED, 2-4 weeks for response, do not take with herbs, gisneng, or st johns wart

21

types of mood stabilizers

lithium, anticonvulsants, tegrotal, valproic acid, lamotrigine

22

therapeutic range for lithium

0.5-2.5mEq

23

what levels can drop with lithium

sodium!

24

side effects of lithium

h/a, drowsiness, dizziness, hypotension, dysrythmias, restlessness, slurred speech, dry mouth, metallic taste, GI distress, tremors, muscle weakness, edema of hands and feet, increased urination, blood dyscrasias

25

signs and symptoms of lithium toxicity

Nausea and vommiting! severe diarrhea, blurred vision, ataxia, tinnitus, tremors, confusion, dysrythmias, seizures

26

nursing intervention for lithium

vs, na levels, urine output, renal function, 1-2L of fluid daily, take w food, monitor lithium levels 1-2 months, toxicity occurs after 2mEq, wear med alert bracelet, dont drive until you know how med effects you, drug may take 1-2 weeks to work, encourage pt to avoid caffeine, crash diets, nsaids, diruetics, pregnancy

27

carbmazepine

manages manic episodes

28

uses for valporic acid

management of major depression, bipolar disorder, tonic clonic seizures, migraine prophylaxis

29

action of ritalin

increases dopamine and norepinephrine which increases stimulation dose can be gradually increased until wanted effects occur

30

side effects of ritalin

nervousness, sleeplessness, palpitations, SOB,, fainting, aggressiveness, hearing voices, slows growth, seizures, blurred vision, impaired circulation, do not take when agitated or nervous