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Flashcards in PSYCHOTROPIC MEDS Deck (62)
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1

antipsychotics: target symptoms

positive symptoms; agitation, hallucinations, delusions, combativeness/belligerent behavior, sleep disturbance, tension, paranoid behavior/disorganized thinking

2

antipsychotics: symptoms less likely to respond

negative symptoms; impaired judgement, lack of insight, depression and withdrawal, poor motivation

3

antipsychotics: side effects

sedation, postural hypotension, weight gain, photosensitivity, sexual dysfunction, breast swelling, anticholinergic (dry mouth, blurred vision, urinary hesitation, constipation), tardive dyskinesia, acute dystonic reactions (involuntary muscle spasms or tightening of face), neuroleptic malignant syndrome (medical emergency, fever, muscle rigidity, mental status changes)

4

antipsychotics: tardive dyskinesia side effect treat

limit antipsychotic exposure, use vitamin E for prevention

5

antipsychotics: extrapyramidal symptoms (parkinsonian movements) treat

Artane, Cogentin, benadryl

6

antipsychotics: common atypical; clozapine

clozaril
different action
side effects--high saliva production, sedation, nausea, hypotension, dizziness, weight gain, risk of seizures; no tardive dyskinesia
need for weekly blood monitoring

7

antipsychotics: common atypical; resperidone

riserdal
injectable
side effects; sedation, some headache, dry mouth, constipation, blurred vision, palpitations, no tardive dyskinesia
question of relief for positive and negativesymptoms

8

antipsychotics: newer meds

apriprazole--abilify
ziprasidone--geodon
quetiapine--seroquel
olanzapine--zyprexa
asenapine-saphris
paliperidone palmitate--invega sustenna
paliperidone-invega
illoperidone--fanapt

9

tricyclic antidepressants: side effects

autonomic, anticholinergic (dry mouth, blurred vision, constipation, urinary probs, sweating/heat sensitivity), pustural hypotension, tachycardia, change in EKG arhythmias

10

tricyclic antidepressants: contraindicated for

people with heart disease, lethal in high doses so not good for suicidal pts

11

tricyclic antidepressants: therapeutic effects in

2-3 weeks

12

monoamine oxidase inhibitors (MAOIs): most effective for

atypical and nonendogenous depression

13

monoamine oxidase inhibitors (MAOIs): side effects

hypertension with high dose or when tricyclic/stimulant also taken

14

monoamine oxidase inhibitors (MAOIs): adverse drug reactions

stimulants, appetite suppressants, cold remedies, cocaine derivatives, anything that raises blood pressure

15

monoamine oxidase inhibitors (MAOIs): dietary restrictions

food with high levels of tyramine; avoid beer/ale, wine, cheese, smoke/pickled fish, beef/chicken liver, summer sausage, italian beans, yeast vitamin supplements

16

second generation antidepressants: benefits

reduced, different side/averse effects

17

second generation antidepressants: SSRIs therapeutic efficacy similar to

TCAs (tricyclic acids)

18

second generation antidepressants: SSRIs side effects are dose related

weight loss, nausea, diarrhea, nervousness (fluoxetine/prozac), insomnia, sexual dysfunction with long term use, less toxic to heart and safer in overdose than TCAs

19

second generation antidepressants: SNRIS side effects dose related

dry mouth, loss of appetite, nausea, diarrhea, constipation, nervousness, insomnia, elevated blood pressure and sexual problems
less toxic and safer in overdose

20

mood stabilizers: lithium

narrow therapeutic index; need blood levels/kidney/thyroid checked regularly

21

mood stabilizers: lithium side effects

thyroid can enlarge and underactive (treat with thyroid replacement meds)
renal kidney impact, need to drink more water for dehydration
gastrointestinal (anorexia, cramps, nausea, vomiting)
CNS (mental dullness, decreased memory and concentration, headache, hand tremors, fatigue and lethargy, weight gain)

22

mood stabilizers: lithium; don't take

during first trimester of pregnancy

23

mood stabilizers: sometimes combined

with antidepressant or antipsychotic

24

mood stabilizers: therapeutic effect

2+ weeks to build dosage to therapeutic level, need LI does multiple times a day

25

mood stabilizers: response rate

70-90% with typical bipolar respond, most effective at preventing mania not depression

26

mood stabilizers: anticonvulsants to stabilize mood; carbamazepine

tegretol
avoid during pregnancy, may depress bone marrow function (blood count monitoring)
patient needs to report signs of infection or bleeding ASAP

27

mood stabilizers: anticonvulsants to stabilize mood; valproic acid

depakote
more effective for rapid cycling and mixed bipolar
avoid during pregnancy

28

anxiety medications: panic disorder with or without agoraphobia

TCAs, MAOIs, SSRIs, alprazolam/xanax

29

anxiety medications: OCD

TCAs (clomipramine/Afafranil), MAOIs, SSRIs (fluvoxamine/Luvox, sertraline/Zoloft)

30

anxiety medications: specific phobias and social phobia

beta blockers (propanolol) to treat somatic symptoms of stage fright
paxil for social phobia