pysch drugs

Question 1

Nonmaleficence

Answer 1

Nonmaleficence: do no harm

Question 2

 We must balance the beneficence of

Answer 2

providing the medication
quickly with the possible maleficence of obtaining a consent when
patient does not have the capacity to make the decision for
surgery

Question 3

power of attorney

Answer 3

can choose for someone if they can continue dialysis or not

Question 4

antipsychotics - end in

Answer 4

Phenothiazine
Nonphenothiazine

Question 5

schizo - positive symptoms

Answer 5

▪ Agitation, anxiety, hallucinations, poor hygiene and
dress, hyperactivity, delusions, paranoia, and
hostility

Question 6

schizo - negative symptoms

Answer 6

Flat affect; social inadequacy; diminished speech
patterns, judgment, and insight

Question 7

2 types of f neuroleptic (psychosis) agents:

Answer 7

Typical, or first-generation
Atypical, or second-generation

Question 8

antipsychotics - what action?

Answer 8

Block action of dopamine

Question 9

phenothiazines - 3 groups

Answer 9

thorazine and Serentil® strong, proloxin is weaker

Question 10

proloxin - side effects (kava kava is a pro)

Answer 10

kava kava increases EPS, sedation, dry mouth.

Question 11

haldol side effects (hal gives me a headache)

Answer 11

sedation, headaches, dry mouth, eps

Question 12

haldol interactions (hal can’t have caffeine)

Answer 12

caffeine

Question 13

advantages of atypical meds - schizo is atypical

Answer 13

Effective in treating both positive and negative
symptoms of schizophrenia

Question 14

respiradol side effects

Answer 14

◼Dry mouth, weight gain
◼Tachycardia, orthostatic hypotension
Dysrhythmias, blood dyscrasias, liver damage

Question 15

Extrapyramidal Syndrome - Acute dystonia (grimacing stones)

Answer 15

AMuscle spasms of face, tongue, neck, and back, Facial grimacing, Involuntary upward eye movements, Laryngeal spasms

Question 16

EPS - Pseudoparkinsonism

Answer 16

occurs with drugs that block dopamine (antipsychotics) pill rolling, shuffling feet

Question 17

Neuroleptic malignant syndrome (NMS) (the FARM is malignant)

Answer 17

FARM: Fever, autonomic instability, rigidity, mental status changes

Question 18

side effects of antipsychotics (anti-psychotics, anti-cholenergics)

Answer 18

Anticholinergic effects: sedation, dry mouth,
constipation, dry skin, urinary retention, blurred
vision, tachycardia, and inhibited ejaculation and
confusion in older adults

Question 19

side effects of antipsychotics - endocrine (psycho makes me not pee)

Answer 19

Endocrine changes: glucose levels, weight gain, breast enlargement, and syndrome of inappropriate antidiuretic hormone (SIADH)

Question 20

side effects of antipsychotics - random (psycho about liver, eyes, and seizures)

Answer 20

Liver toxicity
Ocular toxicity Seizures
Allergic skin reactions

Question 21

nursing interventions (psycho gets side tracked)

Answer 21

Give IM by Z track into deep muscle using large-
gauge needle.

Question 22

A young woman is being treated for psychosis with fluphenazine (Prolixin®). Which of the following signs would indicate the need to add an anticholinergic to the patient’s medication regimen?

Answer 22

Facial grimacing and tongue spasms

Question 23

A patient on risperidone (Risperdal®) may be at increased risk for injury due to

Answer 23

Increased risk for falls due to orthostatic hypotension

Question 24

A patient is receiving risperidone (Risperdol). The nurse should monitor the patient for which of the following? (Select all that apply.) (just 3 things) (Char on respir)

Answer 24

weight gain, ortho hypo, urinary retention,

Question 25

Esketamine (Spravato®)

Answer 25

nasal spray for depression. dispensed at treatment centers.

Question 26

Amitriptyline (Elavil®) - side effects (Amy is sleepy)

Answer 26

Increased sedation and anticholinergic effects with phenothiazines, haloperidol

Question 27

SSRI - side effects - how long do they last?

Answer 27

Side effects often decrease over 2 to 4 weeks

Question 28

seratonin syndrome

Answer 28

Requires at least three of the following: ▪ Mental status changes (confusion, hypomania) ▪ Agitation ▪ Myoclonus (sudden twitching) ▪ Hyperreflexia ▪ Diaphoresis ▪ Shivering ▪ Tremor ▪ Diarrhea ▪ Incoordination ▪ Fever

Question 29

MAO inhibitors - side effects (food interactions)

Answer 29

Hypertensive crisis from fatal tyramine interaction (from cheese, coffee, cream, yogurt, bananas, liver, yeast, chocolate, beer, red wine, etc.)

Question 30

lithium

Answer 30

Monitor lithium levels every 1 to 2 months (0.5 to 1.5 mEq/L); toxic range is greater than 1.5 mEq/L. (liver)

Question 31

lithium toxicity (lithium hurts my heart)

Answer 31

dysrhythmias

Question 32

Baseline Assessment Prior to Initiating Lithium Therapy - what test? (lithium hurts my heart, so I need what test?)

Answer 32

EKG

Question 33

A patient with reactive depression is ordered to receive fluoxetine (Prozac®). The teaching for this patient includes

Answer 33

The medication may cause headaches and insomnia.

Question 34

Which of the following laboratory tests is most important for the nurse to monitor when a patient is receiving lithium (Lithobid®)

Answer 34

Serum electrolytes (lithium depletes sodium)

Question 35

ESPs - Akathisia (Akeela keeps moving)

Answer 35

constant motion, pacing

Question 36

Tardive dyskinesia

Answer 36

rolling of tongue