Test 2 Flashcards

1
Q

Threr things that too much melitonin can cause

A

HA nightmare Mental impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

5 indications for benzos

A

Anxiety, insomnia, antiseizure, Nausea, and alcohol withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

2 side effects of Benzos

A

CNS depressant and paradoxal excitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pregnancy classes

A
A human trials show no adverse effects 
B animal trials show no adverse effects 
C animal trials show adverse effects 
D human trials show adver effects 
X no reason to ever take med when pregnant
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

One AE and one CI of zolpidem and one thing to keep in mind

A

Sleep eating stuff and no breastfeeding

Women and elderly have increased chance of toxcicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3 things about zolpidem

A

Short half life, one receptor, it is a seditive not a mm relaxor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is different about alprazolam

A

No grapefruit juice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is different about diazepam

A

Used in surg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is different about midazdam

A

It is fast and amnesia is expected effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Benzos and pregnancy?

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

7 CI for barbs

A

No alcohol, no birth control, no corticosteroids, or aniconvulsants because they will increase metan of barbs , no breast feeding, preg D not for panic dysorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

3 teaching for barbs

A

Do not stop rebound insomnia
Vit d and cal deficancy can happen
Watch for paradoxical excitation in adults and kids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
What do these do?
Seronotin
NorEp
GABA
Aceylcholine 
Dopamine
A
S inhibitory help with sleep, pain emotions, and mood 
N-Excititaory or inhibitory 
GABA-Inhibits
A-both 
D excititory- movement and intention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

You missed a drug what is it where does it belong?

A

Amitriptyline it is a TCA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

IN for TCA 4

A

Depression, nocurnal enuresis, pain, insomnia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

4 AE of TCAs

A

Cardiac dys, lower seizure threashold, orthoHypoTN, Anticholenergic effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cautions with TCA

A

Park, cardiac issues, hepatic, increase in intraocular pressure, or hypothyroidism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

IN for SSRI 7

A

Depression, premenstral dysphoric dysorder, bulemia/anor obesity/alcohol dependency/PTSD/OCD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are two things that we are worried about with SSRI

A

Serotonin syndrome and withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Serotonin syndrome s/s 9

A

Confusion, anxiety, agitation, rigidity, HTN, fever, sweat, ataxia, tremmors

21
Q

Serononin w/d s/s

A

Tremor anxiet sensory disturbances

22
Q

What are the two other atypical antidepressants just what the letters are

A

SNRI
And
NDRI

23
Q

Venlafaxine AE 2

A

Nausea, growth retardation,

24
Q

What are the indications of Bupropion 3

A

depression, nicotine withdrawal, neuropathic pain

25
What are the the SE of bupropion 5
CNS excite, HA, GI upset, tremmors, increase in seizure risk,
26
What are we worried about with MAIOs? 8
HYPERTN crisis, hypoglycemia, drowsiness, orthhypo, serotonin syndrome, HA, insomnia, Dia
27
What are the 3 antiepileptics
Valporic acid, caramazepine, lamotrigine
28
What drugs do you use to treat bipolar disorder? 4
mood stabelizers, antiepileptics, antipsychotics, benzos
29
Onset of lithium and one thing about it
1-3 weeks short half life
30
What are the adverse effects of Lithium 5
Mm weakness, lethergy, n/v, long term renal imapirment,
31
Interactions with lithium 2
Thiazide diuretics and antithyroid meds they will increase hypothyroid effect
32
AE of valporic acid 3
Thrombocytopenia, preancreatitis, liver fail
33
What treats EP symptoms?
Benzos
34
Akathesia, tardive dyskinesia, and acute dystonia
AK a feeling of mm quivering and restlessness Tar facial repetitive involuntart movement Acute-contractions
35
What are the symptoms of Neuropathic malignaant syndrome and what causes this and how do we support
High fever, diaphoresis, mm rigidity, tachy, bp up or down, delerium and coma diaphoresis From antipsychotics Support-antipyretics, mm relax and electrolytes
36
Chlorpromazine IN 2
Antiemetic, hiccups
37
AE with chlorpromazine 4 and 2 interactions
Anticholenergic, weight gain, seizures, eps, CI for dementia rt psychosis and anticicholenergic meds
38
Indications for Haloperidol and one thing to remember
Tourettes, hiccups, autism, delirium in emerg | Remember IV
39
AR for haloperidol 2
Drowsines and EPS
40
Haloperidol CI 4
Park, seizure, alcohol severe mental depression
41
Risperidome routes
Po, IM oral disint tab
42
Indications for risperidone 1 and 2 off label
Acute mania | Tourettes, irritated autism
43
AE of risperisone 3
N and v orthohypo increase prolactin
44
Colazapine 3
Last resort agranulocytes can decrease seizue thershold
45
What else is quetiapine good for
OCD
46
In for aripiprazole 4
Sch, bipolar, depression, tourettes
47
AE of Airpiprazole
Drowz seizure ther
48
Aripiprazole IN
SSRIs or grapefruit juice