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NUR 114 > Test 2 Meds. > Flashcards

Test 2 Meds. Flashcards

(49 cards)

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1
Q

olanzapine

A

Use: Anorexia Nervosa
second-generation antipsychotic medication
affects weight gain and improves cognition and body image.

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2
Q

fluoxetine

A

Use: Bulimia nervosa
selective serotonin reuptake inhibitor (SSRI)=antidepressant
has shown mixed results in maintaining weight and preventing relapse.
Helps relieve depression

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3
Q

Anxiolytics

A

Benzodiazepines
Lorazepam, Diazepam, Alprazolam
sleep aids for Dementia pts

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4
Q

topiramate

A

Use: Bulimia nervosa, Binge eating disorder
Anticonvulsant; mood stabilizer
Reduces binge purge/binge episodes, assist in weight loss

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5
Q

ondansetron

A

Use: Bulimia nervosa
Antiemetic; 5 HT antagonists
Reduce binge-purge episodes, increase frequency of normal meals

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6
Q

orlistat

A

Use: Binge eating disorder
Lipase inhibitor
Prohibit fat from storing; extreme diarrhea if consuming fatty foods
Adjunctive therapy to assist in weight loss

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7
Q

traditional

A

3-6 weeks effect

older antipsychotics
target POSITIVE symptoms

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8
Q

atypical

A

can have DM or weight gain issues, increase in cholesterol
newer antipsychotic; first chosen
3-6 weeks effect

diminishes NEGATIVE as well as POSITIVE symptoms
less side effects=higher compliance

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9
Q

Clozapine

A

antipsychotic: atypical

agranulocytosis (low WBC) need to be 3.5 to start
high seizure rate, increased DM risk, weight gain, orthostatic hypotension, high sedative effect

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10
Q

Quetiapine

A

antipsychotic: atypical

strong anticholinergic effects (give at bedtime)
SE: cardiac dysrhythmias, syncope, seizures

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11
Q

Risperidone

A

antipsychotic: atypical

insomnia, high extrapyramidal effects (tremors, slurred speech, anxiety) (dose related), 6-8 mg, low anticholinergic effect Can be given at bedtime to enhance sleep. Assess fall risk

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12
Q

Ziprasidone

A

antipsychotic: atypical

take with food to improve absorption

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13
Q

Olanzapine

A

antipsychotic: atypical

Sedating, give at bedtime. Requires monitoring for metabolic syndrome

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14
Q

**Aripiprazole

A

antipsychotic: atypical
Good for pts with auditory hallucinations and poor social functioning
Can be given during daytime hours; DOES NOT CAUSE WEIGHT GAIN,
Stabilizes DA receptors. Mildly sedative

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15
Q

**Haloperidol

high P=low S

A

antipsychotic: traditional HIGH potency=low sedation
tx for aggressive behavior
can prolong QT interval, lower ACH effects

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16
Q

Triflupoerazine

high P=low S

A

antipsychotic: traditional HIGH potency=low sedation
tx for aggressive behavior
low sedative effect, high incidence of EPS and TD effects

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17
Q

Fluphenazine

high P=low S

A

antipsychotic: traditional HIGH potency=low sedation
tx for aggressive behavior
available in tab, oral concentration, or IM injection; psychosis, agitation, orthostatic hypotension

2-4 week effects

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18
Q

Loxapine

Moderate

A

antipsychotic: traditional Medium potency

moderate sedative, Low ACH
reduces assaultive behavior
tabs, cap, oral concentrate, IM injection, schizophrenia only

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19
Q

Perphenazine

moderate

A

antipsychotic: traditional Medium potency

moderate sedative, Low ACH
reduces assaultive behavior
tabs, cap, oral concentrate, IM injection; schizophrenia only

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20
Q

Chlorpromazine

low P=high S

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A

antipsychotic: traditional Low potency=high sedation

moderate sedative, Low ACH, N/v can occur, hiccups
ZOOMBIE MAKER!!!

tabs, solution, IM injection
mania

21
Q

Thioridazine

low P=high S

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A

antipsychotic: traditional Low potency=high sedation

moderate sedative, Low ACH, N/v can occur, hiccups
ZOOMBIE MAKER!!!

tabs, solution, IM injection
mania

22
Q

Aphasia

23
Q

Apraxia

Study These Flashcards
A

loss of purposeful movement w/o loss of muscle power or coordination in general

24
Q

Agnosia

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A

does not recognize everyday objects

25
Anomia
words
26
Agraphia
inability to understand written language
27
Cholinesterase Inhibitors
increase acetylcholine to slow progression mild-moderate alzheimer's (6-12 months) SE: N/V, headache donepezil rivastigmine galantamine
28
NMDA receptor antagonist
decrease effects of glutamate, CNS excitation SE: dizziness, constipation, headache moderate-severe alzheimer's (6-12 months) "buying time" Memantine
29
Positive symptoms: alteration in thinking
delusions, persecution, grandiosity (king/queen), somatic sensation, thoughts broadcasting need concrete thinking!
30
Positive symptoms: alteration in speech
associative looseness, neologism (making up words), echolalia (echo what you say), clang association, word salad
31
Positive symptoms: alteration in perception
hallucinations, illusions, auditory, visual, olfactory, tactile personal boundary difficulties
32
postitive symptoms: alteration in behavior
extreme motor agitation, stereotyped, automatic obedience, waxy flexibility, stupor, negativism
33
Paranoid schizophrenia
unable to trust others around them, they are usually guarded, tense, and reserved "ideas of reference" later in age (20s-30s)
34
catatonic schizophrenia
running around or mute no in between extreme abnormal behavior, agitation, will not eat or move
35
disorganized schizophrenia
looseness of association, incoherent speech, poorly organized delusions and hallucinations, bizarre mannerisms, social withdrawal, severe cognitive impairment early onset (early to middle teens)
36
donepezil rivastigmine galantamine
Cholinesterase Inhibitors slows progression of alzheimers mild-moderate
37
Memantine
NMDA receptor antagonist slows progression of alzheimers moderate to severe immediate release/extended release
38
Paroxetine
``` SSRI antidepressant SE: sexual problems good for anxiety can cause weight gain SES; CAUTION WITH ELDERLY; black box warning ```
39
Sertraline
SSRI antidepressant SE: agitation, jittery/nervousness, SI, low sedation SES; CAUTION WITH ELDERLY; black box warning
40
sensory intervention
music therapy light therapy hearing aids
41
active therapy/structured therapy
dancing, exercise, social interaction, outdoor walking
42
Psychological therapy
reality orientation, reminiscence therapy, relaxation training, structured support groups
43
Dementia characteristics
chronic slow but even/months to years clear awareness, orientation impairment, impaired judgement, normal psychomotor behavior, fragmented sleep/wake cycle, frequent naps
44
Delirium characterisitics
acute abrupt progression, often in the evening duration can be hours to less than a month, reduced awareness, alertness fluctuates, lethargic-hypervigilant, disorganized and incoherent speech, may have illusions or delusions, variable psychomotor behavior, sleep/wake cycle is disturbed may have days/nights reversed
45
``` Tardive Dyskinsia (TD) AIMS test ```
abnormal involuntary movement Facial (spasms of tongue) Limbs (spasms of fingers, toes, neck) Trunk (spasms of trunk/pelvis) NO KNOWN TX; very serious
46
Neuroleptic Malignant Syndrome (NMS)
"too many antipsychotics" ``` occur after longterm use give benzotripine (anticholinergic agent) muscle rigidity, dysphasia, temp 103 or higher, tachy, incontinence, diaphoresis ```
47
Psudoparkinsonism
masklike face with stiff drooping posture, shuffling gait, drooling if pill rolling present give triexyphenidyl (anti-parkinson) or benzotripine (anticholinergic agent)
48
Acute Dystonic Reaction
opisthotonos-spasms of face tongue and neck oculogyric crisis-eyed locked up (white of eyes) give diphenhydramine (Benadryl)
49
Akathisia
inner motor restless (foot tappings, rocking, weight shifting) decrease dose or change to lower potency meds give triexyphenidyl (anti-parkinson), benzos, and beta-blocker

NUR 114 (4 decks)

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