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Nursing Test 3 > Test Three > Flashcards

Test Three Flashcards

(60 cards)

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1
Q

What is a common hallmark of bipolar, schizophrenia, and severe depression?

A

Psychosis- loss of contact with reality that impairs functioning

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2
Q

What are the four types of treatment for psychotic-related disorders?

A
  1. Antipsychotics/mood stabilizers
  2. Psychotherapy
  3. CBT
  4. Support and education
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3
Q

What is mood lability?

A

Rapid shifts in mood with little or no change in external events

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4
Q

Major depression and hypomania

A

bipolar II

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5
Q

hypomania and depressive symptoms

A

cyclothymic disorder

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6
Q

MDD, mania, and mixed episodes

A

Bipolar I

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7
Q

Diagnosis of Bipolar I is reliant upon the occurrence of “___________________________” and a depressive episode

A

at least one manic episode or mixed episode

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8
Q

Psychopharmacology for mania includes:

A

Lithium carbonate
anticonvulsant
antipsychotics

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9
Q

What transport system does lithium carbonate affect

A

Sodium!

Can cause for excessive sodium loss / depletes sodium levels

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10
Q

What does lithium toxicity look like?

A

Flu like symptoms

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11
Q

What levels do you need to monitor for someone taking an anticonvulsant?

A

Ammonia levels

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12
Q

What are the three phases of schizophrenia in order

A

Prodromal - before psychosis occurs
Active - disease is most visible
Residual- reduction of symptoms

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13
Q

Types of symptoms of schizophrenia

A

positive, negative, and cognitive

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14
Q

Brief psychotic disorder

A

psychotic symptoms for one day to one month

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15
Q

schizophreniform disorder

A

psychotic symptoms for one month up to six months

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16
Q

schizoaffective disorder

A

Mood disorder occur in conjunction with schizophrenic symptoms

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17
Q

Delusional disorder

A

delusions present for more than one month without other symptoms of schizophrenia

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18
Q

First generation antipsychotics

A

Thorazine
Haldol

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19
Q

Second generation antipsychotics

A

Abilify (aripiprazole)
Clozaril (clozapine)

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20
Q

what are side effects of antipsychotics?

A

Extrapyramidal symptoms (EPS)
-parkinsonisms
-tardive dyskinesia
-akathisia
-dystonia

Neuroleptic Malignant Syndrome (NMS)
- increased HR, RR, T
- parkinsonian symptoms
-quick over 24-72 hour progression

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21
Q

Required criteria for depression

A

A1. Depressed mood
or
A2. Loss of interest of pleasure in all or almost all activites

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22
Q

Depression in children is called

A

Disruptive Mood Dysregulation Disorder

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23
Q

Senesence is…

A

Bereavement overload, most commonly seen in elder adults as they loss more peers, family, get closer to death.

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24
Q

Transient depression

A

the blues, some crying, difficulty changing mind from disappointment and feeling tired

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25
mild depression
anger and anxiety, tearful, preoccupied with loss, and anorexia or insomnia
26
moderate depression
helpless or powerless, slowed physical movement, retarded thinking process, anorexia/overeating, sleep disturbances and headaches
27
severe depression
flat affect, absence of communication similar to negative symptoms of schizophrenia, prevalent delusional thinking, psychomotor retardation
28
When U Help
Immediate warning signs of suicide Worthlessness Uselessness Hopelessness
29
Beck depression inventory
21 item self-assessment of characteristics and attitudes
30
Three actions of antidepressants
Really Bad Ideas Regulate - receptor sits and breakdown of neurotransmitters Block- reuptake by the releasing nerve Inhibit- effects of MAO
31
MAOs
inactivate norepinephrine, serotonin, and dopamine (Nardil/Phenelzine) Last resort antidepressant - be cautious of tyramine
32
TCAs
amitriptyline (Elavil) reduce serotonin and norepinephrine reuptake
33
SSRIs
fluoxetine (Prozac) inhibits CNS serotonin reuptake associated with congenital abnormalities
34
SNRIs
venlafaxine (Effexor) decreases reuptake of serotonin and norepinephrine and inhibits dopamine monitor use with NSAIDs
35
Any disease of the vessels within extremities
PVD
36
narrowing of the arteries causing reduced blood flow to distal extremities
PAD
37
venous walls and valves in legs are not properly returning blood flow to the heart
chronic venous insufficiency
38
drainage present, dull achy pain, irregular borders, yellow slough or ruddy skin
venous ulcer Very Ugly
39
no edema, no drainage, round smooth sores, black eschar
Arterial ulcer
40
How do you position someone with PVD/DVT
elevate
41
How do you position someone with PAD
hang
42
Blood clot travels to vessel but is formed somewhere else
embolism
43
blood clot forms directly in the vessel
thrombosis
44
what type of clot is atherosclerosis plaque
thrombosis clot
45
formation of a blood clot within a deep vein of an extremity
DVT
46
For heparin you monitor "_____"
PTT
47
For Warfarin you monitor "________"
INR
48
The 4 C's of HTN (complications)
CAD CHF CVA CRF/CKD
49
what differentiates a hypertension urgency from an emergency
Evidence of target organ injury (symptomatic vs. not symptomatic)
50
Thiazide
inhibits Na-Cl transporter in distal tubual of kidney
51
Furosemide
Loop diuretic prevents absorption of sodium and chloride in kidneys
52
Spironolactone
potassium sparing diuretic blocks the action of aldosterone in the distal tubule
53
ACE inhibitors
inhibits the conversation of angiotensin I - II "-pril"
54
ARB's
prevents angiotensin II from binding to receptors surrounding blood vessels "-sartan"
55
BIG side effects of lisinopril
angioedema and liver dysfunction
56
Calcium Channel Blockers
A Very Nice Drug blocks the entry of calcium to reduce electrical conduction within the heart
57
Beta-Adrenergic 1 blockers
decrease heart rate, decrease force of contractions, decrease rate of A-V conduction (metoprolol)
58
Beta-Adrenergic 2 blockers
vasodilation and bronchodilation (carvedilol)
59
Clonidine
unknown mechanism
60
Hydralazine
direct vasodilation, decrease peripheral vascular resistance

Nursing Test 3 (1 decks)

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