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PSYCH > TOPIC 8-11 MEDS > Flashcards

TOPIC 8-11 MEDS Flashcards

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1
Q

what are three types of date rape drugs

A

GHB
flunitrazepam
ketamine

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2
Q

what does GHB effect

A

the CNS

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3
Q

which date rape drug is hard to detect in a UA

A

GHB

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4
Q

why is GHB hard to detect on a UA

A

it clears from the body within hours

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5
Q

what can GHB be therapeutically used for

A

type 1 narcolepsy

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6
Q

what is dangerous to mix GHB with

A

alcohol

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7
Q

what type of medication is flunitrazepam

A

benzo

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8
Q

what is another name for flunitrazepam

A

forget drug
“roofies”

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9
Q

what is flunitrazepam FDA approved for

A

NO USE

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10
Q

what type of med is ketamine

A

hallucinogenic
psychedelic
dissociative

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11
Q

what is ketamine derived from

A

PCP

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12
Q

what is ketamine therapeutically used for

A

procedural sedation / anesthesia

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13
Q

which date rape drugs cause anterograde amnesia

A

ketamine and GHB

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14
Q

what date rape drug causes both retrograde and anterograde amnesia

A

flunitrazepam

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15
Q

what is anterograde amnesia

A

cant remember new info but can remember info from before the onset of amnesia

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16
Q

what is retrograde amnesia

A

can remember new info but not info from before onset of amnesia

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17
Q

what 3 types of meds are used for treatment of ASD

A

atypical antipsychotics
SSRIs
beta blockers

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18
Q

what behaviors do atypical antipsychotic meds reduce is ASD patients

A

aggressive and self harm behaviors

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19
Q

what behaviors do SSRIs and beta blockers reduce in ASD patients

A

obsessions and anxiety

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20
Q

what is the most effective / first line atypical antipsychotic used for ASD patients

A

risperidone

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21
Q

which two med classifications treat ADHD

A

CNS stimulants
non stimulants

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22
Q

what are 4 CNS stimulant meds used for ADHD treatment

A

methylphenidate
dexmethylphenidate
mixed amphetamine salts
lisdexamfetamine

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23
Q

what types of routes is methylphenidate available in

A

IR
ER
once daily oral liquid
chewable ER
ER transdermal patch

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24
Q

when would you give once daily ER methylphenidate (concerta)

A

first thing in the morning (12 hr before bed)

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25
when would you give IR methylphenidate (ritalin)
6-8 hr before bed (may have multiple doses per day = would change admin times)
26
what is an important side effect of ritalin to be aware of
insomnia
27
what meds are combined in the use of mixed amphetamine salts
dextroamphetamine and amphetamine
28
when would a client be given a non stimulant med over a CNS stimulant for ADHD treatment
if they are not responding to CNS stimulants or if it is preferred
29
what are three types of non stimulant meds for ADHD treatment
atomoxetine clonidine guanfacine
30
what type of med is atomoxetine
SNRI
31
what is an important side effect to be aware of when taking atomoxetine
can stunt growth !!!
32
what form is clonidine usually available in
ER
33
what type of med classification is clonidine and guanfacine
anti-hypertensive
34
what is the goal of dementia treatment medications
to slow the progression of the disease (because there is no cure)
35
what two classifications of meds treat dementia
cholinesterase inhibitors NMDA receptor antagonist
36
what stage of dementia do cholinesterase inhibitors treat
mild to moderate stages
37
what stage of dementia do NMDA receptor antagonists treat
moderate to severe stages
38
what are three meds under the cholinesterase inhibitor classification
donepezil rivastigmine galantamine
39
what routes is rivastigmine available in
oral or transdermal patch KNOW TD PATCH !!!!
40
what are two types of NMDA receptor antagonist meds
memantine combo drug
41
what meds are used in the combo drug version of a NMDA receptor antagonist
namzaric and donepezil
42
what meds can treat co-occurring depressive conditions associated with dementia
SSRI mirtazapine
43
what are beneficial side effects that occur when taking mirtazpine for dementia patients
weight gain (for malnourishment related to wandering and distraction) sedation (for hyperarrousal symptoms and wandering)
44
what 5 meds are used to treat enuresis (childhood elimination disorder)
imipramine desmopressin oxybutyin indomethacin SSRI
45
what meds are used to treat encopresis
bowel meds (laxatives, suppositories, enema)
46
what two med classifications treat and prevent convulsions and delirium associated with alcohol withdrawal
benzos anticonvulsants
47
what is the first line treatment for alcohol withdrawal (convulsions and delirium symptoms)
benzos
48
what are three types of benzos used for alcohol withdrawal symptoms
chlordiazeproxide diazepam lorazepam
49
where is diazapam unable to be metabolized
the liver
50
what is important teaching / nursing implications for clients after their detox is done and they were using benzos
TAPER SLOWLY after detox is finished
51
what are three types of anti convulsant meds for seizure prevention of alcohol withdrawal
carbamazepine valproic acid magnesium sulfate
52
what is the antidote for benzo overdose
flumazenil
53
what is the antidote for opioid overdose
naloxone
54
what are three types of CNS depressants
barbiturates alcohol benzos
55
what are six types of opiates
morphine heroin codeine fentanyl methadone meperidine
56
what four meds are used for long term opioid use treatment
methadone buprenorphin naltrexone clonidine
57
what type of med is methadone
opioid agonist
58
what med is most effective for long term opioid use treatment
methadone
59
what does methadone do
blocks the craving for opioids used for detox
60
what type of med is buprenorphin
opioid agonist antagonist
61
what does buprenorphin do
blocks the symptoms of opioid withdrawal
62
what type of med is naltrexone
opioid antagonist
63
what effects does naltrexone block
euphoric effects
64
what symptoms does clonidine effectively treat
somatic symptoms
65
what med in combination with clonidine makes it most effective
naltrexone
66
what are four types of CNS stimulants
cocaine methamphetamine caffeine nicotine (can be a stimulant, depressant, tranquilizer)
67
what two meds treat CNS stimulant withdrawal
desipramine bromocriptine
68
what type of med is desipramine
TCA
69
what type of med is bromocriptine
dopamine agonist
70
what three meds are used in treatment of CNS stimulant overdose
antipsychotics ambient cooling diazepam
71
what is ambient cooling used for in CNS stimulant overdose
hyperpyrexia
72
what is diazepam used for in CNS stimulant overdose
stop convulsions !
73
what two medications treat cocaine withdrawal
desipramine bromocriptine
74
what are three types of meds to break nicotine addiction and prevent relapse
bupropion varenicline nicotine patches
75
what are 5 types of club drugs
MDMA MDA MDE bath salts flakka
76
what are three types of hallucinogens
LSD mescaline psilocybin
77
what are three types of dissociative drugs
PCP ketamine salvia
78
what med would you never give to a client on PCP
phenothiazine
79
what two meds do you give for PCP ingestion
diazepam haloperidol
80
what two meds do you give for LSD ingestion
diazepam chloral hydrate
81
what are two types of preventative supplements to prevent neurologic complications associated with alcohol use disorder
thiamine folic acid
82
what type of vitamin is thiamine
B1
83
what type of vitamin is folic acid
B9
84
what are three interventional meds used for sobriety maintenance for alcohol use disorder
disulfiram naltrexone acamprosate

PSYCH (15 decks)

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