Unit 2 Meds Flashcards Preview

Semester Three - Half One - Nursing 211 > Unit 2 Meds > Flashcards

Flashcards in Unit 2 Meds Deck (25):
1

What are the meds for schizophrenia?

  1. Clozapine (Clozaril)
  2. Risperidone (Risperdal)
  3. Haloperidol (Haldol)
  4. Aripiprazole (Abilify)
  5. Olanzapine (Zyprexa)
  6. Haldol decanoate
  7. Fluphenazine (prolixin decanoate)
  8. Risperidone (Risperdal M-Tab)
  9. Olanzapine (zyprexa zydis)

2

What are the meds for depression?

  1. Amitriptyline (Elavil)
  2. Paroxetine (Paxil)
  3. Citalopram (Celexa)
  4. Fluoxetine (Prozac)
  5. Bupropion (Wellbutrin)
  6. Venlafaxine (Effexor)

3

What are the meds for Bipolar disorder/mania?

  1. Lithium (Eskalith, Lithonate)
  2. Divolproex sodium, valproic acid (Depakote)
  3. Lamotrigine (Lamictal)

4

Purpose for glycopyrrolate (Robinul)

Drying agent used during ECT to prevent aspiration of oral secretions

5

Purpose of succinylcholine (anectine)

Short acting muscle relaxant used during ECT

6

Typical Antipsychotic Meds

  1. Haloperidol (Haldol)
  2. Fluphenazine (prolixen decanoate)

7

Atypical Antipsychotic Meds

  1. Clozapine (Clozaril)
  2. Risperidone (Risperdal)
  3. Aripiprazole (Abilify)
  4. Olanzapine (Zyprexa)
  5. Risperidone (Risperdal M-Tab)
  6. Olanzapine (Zyprexa Zydis)

8

What do antipsychotic medications do that control positive symptoms of schizophrenia and is responsible for extrapyramidal symptoms?

Dopamine blockage

9

Tricyclic Meds

  1. Amitriptyline (Evail)

10

SSRI Meds

  1. Paroxetine (paxil)
  2. Citalopram (Celexa)
  3. Fluxetine (Prozac)

11

Citalopram (Celexa)

SSRI antidepressant

  1. Do not take with other SSRI or with MAOI
  2. Heart Arrythmias, Fever, Seizures, Confusion, Hallucinations, Delusions
  3. GI symptoms, muscle pain, nervousness, dry mouth, loss of appetite, sweating, change in sex drive 
  4. Withdrawl symptoms may occur if medication is stopped abruptly

12

Paroxetine (Paxil)

SSRI Antidepressant

  1. Blurred Vision, Confusion, Seizures, Chest Pain/Arrythmias, Difficulty swallowing, Allergic reaction, Fever, Face spasms/swelling, Black stool, Bloody vomit, Painful urination, Hallucinations
  2. Drowsiness, Sweating, Anxiety, Memory issues, Dry mouth, Change in appetite, GI symptoms, Pain in joints/muscles, Change in sex drive, Irregular/painful menstration
  3. Deadly if overdose
  4. Can experience insomina, psychotic symptoms, bipolar symptoms if med is stopped abruptly

13

Fluoxetine (Prozac)

SSRI antidepressant

  1. Do not take with MAOI
  2. Adults over 65 should not take
  3. Overdose can be deadly
  4. Seizures, Hallucinations, Arrythmias, Difficulty swallowing/breathing, muscle/joint stiffness, Fever, Allergic reactions, Swelling
  5. Drowsiness, sweating, dry mouth, changes in appetitie, nausea, change in sex drive, tremors, sore throat
  6. Withdrawl symptoms may occur if med is stopped abruptly

14

Bupropion (Wellbutrin)

  1. Do not take with MAOI, Tricyclics, Lithium, Trazadone
  2. Constipation, dizziness, dry mouth, sweating, nausea, vomiting, tremor, weight loss
  3. Blurred vision, difficulty concentrating, drowsiness, fever, anger, euphoria, insomnia
  4. Agitation, anxiety, heart arythmias, headache, sleep disturbances, hallucinations, skin rash, fainting, seizures
  5. Withdrawl symptoms may result if med is stopped abruptly
  6. Harmful if overdose

15

Venlafaxine (Effexor)

SNRI Antidepressant

  1. Withdrawl symptoms may occur if stopped abruptly
  2. Overdose is harmful - treatment to reverse the effects does not exist
  3. Do not take with MAOI
  4. May increase the effects of other medications that can cause bleeding (ibuprofen, aspirin, etc)
  5. Seratonin syndrome
  6. GI symptoms, dry mouth, sweating, headache, increased BP, sexual side effects, nervousness, fatigue, insomnia
  7. Increased HR, Low BP, Increased salivation, Irregular menstrual cycle, increased urination, increased bleeding, low sodium

16

Amitriptyline (Elvail)

Tricyclic antidepressant

  1. Withdrawal symptoms may occur if medication is stopped suddenly
  2. Do not take with MAOI, SSRI
  3. Do not take if over 65
  4. Overdose could be deadly
  5. Sunlight sensitivity, dry mouth (dental issues), blood sugar levels in diabetics, increased appetite, decrease sexual drive, sweating, GI symptoms
  6. Blurred vision, confusion, difficulty swallowing, eye pain fainting, hallucinations, nervousness, problems urinating, shakiness or tembling, stiffness of arms and legs, breast enlargement, irritability, fever, swelling, weakness

17

Haloperidol (Haldol)

Typical antipsychotic

  1. Increased risk for death for older patients with dementia
  2. Stopping the med abruptly may cause a difficulty controlling movements
  3. Long acting decanoate injection can be used - given every 4 weeks
  4. Effective against positive symptoms (even more so than atypical antipsychotics)
  5. EPS, Sudden cardiac death, neuroleptic malignant syndrome
  6. Rapid heartbeat, constipation, blurry vision, dry mouth, drop in BP upon standing, drowsiness
  7. Temperature fluctuation, vision problems, photosensitivity, seizures, increased prolactin

18

Fluphenazine (Prolixin decanoate)

Typical Antipsychotic

  1. Can use a short acting or long acting injection (2-3 weeks)
  2. Rebalances dopamine
  3. Rapid heartbeat, constipation, blurry vision, dry mouth, drop in BP upon standing, drowsiness
  4. Increase levels of prolactin
  5. EPS, Sudden cardiac death, Neuroleptic malignant syndrome
  6.  

19

Clozapine (Clozaril)

Atypical antipsychotic

  1. Increased heart rate, low BP, constipation, increased salivation, drowsiness
  2. Decreased white blood cells, inflammed heart, seizures, severe low BP, urinary incontinence
  3. EPS, weight gain, high blood sugar, high cholesterol (metabolic syndrome), sudden cardiac death, neuroleptic malignant syndrome
  4. Death and strokes may occur in people over age 65

20

Risperidone (Resperdal)

Atypical Antipsychotic

  1. Rebalances dopamine and seratonin
  2. M-tab is orally disintegrating tab
  3. Low BP, dizziness, increased HR, fatigue, constipation, increased appetitie, sexual dysfunction
  4. Increased prolactin
  5. EPS, weigh gain, high blood sugar, high cholesterol (metabolic syndrome), sudden cardiac death, neuroleptic malignant syndrome
  6. Death and stroke in eldery with dementia

 

21

Aripiprazole (Abilify)

Atypical Antipsychotic

  • Rebalances dopamine and seratonin
  • Constipation, GI symptoms, insomnia, temor, blurred vision, anxiety, fatigue, drowsiness
  • Rash, increased appetitie, dry mouth, muscle aches, seizure, agitation
  • Increased prolactin
  • EPS, weight gain, high blood sugar, high cholesterol (metabolic syndrome), neuroleptic malignant syndrome, sudden cardiac death
  • Death and stoke in elderly c dementia

22

Olanzapine (Zyprexa)

Atypical Antipsychotic

  1. Zyprexa zydis is orally disintegrating tablet
  2. Rebalances dopamine and serotonin
  3. Low BP, GI symptoms, dry mouth, dizziness
  4. Seizures, changes in body T, impaired sexual functioning
  5. Increased prolactin
  6. EPS, weight gain, high blood sugar, high cholesterol (metabolic syndrome), neuroleptic malignant syndrome, sudden cardiac death
  7. Death and stoke in elderly c dementia

23

Lithium (Eskalith, Lithonate)

Mood stabilizer

  1. Avoid sodium depletion and avoidance of a low salt diet to prevent lithium toxicity
  2. Avoid caffeine
  3. Overdose can be fatal
  4. Sedation, GI symptoms, dizziness, hand temors, increased urination, excessive thirst, loss of appetite
  5. Diabetes insipidus, hypothyroidism
  6. Kidney issues (long term)
  7. Toxicity a problem

24

Divolproex Sodium, Valproic Acid (Depakote)

Mood Stablizer

  1. GI symptoms, weight gain, drowsiness
  2. Hair loss, liver problems, low platelets (clotting), pancreatitis, increased ammonia levels
  3. suicide ideation/behaviors

25

Lamotrigine (Lamictal)

Mood Stabilizer

  1. GI symptoms, runny nose, rash, abnormal dreams, itchy skin, insomina, dizziness, fatigue
  2. Stevens-Johnson Syndrome, fever, seizures (sudden cessation), suicidal thoughts/behaviors, aspetic meningitis