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89 Cards in this Set

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What are the antiparkinson drugs...3
dopaminergic, anticholinergic, MAO-B inhibitors
What are the drugs for sleep/anxiety... 2
barbiturates and nonbariturates-benzodiazepines, nonbenzodiazepines
What are the drugs taken for depression... 4
SSRI's, Tricyclics, MAO Inhibitors, Monocyclic
What are the drugs taken for seizures...5
Barbiturates, hydantoins, benzodiazepines, gabapentin, valporic acid
What are the antipsychotic drugs...3
phenothiazines, lithium, haloperidol
What are the actions of Cholinergic Drugs
stimulate the PSNS by acting like acetylcholine
What are the uses for Cholinergic drugs
Glaucoma, Myasthenia Gravis, Urinary retention
What are the side effects of Cholinergic drugs
N/V/D, H/A, abdominal cramping, excessive salization, lacrimation, bradycardia, hypotension, bronchoconstriction,
bethanecol (Urecholine)
neostigmine (Prostigmine)
Cholinergic drugs used for urinary retention
edrophonium (Tensilon)
pyridostigmine (Mestinon)
Cholinergic drugs used for Myasthenia Gravis
pilocarpine (Isopto Carpine), Pilocar
Topical Cholinergic drugs used for glaucoma
What are the nursing implications for Cholinergic drugs and glaucoma
How to admin the eye drop and to space throughout the day
What are the nursing implications for Cholinergic drugs and Myasthenia Gravis
Accurate I/O, Administer before meals and activities, B/P and P, evaluate effectivness, s/s
What are eh nursing implications for Cholinergic drugs and urinary retention
Given specifically for inability to urinate, accurate output, check after 5-15 mins after SQ
What are the actions for Cholinergic Blocking (Anticolinergic agents)
Inhibit action of acetylcholine and inhibits the PSNS
What are the uses for Anticholinergic drugs
Mydriatics (dialate pupils) for eye doc, peptic ulcers, Preoperative mediation, Motion sickness, parkinson's disease
What are the side effects of Anticholinergic drugs
dry mouth, difficulty swallowing, blurred vision, photophobia, constipation, drowsiness, confusion, urinary retention
atropine, scopolamine transdermal patch, glycopyrolate (Robinul)
Anticholinergic drugs
What are the nursing implications for Anticholinergic drugs
Good mouth care, Saftey precautions, FF and fiber, check for urinary retention, wear sunglasses because of photophobia
Sedative
produces relaxation
Hypnotic
induces sleep... Sleeper
What is the physiological actions of barbiturates
CNS depression via inhibitory effect on nerve impulses
How do pt. respond to barbiturates
decreased perception of stimuli, Decrease REM sleep, Slows GI motility, Large doses will depress RR
What are the common side effects of barbiturates
Drowsiness, hypersensitivity, paradoxiacal reactions, decreased RR, B/P
What are barbiturates used for
Antianxiety/sleeper, anticonvulsant (epilepsy and seizures), augment anesthesia
Short acting barbiturates
pentothal- ultra short acting (truth serium)

pentobarbitol (Nembutal)
secobarbitol (Seconal)
Long acting barbiturates (seizures)
Phenobarbital
mephobarbitol (Mebaral)
What are the nursing implications for barbiturates
discontinue gradually, safety percautions, care of other CNS depressants, dependence, encourage alternatives to induce sleep
What are the actions of Nonbarbitureates
CNS depression, provide claming effect
What are the uses of nonbarbitureates
hypnotic, preoperative medication, sedative/tranquilizer
What are the side effects of nonbarbitureates
vertigo, dizziness, oversedation,
excitement, dependence, overdose
benzodiazepines (nonbarbitureates)
flurazepam (Dalmane)
tamazepam (Restoril)
triazolam (Halcion)
midazolam (Versed)
alprazolam (Xanax)
nonbenzodiazepines (nonbarbitureates)
chloral hydrate (Noctec)
glulethmide (Doriden)
zolpidem (Ambien)
What are the nursing implications for nonbarbitureates
Orthostatic hypotension, withdraw slowly, contraindicated w/pregnancy and breast feeding
What are the actions of anticonvulsants
reduce seizure activity by reducing excitability of neurons
What are the nursing implications for the use of Hydantoins for seizures
poorly absorbed IM- so give PO or IV, may develop anemia, hypertophy of gums, w/no sedation
Hydantoins
phenytoin (Dilantin)
mephenytoin (Mestantoin)
Benzodiapepines for seizures
diazepam (Valium)
chorazepam (Tranzene)
clonazepam (Klongopin)
Other antiseizure menications for long-term control
valporic acid(Depakene, Depakote)
gabapentin (Neurontin)
What are the nursing implications for anticonvulsants
Do not discontinue suddenly- medical monitoring and lab tests, medi-alert tag, restrictions of activities, Good oral hygiene and dental care
What is the action of Dopaminergic agents as a Antiparkinsonian
Invrease the amount or potentiate action of dopamine
What are the side effects of dopaminergic agents as a antiparkinsonian
orthostatic hyptenstion, cardiac dysrrhythmias, N/V/A, mental confusion,
What are the most serious side effects for dopaminergic agents as a antiparkinsonian
dystonic movements- muscle spasm, choreiform movements- muscle twitching (face/limbs)
What are the dopaminergic agents as a antiparkinsonian
levodopa (Dopar)
carbidopa-levodpa (Sinemet)
amantadine (Symmetrel)
What are the nursing implications for dopaminergic agents as an antiparkinsonian
Educate about dietary restictions, monitor side effects and B/P and P, saftey issures
What are the dietary restrictions for dopaminergic agents for antiparkinsonians
avoid B6, take w/fruit juice and low protein foods, avoid alcohol
What are the actions for MAO-B inhibitors as an antiparkinsonian
decrease MAO-B from catabolizing dopamine and there for increase dopamine
What are the side effects for MAO-B inhibitors as an antiparkinsonian
mild nausea, lightheadedness, insomnia and confusion
MAO-B inhibitor
selegiline (Eldepryl)
What are the nursing implications for MAO-B inhibitors
evaluate for effectiveness, teach safety with lightheadedness, coffe/tea may help with sleepiness
What are the actions of anticholinergic agents as an antiparkininsons
inhibit PSNS, antispasmodic (Tremors), decreases drooling and depression
What do pt. use for antiparkinsions when they cant tolerate dopamine agents or when they are not effective
Anticholinergic agents
trihexyphenidyl (Artane)
benztopine (Cogentin)
Anticholinergic agents for antiparkinsions
What are the side effects of anticholinergic agents used for antiparkinsions
dry mouth, constipation, blurred vision, drowsiness, confusion, urinary retention
What are the nursing implications for anticholinergic agents used for antiparkinsion
Bowel plan, teach about dry mouth, best at bedtime
What are the actions of antianxiety agents
affect the CNS (Limbic system)
What are the uses for antianxiety agents
relieve anxiety and nervousness, hypnotic, anticonvulsant, alcohol withdrawl
What are the side effects for antianxiety agents
drowsiness, visual disturbances, dry mouth and constipation, dependence
chlordiazepoxide (Librium)
diazepam (Valium)
alprazolam (Xanax)
lorazepam (Ativan)
oxazepam (Serax)
Antianxiety drugs
What are the nursing implications for antianxiety agents
do not stop abruptly, hypotension, driving and activities, no ETOH, mouth care
What are the classes of antidepressants
Trycyclics, SSRIs, monocyclic, MAO inhibitors
What are the actions of antidepressants
stimulates the CNS by increasing epinephrine and serotonin
What are the actions of trycyclics
block uptake of epinephrine, dopamine, and serotonin Increases concentration levels in the synapse
What are the side effects of trycyclics
orthostatic hypotension, parkinsonian symptoms, dysrhythmias, tachycrdia
amitriptyline (Elavil)
doepin (Sinequan)
trycyclics
What are the actions of MAO inhibitors
block enzyme that break down norepinephrine, serotonin, and dopamine
What are the side effects of MAO inhibitors
orthostatic hypotension, urinary retention, blurred vision
What are the foods that contain tyramine and should be avoided with the use of MAO inhibitors
Cheese, beer, red wine, yogurt, cream, coffee, chocolate, figs, raisins, soy sauce
isocarboxazid (Marplan)
phenelzine (Nardil)
MAO inhibitors
What are the actions of SSRIs
inhibit uptake/destruction of serotonin
What are the side effects for SSRIs
N/V, weight loss, nervousness, anxiety, insomnia
fluoxetine (Prozac)
parexetine (Paxil)
sertraline (Zoloft)
SSRIs
What is the actions for monocyclic
a weaker inbibitor of serotonin uptake
What are the actions of antipsychotic agents
alterations in release of neurotransmitter, dopamine
What are the uses for antipsychotic agents
bipolor, psychotic problems schizophrenia
What are the side effects for antipsychotics
sedation, photophobia, dry mouth, hypotension, H/A
What are the side effects for lithium
N/V, metallic taste, thirst, polyuria, liver and kidney toxicity
What is extapyramidal effect
affects body posture and smooth body movements, parkinson like symptoms
akathesia
restlessness
dystonia
facial grimacing
tardive dyskinesia
involuntary movements of the tongue, face, mouth and jaw, smacking noise, difficulty swallowing and chewing
Phnothiazines for antipsychoics
chlorpromazine (Thorazine)
habperidol (Haldol)
thoridazine (Mellaril)
What are the nursing implications for antipsycotics
assess and report extrapyramidal effects immediately, avoid sun, FF
What are the actions for antimetic
inhibits chemorecptors that trigger vomiting center
What are the actions of antivertigo agents
inhibits receptors in the inner ear to decrease dizziness
What are the uses for antimetics
post op, motion sickness, N/V pregnancy
transdermal scopolamine
dimenhydrinate (Dramamine)
meclizine (Antivert)
Antiverigo agents
ondansetron (Zofran)
prochlorperazine (Compazine)
hydroxyzine (Vistaril)
antimetic/ antinausea
What are the nursing implications for antimetic and antivertigo agents
Caution with drowsiness, I/O and dehydration s/s