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47 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What drugs are Benzodiazepines?
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Librium and Valium
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What drugs are with Lithium Carbonate
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Eskalith, Lithium
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What drug is an MAOI?
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Nardil
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What drug is a Tricyclic?
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Elavil
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What drug is a SSRI?
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Prozac
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What drug is a low potency Phenothiazine?
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Thorazine
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What drug is a high potency Phenothiazine?
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Haldol
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What drug is an Atypical antipsychotic?
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Clozaril, Zyprexa
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For what drug would you THINK ALCOHOL?
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Valium, Librium
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For what drugs would you THINK MUSCLE CONDUCTION?
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Eskalith, Lithium Carbonate
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For what drug would you THINK DIET/HYPERTENSION?
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Nardil
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For what drug would you THINK DEADLY OVERDOSE?
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Elavil
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For what drug would you THINK SAFE, SEX?
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Prozac
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For what drugs would you THINK STIFF, EPS?
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Thorazine, Haldol
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For what drug would you THINK AGRANULOCYTOSIS?
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Clozaril
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For which drug would you THINK NEGATIVE SYMPTOMS?
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Zyprexa
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What are the Psychotropic Side Effects?
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EPS
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THINK MUSCLES
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What are the characteristics of Pseudoparkinson's?
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stiff muscles, cog wheel rigidity, mask like facies, pill-rolling movements, tremors, shuffled gait, drooling
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What are the characteristics of Akathisia?
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cant sit still, inner restlessness, like a motor running inside
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What are the characteristics for Acute Dystonia Reaction?
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Can happen on the first dose! stiffness in head and neck (torticollis), oculogyric crisis, problems swollowing. Can be treated with anticholinergic such as Benedryl
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What are the characteristics for Tardive Dyskinesia?
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abnormal twisting motions, starting with the tongue. Late onset of 90 days.
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What are the characteristics of Neuroleptic Malignant Syndrome?
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Severe muscle stiffness, extremely high fever, often fatal
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What are the Anticholinergic Side Effects?
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Mad as a Hatter (changes in sensorium), Blind as a Bat (pupils dilate), Red as a Beet (skin flushes), Dry as a Bone (mucous membranes are dry)
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THINK ATROPINE
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What are the indications for Valium and Librium?
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Anti-Anxiety, Muscle Relaxants, Alcohol Withdrawal.
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What are the side effect for Valium and Librium?
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Ataxia, Dizziness, Sedation
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What are the major nursing interventions for Valium and Librium?
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-DO NOT TAKE WITH ALCOHOL.
-Caution elderly - liver. -Monitor LFTs -Addiction potential -Half life implications |
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What is the indication for Lithium Carbonate (Eskalith)?
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Bipolar Mania
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What are the side effects of Lithium Carbonate (Eskalith)?
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SE: dull HA, bad taste in mouth, slight tremor, polydipsia
TOXICITY: (think MUSCLE CONDUCTION) -coarse tremor, GI upset, Ataxia, Dysarthria, Seizure, Confusion. |
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What are the major nursing interventions for Lithium Carbonate (Eskalith)?
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*VERY NARROW THERAPEUTIC WINDOW (0.5 - 1.5)*
-draw blood 12 hours before each dose. -Keep salt levels the same -Low salt = high lithium = toxicity. -Don't take with diuretics or NSAIDs |
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What is the indication for Nardil?
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Atypical depression - Depression resistant to other meds.
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What are the side effects of Nardil?
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Postural Hypotension, Insomnia, Sexual Dysfunction, Weight Gain.
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What are the major nursing interventions for Nardil?
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-Must eat a low tyramine diet (avoid any aged foods such as cheese or wine.)
-See MD ASAP if any hypertension occurs. -Watch for suicide tendencies |
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What are the indications for Elavil?
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Depression, Anxiety.
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What are the side effects of Elavil?
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Sedation, Weight Gain, Anticholinergic (think atropine)
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What are the nursing interventions for Elavil?
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-Suicide assessment! - 3 weeks supply is toxic! (deadly OD)
-No driving -Stay on meds >1 year |
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What is the indication for Prozac?
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Depression
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What are the side effects of Prozac?
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-Sexual Dysfuction
-Drowsiness -Insomnia -HA |
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What are the major nursing interventions for Prozac?
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-Safe because it takes A LOT to OD
-Teach patients about Sexual Dysfunction so there are no unpleasant surprises -Stay on meds >1 yr |
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What is the indication for Thorazine and Haldol?
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Positive symptom psychosis.
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What is a positive symptom of pyschosis?
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Hallucinations, Delusions. Something they have and we do not.
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What are the side effects for Thorazine and Haldol?
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-EPS: Pseudoparkinson's, Acute Dystonia Reaction, Akathisia, Tardive Dyskinesia
-Neuroleptic Malignant Syndrome -Hypertension -Sedation -Lowers seizure threshold |
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What are the major nursing interventions for Thorazine and Haldol?
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-Educate pt about EPS
-Medicate EPS symptoms PRN -Reduce dosage or give anticholinergic if necessary |
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What is the indication for Clozaril and Zyprexa?
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Negative symptom psychosis
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What is a negative symptom of pyschosis?
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Lack of motivation or emotion; apathy.
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What are the side effects of Clozaril or Zyprexa?
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Sedation, Drooling*, Hypotension, Significant Weight Gain*, Few EPS, Agranulocytosis with Clozaril.
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What are the major nursing interventions of Clozaril or Zyprexa?
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-Educate about weight gain - could lead to Type 2 Diabetes
-Check WBCs weekly -Check national registry for agranulocytosis with Clozaril -Drooling may be forever. |
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What is agranulocytosis?
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Degranulation of WBCs - which can lead to bleeding out and infections easily.
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