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53 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Name all the SSRI drugs.
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Cymbalta, Prozac, Luvox, Praxil, Zoloft, Celexa, Lexapro
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there are 6
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Name all the TCA
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Pamelor
Elavil |
PE
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Name the atypical anti-depresant drugs
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Wellbutrin
Effexor |
we
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Name the MAO inhibitors
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Nardil
Marplan Parnate |
M,N,P
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What are the classifications of antidepressants?
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SSRI, TCA, MAO, and Atypical
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Name all the SSRI drugs.
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Cymbalta, Prozac, Luvox, Praxil, Zoloft, Celexa, Lexapro
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there are 6
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Name all the TCA
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Pamelor
Elavil |
PE
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Name the atypical anti-depresant drugs
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Wellbutrin
Effexor |
we
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Name the MAO inhibitors
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Nardil
Marplan Parnate |
M,N,P
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What are the classifications of antidepressants?
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SSRI, TCA, MAO, and Atypical
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What two chemials are associated with mood/affective/bipolar D/O
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NE, Serotonin
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What is tha action of ANTI-Depressants?
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Blocking uptake of NE, SE by presynaptice nuerons
- MAKES US HAPPY - NEED A LIFT OF MOOD (NOT NUMBING THEM OUT) SO CAN WRK ON PROBLEMS |
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THE USES FOR ANTI-DEPRESSANTS ARE.....
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DEPRESSION
ANOREXIA, BULIMIA PHOBIAS OCD SOME PANIC D/O |
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COMMON SIDE EFFECTS OF SSRI, TCA AND ATYPICAL ARE....
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-ORTHOSTATIC HYPOTENTION
-SEDATION -WT GAIN- causes pt to be noncompliant -Anticholingeric effect -TREMORS |
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Name some anticholineric effects
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-drymouth
-constipation -Urinary retention -Blurred vision |
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Nursing Implications for Anti-depressants
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-Be cautious w/ pt w/ BPH
-DO NOT give w/ MAO! -W/Draw drug GRADUALLY -INcrease FIBER & Fluid -Use ETHO w. care -Give 2-4wks for full effect -Dosage diff. in Elderly -Only 1/2 ppl will respons to tx |
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Why is Nardil\Marplan\Parnate the most dangerous anti-deprassant used?
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Dangerous d/t the side effects such as hypertensive crisis. But some ppl may feel so bad that they are willing to put up with the SE.
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What does MAO do? (action)
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Blocks MONOAMINES (which is an enzyme that blocks sertonin)
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Uses of MAO?
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->Depression<-
-some phobia, anxiety -Narcolepsy |
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Common side effects for MAOs
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-Interactions w/ food w/ tyramine ---> leads to hypertensive crisis (must be strict w/ diet)
-anticholingeric effects |
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Nursing Implications for MAO
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TEACH TO AVOID AGED FOOD:
-AGED CHEESE -SOUR CREAM -BEER/WINE -YEAST -BALONGE,HOTDOGS,CHICKEN LIVER -MEAT TENDERIZERS -TURKEY -CHO. AND CAFFEINE |
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NAME THE ANTI-MANICS
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Lithium carbonate, lithane, eskatlith, lithholod, carbolith
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all have ______ in it
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Why do we have to draw blood weekly with pt. on lithium?
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it has a very narrow theraputic range
(0.5-1.5) |
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What is the toxic range for lithium?
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> 2.0 mEq/L
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How long will the pt have to ge blood drawn?
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7-10 days before lithium reaches theraputic level
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Is pt sill manic when bld. level for lithium is 0.3?
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YES (0.5-1.5)
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WHAT IS LITHIM'S ACTION?
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MIMICS NATURAL OCCURING SALT
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The uses of lithium is....
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to tx and prevent mania, hypomania, and bipolar d/o
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What are the side effects of lithium?
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-wt. gain (women dont like it)
-h/a, impaired memory, confustion -ekg changes,hypothyriodism -diarrhea, polyuria -leukocytosis (b/c of all s.e., pt are non-compliant) |
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toxic symtoms for lithium are...
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nausea/vomiting/ flu-like symp
(these s/s show up when bld level is a little over 1.5) -TINNITUS * Have pt to to hospital-very toxic! |
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Can a pregnant pt w/ bi-polar take litium?
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NO!!!
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Nursing Implications for Litium are....
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-Don't change how much fliud you drink
-maintan balance fliud intake (2000-3000cc) -teach importance of monitoring bld levels reg. |
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What does a pt on diuretic have to do contiually?
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Get bld drawn to monitor level
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Why does a pt have to maintain balance fluid intake?
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B/C the body reads lithium as as NA. If drink more, than NA be will flush out and litium will increase in bld
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Drugs use to tx mood/afffective/bipolar d/o are....
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-Anti-CONVULSANTS-
DEPAKOTE KLONOPIN LAMICTAL NEURONTIN TEGRETOL TOPAMAX |
6-DKLNTT
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anti-psychotic drugs aka
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nuerolepitcs/major tranq.
-tx pyshosis |
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Two types of anti-psychotics?
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conventional and atypical antipsychotics
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what are the conventional anitpsychotics? aka?
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- aka phenothiazines-wrks on dopamine
-Thorazine-1st drug invented but rarely used b/c S.E. -prolixin:IM inj (2.5 20) -Haldol:PO,or IM q2w |
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What chemical do conventional antipsychotic drugs wrk on?
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Dopamine
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What chemical do atypical antipsychotic drugs wrk on?
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Serotonin
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Why do prefer atypical antipyshochtic drugs?
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there is a decrease in EPS
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What are the atypical antipsychotic drugs?
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Clozaril-(watch WBC)
Risperdal- (watch WBC) Zyprexa Seroquel Geodon |
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The new generation antipsychotic drug Abilify causes...
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DM-it is not used often
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common side effects for conventional and atypical antipsychotic drugs are..
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anticholinergic
wt gain sedation orthostatic hypotencion EPS |
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What is EPS?
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Extrapyramidal symptoms- a variety of responses thah originate outside the pyramidal tracts and in the basal ganglion of brain
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Name the EXTRAPYRAMIDAL SYMPTOMS
(look at pics. in notes) |
PSEUDO PARKINSONISM(act like u have parkinson dz)
AKATHESIA(feet constant motion DYSTONIA(roll of neck) TARDIVE DYSIKINESIA (tongue) |
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What do you do when a pt is experiencing acute dystonia and a muscle spasm of the neck?
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Give IV Valium to help relax muscle b/c spasm could cut air off.
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Antiparkinsonian agents are..
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Cogentin
Akineton Benadryl -- Tx EPS |
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What is antiparkinsoninan agents action?
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-Balances ach and dopamine
-increases serotonin |
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Nsg implications for antiparkinsonian
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GIVE LOWEST level dose
pt gets real sleepy |
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Pt can have _____ and become ____ when on antipsychotic drugs
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eye changes
photosentivity |
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___ ___ ___ is a side effect from antipsychotic that is life threatening condtion - hyperthermia, tachycardia, increase bp muscl gigidity
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Neuroleptic malignant syndrome
- when this happens, take pt off drug, sent to CCU - if can handle it, flushout w/ 500p/h NS IV |
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What is extreme low levels of WBC that include s/s of sore throat, fever and malaise and which drugs can cause this?
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-Agranulocytosis
-CLOAZRIL AND RISPERIDAL (have pt draw bld lab wkly, when WBC is down, d/c) |
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