Nclex Rn Psychiatric Drugs

Front 1

Anxiolytics

Back 1

Benzodiazepines "zepam", "zolam", Chlordiazepoxide (Librium), Chlorazepate (Tranxene)

Non-Benzodiazepine Buspirone (Buspar)

Front 2

General Side Effect of Anxiolytics

Back 2

Drowsiness

Front 3

What needs to be monitored in a patient taking Chlordiazepoxide Librium?

Back 3

Bilirubin

Front 4

What delays absorption of Chlorazepate Tranxene?

Back 4

Antacids

Front 5

What do you monitor in a patient taking Diazepam Valium?

Back 5

Phenytoin and Levodopa Levels

Front 6

What do you monitor in a patient taking Clonazepam Klonopin?

Back 6

Renal and Liver Enzymes

Front 7

Lower Doses of Anxiolytics should be considered for?

Back 7

Elderly

Front 8

What is restricted on patient's taking MAO Inhibitors?

Back 8

Tyramine

Front 9

What happens on stoppage of Benzodiazepines after 3-4 months of daily use?

Back 9

Withdrawal Symptoms:
>> Insomnia

>> Irritability
>> Nervousnes
>> Dry Mouth
>> Tremors
>> Convulsions
>> Confusion

Front 10

Antidepressants

Back 10

Tricyclic Antidepressants
"tryptiline", "mine/franil", "pin"

Monoamine Oxidase Inhibitors
Parnate, Marplan, Nardil

Selective Serotonin Reuptake Inhibitors
"xetine, "pram", "ine"

Front 11

Common S/E of Amitryptyline Elavil, Clomipramine Anafranil, Doxepin Sinequan, Imipramine Tofranil

Back 11

Orthostatic hypotension

>give at bedtime to decrease risk

Front 12

General Contraindication of Tricyclic Antidepressants

Back 12

Acute MI

Front 13

TCAs block reuptake of what neurotransmitter?

Back 13

Epinephrine

Front 14

Which type of antidepressant decreases sexual drive?

Back 14

SSRIs

>Give Gingko Biloba

Front 15

Antidepressants generally raise which Neurotransmitter?

Back 15

Serotonin

Front 16

MAOI + Tyramine= ?

Back 16

Hypertensive Crisis

Front 17

MAOI +MAOI = ?

Back 17

Seizure

Front 18

MAOI + SSRI = ?

Back 18

Serotonin Syndrome

Front 19

Mood elevation from Antidepressants usually take how many days?

Back 19

7-28 days up to 6-8 weeks

Front 20

If the patient forgets a once-a-day dose?

Back 20

take the dose within 3 hours otherwise, wait for the next day.

DOSAGE SHOULD NEVER BE DOUBLED
No sudden stopping of TCAs

Front 21

Hypertensive Crisis is also known as

Back 21

Parnate-Cheese Reaction

Front 22

Most Critical Adverse effect of MAOIs?

Back 22

Orthostatic Hypotension
>10 % in elderlies

Front 23

Signs/Symptoms of Hypertensive Crisis?

Back 23

>> Severe headache
>> Stiff, sore neck
>> Flushing, cold, clammy skin
>> Tachycardia
>>N/V

Front 24

Management of Hypertensive crisis?

Back 24

>> 5 mg Phentolamine (Regitine)
>> Oral Chlorpromazine
>> Nifedipine 10 mg Sublingual

Front 25

When should Fluoxetine Prozac be given

Back 25

AM (second dose at noon if applicable) to avoid insomnia

Front 26

SSRI drug whose absorption is not affected by food

Back 26

Citalopram (Celexa)

Front 27

Mood Stabilizing Drugs

Back 27

Lithium
Divalproex/Valproic Acid Depakote
Lamotrigine Lamictal

Carbamazepine Tegretol

Front 28

Lithium Therapeutic and Toxic levels?

Back 28

Therapeutic: 0.8-1.4
Toxic: 1.5-2.0

Front 29

Lithium Initial Dose and Maintenance?

Back 29

600 mg, 300 mg respectively

Front 30

Antipsychotics

Back 30

Typical (old)
Haldol, Stelazine, Prolixin, Navane, Thorazine, Taractan, Mellaril, Serentil.

Atypical (new)
Clozaril, Risperdal, Zyprexa, Seroquel, Geodon, Abilify

Front 31

Antipsychotics increase what neurotransmitter?

Back 31

Dopamine

Front 32

Common Side Effect of Atypical Antipsychotics?

Back 32

>Metabolic Abnormalities (glucose dysregulation and hypercholesterolemia)
> Weight Gain

Front 33

Common Side Effects of Typical Antipsychotics?

Back 33

EPS (Haloperidol- low sedative property; used in elderly) and NMS (Stelazine)

Front 34

Thorazine Adverse effects?

Back 34

Photosensitivity (avoid sun exposure), highest sedation and hypotension effects

Front 35

EPS?

Back 35

Pseudoparkinsonism, Akathisia, Dystonia (lockjaw, torticollis), Tardive Dyskinesia (lip smackin, tongue protrusion)

Treatment: Cogentin, Benadryl, Artane

Front 36

NMS

Back 36

Potentially fatal.
Hyperthermia, extremenly rigid muscles, altered consciousness

Treatment: Dantrolene, Amantadine, Bromocriptine, ECT