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16 Cards in this Set
- Front
- Back
CH.18
Antipsychotic(psychotic) Typicals meds |
Thorazine- Prototype chorpromazine
Mellaril Haldol (haloperidol) |
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Antipsychotic
Atypicals Meds |
Clozaril/clozaPINE- monitor CBC
Zyprexa/olanzePINE Seroquel/quetiaPINE Abilify/aripiprazole Risperdal/RisperDONE Invega/paliperiDONE |
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Antipsychotic's
Typical Side Effects |
Dry mouth
constipation sedation hypotension dry eyes photosensitivity |
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Antipsychotic's
Atypical Side Effects |
Weight gain
hyperlipidema metabolic syndrome increased risk for type 2 DM blood dyscrasias |
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Antipsychotic
Adverse Side Effects |
Dystonias & dyskinesias, akasthisa:
Constant movement or spasmodic movement: Oculogyic Crisis-Rolling back of th eyes Torticollis-Head is inclined to one side. |
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Antipsychotic
Adverse Side Effects |
Parkinsonian like symptoms:
stooped posture, mask like features, rigidity, &pill rolling motions of the hands. Treatment: Anticholinergic(Artane & Cogentin) |
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Antipsychotic
Adverse Side Effects |
Tardive Dyskinesia:
Involuntary Movements- Jaw, lips, tongue. |
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Antipsychotic
Adverse Side Effects |
Neuromalignant Syndrome:
(rare) Rapid progress(ICU), Fever, severe EPS, Opisthotonus, tachycardia, labile hypertension, incontinence, diaphoresis, coma, death |
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CH.19
Anticonvulsants(seizure) Tonic Clonic Meds |
Cerebyx/fosphenytoin (IV drug)
Dilantin/phenytoin (prototype TX of Epilepsy) Drug Interactions- Birth control, warfarin, & theophylline. Monitor Therapeutic Levels(10-20mg/dL) Interacts with TUBES. must turn off 1/2 hour before/after administration |
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Anticonvulsants
Phenytoin Side Effects |
Nausea
Sedation photosensitivity Turns urine Brownish-Red Gingival Hyperplasia |
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Anticonvulsants
Rreportable Side Effects |
Hyperglycemia
Blood Dyscrasias Hepatotoxicity Rashes Toxicty levels > 20 mcg/dL- Nystagmus, sedation, lethargy |
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Anticonvulsants
Other meds |
Tegretol/carbamazepine
Depakote/valproic Acid Klonopin/clonazepam Luminol/phenobarbital Neurontin/gabapentine Lamictal/lamotrigine Trileptal/oxcarbazepine (TX partial seizures) Keppra/levetriacetam (TX partial seizures) Topamax/topiramate (TX partial & generalized tonic clonic seizures) |
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CH.20 Analgesics(Pain)
Opioid Meds |
Morphine-IM, Chest pain
Demerol/meperidine-nol longer recommended Dilaudid/hydromorphone Loratab or Vicodin/hydrocodone Oxycodone Duragesic/fentanyl- alfentanil& sufentanil(anesthesia/chronic pain only) Nucynta/tapentadol Methadone-withdrawls & severe pain Ultram/tamadol- centrally acting analgesic Partial agonist/antagonist meds: Used for Acute pain. NO Ceiling. Nubain Stadol Buprenex Talwin Antagonist for Opiod Toxicity: Narcan/naloxone-IV or SQ ReVia/naltrexone-PO |
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Analgesics
Common Side Effects |
Hypotension
Constipation Nausea Urinary Retention Myosis Dizziness |
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Analgesics
Adverse Side Effects |
Respiratory Depression
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Analgesics
Non Opioid Meds |
Salicylates(Aspirin)
Symptoms for toxicity- tinnitus, imparied hearing, diaphoresis 7 dizziness NSAID's(Cox1) Aspirin like drugs for; Antipyretic Anti-Inflammatory Analgesia Menstrual Cramps Cox1 Meds: Clinoril/sulindac Toradol Indocin/indomethacin Votaren/diclofenac Tolectin/tolmetin Day Pro Mobic/meloxicam Motrin or Advil/ibprofen Naproxyn or Aleve/naproxen Side Effects: GI bleeeding, irritation, heapatoxicity, nephrotoxicity Cox2 Meds: Vioxx Bextra Celebrex Acetaminophen: Datril/tylenol Mucomyst/acetylcysteine- Antagonist for Toxicity |