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26 Cards in this Set
- Front
- Back
Buspar [Buspirone]
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non-benzo tx for anxiety
se= headache, dry mouth, light-headedness, nausea, insomnia non-addictive! |
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Conventional Antipsychotic
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haldol & prolixin
block dopamine tx schizophrenia. aggression and combativeness se= antichlo symp, weight gain, photosensitivity, sexualdysfunctio, neuroleptic malignant syndrome, EPS postural hypotension: get up slowly watch for NMS NOT ADDICTING |
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Atypical antipsychotic
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clozaril
block dopamine an serotonin tx schizophrenia se= agranulocytosis! convulsions, myocarditis, drowsiness, sedation monitor CBC and watch for infections! |
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anticonvulsant drugs
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tegratol [carbamazepine]
tx mania se= antichlo symp., ataxia monitor blood levels for toxicity |
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MOAI
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Nardil [phenelzine]
prevent destruction of monoamine neurotransmitters tx depression AVIOD TYRAMINE [aged cheeses, pickled or smoked fish, preserved meats, beer or wine] combining MOAI and tyrmine can cause a HTN crisis and lead to a stroke or death |
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Mood Stabilizer
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Lithium
alters sodium transport tx of bipolar disorder and acute mania se= tremors, n/v, thirst, kidney problems watch lithium levels [want between 0.4 and 1.0] watch for lithium toxicity, DO NOT use while preggers |
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SNRI
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effexor
block reuptake of serotonin and NE tx: depression, anxiety, smoking cessation se= HTN monitor vital signs |
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SSRI
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prozac
block reuptake of serotonin tx of depression se= low libido, n/v, inhibit ability to orgasm DO NOT combine SSRI with MOAI or lithium |
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Psychostimulant
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ritalin & adderal
block dopamine and NE tx: ADHD se= aggitation, HTN, long term growth suppression give in the morning to help with hunger suppression |
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Antichiolinesterase drugs
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cognex & aricept
tx: alzheimer's [slows progression] se= dizziness, HA, GI bleeding, n/v monitor cognitive function |
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TCAs
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block reupatke of NE
tx: depression, enuresis, ADHD se= overdose can be lethal, sedation, constipation, dry mouth, cardiac changes & urinary retention |
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serotonin sydrome
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AVOID mixing use of SSRIs with MOAI or lithium
potentially fatal diarrhea, agitation, hyperreflexia, seizure, coma, DEATH must have 5-6 week "washout" between SSRI and MOAI stop meds, ICU |
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lithium toxicity
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ataxia, slurred speech, confusion, diarrhea, mm weakness, seizures, coa
Hold Lithium, motify MD, get Lithium level |
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acute dystomia
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cotractions of tongue, tetanic arching of back, laryngospasms, oculgyric crisis
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akathisia
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extreme restlessness, constant pacing
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tardive dyskinesia
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involuntary tonic muscle spasms typically involving the tongue, finger, toes, neck, trunk, and pelvis
irreversible |
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Dopamine
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energy, reward, motivation, mood, attention
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NE
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mood, attention, concentration, energy
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Serotonin
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alertness, concentration, energy, mood
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GABA
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anxiety, sleep
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acetylcholine
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memory, attentiveness
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schizophrenia
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increased dopamine
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depression
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decreased serotonin
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anxiety
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increased norepininephrine
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bipolar
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increased dopamine and NE
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Neuroleptic Malignant Syndrome
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Rare BUT potentially fatal
severe EPS, HTN, hyperthermia, tachycardia, seizure early detection increases survival STOP MEDS, NOTIFY MD, STAT ICU regulate hydration, body temp, HTN |