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26 Cards in this Set

  • Front
  • Back
Buspar [Buspirone]
non-benzo tx for anxiety

se= headache, dry mouth, light-headedness, nausea, insomnia

non-addictive!
Conventional Antipsychotic
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
Atypical antipsychotic
clozaril

block dopamine an serotonin

tx schizophrenia

se= agranulocytosis! convulsions, myocarditis, drowsiness, sedation

monitor CBC and watch for infections!
anticonvulsant drugs
tegratol [carbamazepine]

tx mania

se= antichlo symp., ataxia

monitor blood levels for toxicity
MOAI
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
Mood Stabilizer
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
SNRI
effexor

block reuptake of serotonin and NE

tx: depression, anxiety, smoking cessation

se= HTN

monitor vital signs
SSRI
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
Psychostimulant
ritalin & adderal

block dopamine and NE

tx: ADHD

se= aggitation, HTN, long term growth suppression

give in the morning to help with hunger suppression
Antichiolinesterase drugs
cognex & aricept

tx: alzheimer's [slows progression]

se= dizziness, HA, GI bleeding, n/v

monitor cognitive function
TCAs
block reupatke of NE

tx: depression, enuresis, ADHD

se= overdose can be lethal, sedation, constipation, dry mouth, cardiac changes & urinary retention
serotonin sydrome
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
lithium toxicity
ataxia, slurred speech, confusion, diarrhea, mm weakness, seizures, coa

Hold Lithium, motify MD, get Lithium level
acute dystomia
cotractions of tongue, tetanic arching of back, laryngospasms, oculgyric crisis
akathisia
extreme restlessness, constant pacing
tardive dyskinesia
involuntary tonic muscle spasms typically involving the tongue, finger, toes, neck, trunk, and pelvis

irreversible
Dopamine
energy, reward, motivation, mood, attention
NE
mood, attention, concentration, energy
Serotonin
alertness, concentration, energy, mood
GABA
anxiety, sleep
acetylcholine
memory, attentiveness
schizophrenia
increased dopamine
depression
decreased serotonin
anxiety
increased norepininephrine
bipolar
increased dopamine and NE
Neuroleptic Malignant Syndrome
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