Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
41 Cards in this Set
- Front
- Back
|
Naltrexone, nalmefene, acaprosate, Antabuse
|
Drugs that are helpful in treating alcohol cravings and maintaing abstinence
|
|
|
Atypical drugs
|
clozaril
|
|
|
typical drug
|
thorazine, Haldol
|
|
|
Clozaril se's
|
ortho hypo, weight gain, tachy, paridoxical hypersalivation, agranulocytosis (most serious)dc drug when WBC count below 3500
|
|
|
The only antipsych drug with a ceiling dose-800mg/day
|
Mellaril
|
|
|
Typical anti psychotic se's
|
EPS's, Anticholinergic, Acute Dystonic reaction, Akasthesia, Parkinsons syndrome, Tardive dyskinesia, NMS.
|
|
|
Only two drugs given in a depot form
|
Haldol, prolixin
|
|
|
EPSE's
|
rigidity, tremors, drooling, shuffling gait. Very stigmatizing, most common reason for dc drug, give drugs to treat se's, then taper drug and give prn (cogentin)
|
|
|
Anticholinergic se's
|
drowsiness, dry mouth, bluerred vision, ortho hypo, urinary retention, constipation
|
|
|
Acute dystonic reaction
|
spasms of legs, neck, arms, and back, very painful, occours suddenly, im cogentin to treat, resp support available
|
|
|
Akathesia
|
can't sit still, pace, movement relieves the restlessness
|
|
|
Parkinsons syndrome
|
cogwheel rigidity, akathesia, Tx with Cemetrol (needs good renal function) and Amantadine
|
|
|
Tardive dyskinesia
|
Irreversible, involuntary movements, clients cant control lip smacking, tongue protrusion. Asses for often
|
|
|
NMS
|
fever, muscle rigidity, tremors, tachcardia, diaphoretic, inc CPK
TX-dc all meds, give symptomatic, supportive care. Vent support |
|
|
TCA's
|
amitryptiline (Elavil)
doxepin (SInequan) imipramine (Tofranil) Clomipriamine (Anafril) |
|
|
Require Theraputic Blood levels
|
TCA's
|
|
|
Have antihistamine/anticholinergic se's
|
TCA's
|
|
|
Antihistamine se's
|
sedation, drowsiness, weight gain, hypotension
|
|
|
SSRI's
|
Prozac (fluoxetine)
Paxil Celexa Luvox(OCD) Zoloft |
|
|
SSRI se's
|
N/D, decreased libido(female), decreased impotence (male), major caude of med dc.
|
|
|
MAOI's
|
Nardil, parnate
Anticholinergic SE's |
|
|
What should you avoid with MAOI's
|
Tyramine, could cause a hypertensive crisis
|
|
|
How do you treat a Maoi induced HT crisis
|
IM thorazine, or IV phentolamine
|
|
|
Lithium
|
Used to treat bipolar disorder.
|
|
|
Lithium se's
|
weight gain, acne, toxicity is an emergency, NVD, fine hand tremors, confusion, ataxia seizures
|
|
|
Lithium blood level draws
|
weekly, then monthly, then every 3-6 mos for maint
|
|
|
Anticonvulsants
|
2nd line after lithium
tegretol depakote |
|
|
Tegretol SE's
|
agranulocytosis
|
|
|
Depakote SE's
|
Liver toxicity, pancreatitis
|
|
|
Non benzo used for treating Anxiety
|
Buspar
|
|
|
Benzos used for Tx of anxiety
|
Paxipam, ativan, Serax, Tranxene, Xanax, Librium, Valiumn; Dalmane, resteril, ambien used for sedative hypnotic effects.
|
|
|
Benzo Se's
|
Drowsiness, fatigue, muscle weakness, fatigue, ataxia, dizziness, anterograde amnesia, blurred vision, tolerance, dependance, rebound insomnia,anxiety, possible wd seziures.
|
|
|
Anti HTN meds used in TX of anxiety
|
Inderol (propranolol) Catapres (Clonidine)
|
|
|
Anti depressants used in TX of anxiety
|
Paxil, Luvox, Anfranil, Desyrel.
|
|
|
Barbituates used in Tx of anxiety
|
Nambutal, Amytal, Seconal.
|
|
|
Alzheimers TX drugs
|
Cognex (1st, causes liver tox), Aricep, Reminal, Excelon DON'T USE BENZOS
|
|
|
ADHD drug TX
|
Ritalin, Dexadrine(dextroamphetamine), Adderal,
Cylert, Strattera. |
|
|
Short acting ADHD drug
|
Adderal, Ritalin, Dexadrine
|
|
|
Time released ADHD drug
|
Strattera
|
|
|
SE's of short acting ADHD drugs
|
loss of apetite, weight loss, difficulty falling asleep, stomach ache, tep decrease in growth and development (give drug holidays)
|
|
|
Long acting ADHD drug
|
Cylert
usu not used, 2-4 weeks, can caused liver failure, used when other drugs don't work. |
