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41 Cards in this Set

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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.