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49 Cards in this Set

  • Front
  • Back
• Salt used to treat mood disorders
Lithium
• First line choice for depression
SSRI
• Thorazine (Chlopromazine
Typical Antipsyhotic
• Two classes used to treat pseudoparkinsonism
Dopaminergic agents (Amantadine-Symmetrel) Anticholinergic (Benzotropine-Cogentin and Trihexyphphenidyl-Artane)
• Two classes used to treat dementia
Cholinesterase inhibitors (Cognex and Aricept, Exelon, Reminyl) NMDA receptor agonists (Namenda)
• Category of antipsychotics has a higher incidence of EPS
Typical antipsychotics
• Antipsychotic requiring frequent blood monitoring
Clozapine (Clozaril)
• Potentially deadly side effect of antipsychotic medication
Neuroleptic malignant syndrome (NMS)
• Blockage of DA in the tubero-infundibular DA pathways causes
Galactorrhea and gynecomastia
• Four essentials for metabolic monitoring
Weight, Waist circumference,Fasting blood glucose,A1C, Lipid profile
• Most widely prescribed sleep medication that is a SARI antidepressant
Trazodone
• AIMS test is used to test for the presence of this debilitating disorder
Tardive Dyskinesia (TD)
• Class of antidepressants whose histamine action is used for sleep medication
TCA’s (amitriptyline, Imipramine, Sinequan, Silenor)
• Dystonic reaction medication names
Diphenydramine (Benadryl 25-50 mg) and Benzotropine (Cogentin) 1-2 mg)
• 2 atypical antipsychotics that need to be taken with food in order to be absorbed effectively
Lurasidone (latuda) and Ziprasidon (Geodon)
• Number of weeks before any benefit of antidepressant
2-4 weeks
• Critical safety intervention for any patient taking an antidepressant in the first few weeks
Suicide assessment
• NE and serotonin medication that has a lot of side effects and is cardiotoxic
TCA’s
• To avoid a hypertensive crisis avoid foods and drugs with this substance
Tyramine
• Serotonin syndrome symptoms
Elevated BP, decreased RR, Abd pain/diarrhea, renal failure, restlessness, irritability, hostility, confusion, fever, diaphoresis, tachycardia, Occurs over hours, muscle spasm/tremor
• Category of antidepressants most commonly used to treat anxiety
SSRI
• Deadly outcome : BZ with ETOH or CNS depressant
Respiratory depression
• Non-barbituate anxiolytic taken TID or BID
Buspirone (Buspar)
• Consequence of stopping benzos suddenly
CNS overexcitation or seizures
• Off label, three classifications of medications used to treat anxiety
Antihistamines,Beta blockers,Anticonvulsants, Atypical antipsychotics
• Syndrome: flushing, weakness, throbbing headache, N&V, chest pain
Acetaldehyde syndrome
• Two medications that treat opitate withdrawl
Buprenorphine (Suboxone-contains Naloxone and Buprepnorphine and Subutex-just Buprenorphine) , Clonidine (catapres)
• Medication used to treat opiate overdose
Naloxone (Narcan)
• Nicotine gum teaching
Heavier and stickier,Chew slowly,Tingling sensation in mouth,Hold gum between gum and cheek,Do not swallow,No food or drink 15 mins prior or while chewing gum,Avoid acidic beverages
• Benzo often used for detoxing a person off of ETOH
Clordiazepoxide (Librium),Diazepam (Valium),Lorazepam (Ativan)
• Psychostimulants work on these two neurotransmitter
DA and NE
• Short, intermediate or long half life of Ritalin
Short
• Half life of Concerta
Long
• 3 physical measures to monitor when someone is taking stimulants for ADHD
Weight,Heart rate ,Sleep,BP
• non stimulant medications that are used to treat ADHD
Atomoxetine (Strattera),Bupropion (Wellbutrin),TCAs (rare),Alpha 2 adrengergic agonists- clonidine and guanfacine (tenex)
• Medication must be titrated very slowly to avoid Steven Johnsons Syndrome
Lamotrigine (lamitcal)
• Therapeutic range for lithium
0.5-1.2
• High risk for pancreatitis
Divalproex (Depakote)
• Long term risks of lithium therapy
Decreased renal function and hypothyroidism
• Three medications with narrow therapeutic ranges
Lithium,Divalproex sodium (Depakote),Carbamazepine (tegretol)
• Distinguishing characteristics between NMS and SS
Muscle rigidity (with NMS),Elevated CPK (with NMS),Distinguishing feature from SS: drooling
• Similar symptoms
altered mental status (restlessness, irritability, hostility, confusion), fever, diaphoresis/tachycardia
• Serotonin syndrome Meds that cause
serotonin meds, triptans/MAOI/opiods/CNS stimulants
SS Develops over...
hours
s/s of SS
Muscle spasms/tremors,BP elevated,RR decreased ,Abd pain/diarrhea,Renal failure
• Neuroleptic Malignant Syndrome caused by
neuroleptic medication (antipsychotics, decrease in DA
Dopaminergic Agents
Amantadine-Symmetrel
NMS develops over....
Develops over days
S/s of NMS
Muscle rigidity,BP liable HTN,RR increased,Drooling,Increased CPK/LFT/WBC,Low serum Fe+