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49 Cards in this Set
- Front
- Back
• Salt used to treat mood disorders
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Lithium
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• First line choice for depression
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SSRI
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• Thorazine (Chlopromazine
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Typical Antipsyhotic
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• Two classes used to treat pseudoparkinsonism
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Dopaminergic agents (Amantadine-Symmetrel) Anticholinergic (Benzotropine-Cogentin and Trihexyphphenidyl-Artane)
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• Two classes used to treat dementia
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Cholinesterase inhibitors (Cognex and Aricept, Exelon, Reminyl) NMDA receptor agonists (Namenda)
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• Category of antipsychotics has a higher incidence of EPS
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Typical antipsychotics
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• Antipsychotic requiring frequent blood monitoring
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Clozapine (Clozaril)
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• Potentially deadly side effect of antipsychotic medication
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Neuroleptic malignant syndrome (NMS)
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• Blockage of DA in the tubero-infundibular DA pathways causes
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Galactorrhea and gynecomastia
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• Four essentials for metabolic monitoring
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Weight, Waist circumference,Fasting blood glucose,A1C, Lipid profile
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• Most widely prescribed sleep medication that is a SARI antidepressant
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Trazodone
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• AIMS test is used to test for the presence of this debilitating disorder
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Tardive Dyskinesia (TD)
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• Class of antidepressants whose histamine action is used for sleep medication
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TCA’s (amitriptyline, Imipramine, Sinequan, Silenor)
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• Dystonic reaction medication names
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Diphenydramine (Benadryl 25-50 mg) and Benzotropine (Cogentin) 1-2 mg)
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• 2 atypical antipsychotics that need to be taken with food in order to be absorbed effectively
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Lurasidone (latuda) and Ziprasidon (Geodon)
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• Number of weeks before any benefit of antidepressant
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2-4 weeks
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• Critical safety intervention for any patient taking an antidepressant in the first few weeks
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Suicide assessment
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• NE and serotonin medication that has a lot of side effects and is cardiotoxic
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TCA’s
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• To avoid a hypertensive crisis avoid foods and drugs with this substance
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Tyramine
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• Serotonin syndrome symptoms
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Elevated BP, decreased RR, Abd pain/diarrhea, renal failure, restlessness, irritability, hostility, confusion, fever, diaphoresis, tachycardia, Occurs over hours, muscle spasm/tremor
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• Category of antidepressants most commonly used to treat anxiety
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SSRI
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• Deadly outcome : BZ with ETOH or CNS depressant
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Respiratory depression
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• Non-barbituate anxiolytic taken TID or BID
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Buspirone (Buspar)
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• Consequence of stopping benzos suddenly
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CNS overexcitation or seizures
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• Off label, three classifications of medications used to treat anxiety
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Antihistamines,Beta blockers,Anticonvulsants, Atypical antipsychotics
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• Syndrome: flushing, weakness, throbbing headache, N&V, chest pain
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Acetaldehyde syndrome
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• Two medications that treat opitate withdrawl
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Buprenorphine (Suboxone-contains Naloxone and Buprepnorphine and Subutex-just Buprenorphine) , Clonidine (catapres)
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• Medication used to treat opiate overdose
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Naloxone (Narcan)
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• Nicotine gum teaching
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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
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• Benzo often used for detoxing a person off of ETOH
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Clordiazepoxide (Librium),Diazepam (Valium),Lorazepam (Ativan)
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• Psychostimulants work on these two neurotransmitter
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DA and NE
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• Short, intermediate or long half life of Ritalin
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Short
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• Half life of Concerta
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Long
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• 3 physical measures to monitor when someone is taking stimulants for ADHD
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Weight,Heart rate ,Sleep,BP
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• non stimulant medications that are used to treat ADHD
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Atomoxetine (Strattera),Bupropion (Wellbutrin),TCAs (rare),Alpha 2 adrengergic agonists- clonidine and guanfacine (tenex)
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• Medication must be titrated very slowly to avoid Steven Johnsons Syndrome
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Lamotrigine (lamitcal)
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• Therapeutic range for lithium
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0.5-1.2
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• High risk for pancreatitis
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Divalproex (Depakote)
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• Long term risks of lithium therapy
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Decreased renal function and hypothyroidism
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• Three medications with narrow therapeutic ranges
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Lithium,Divalproex sodium (Depakote),Carbamazepine (tegretol)
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• Distinguishing characteristics between NMS and SS
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Muscle rigidity (with NMS),Elevated CPK (with NMS),Distinguishing feature from SS: drooling
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• Similar symptoms
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altered mental status (restlessness, irritability, hostility, confusion), fever, diaphoresis/tachycardia
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• Serotonin syndrome Meds that cause
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serotonin meds, triptans/MAOI/opiods/CNS stimulants
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SS Develops over...
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hours
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s/s of SS
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Muscle spasms/tremors,BP elevated,RR decreased ,Abd pain/diarrhea,Renal failure
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• Neuroleptic Malignant Syndrome caused by
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neuroleptic medication (antipsychotics, decrease in DA
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Dopaminergic Agents
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Amantadine-Symmetrel
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NMS develops over....
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Develops over days
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S/s of NMS
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Muscle rigidity,BP liable HTN,RR increased,Drooling,Increased CPK/LFT/WBC,Low serum Fe+
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