Psychiatric Mental Health Nursing Medications

Front 1

Xanax

Back 1

Benzodiazepine anxiolytic

Front 2

Tofranil

Back 2

Tricyclic

Front 3

Nardil

Back 3

MAOI

Front 4

Wellbutrin

Back 4

Other Antidepressant

Front 5

Seroquel

Back 5

Atypical Antipsychotic

Front 6

Lithobid

Back 6

Mood Stabilizer

Front 7

Haldol

Back 7

Typical Antipsychotic

Front 8

Navane

Back 8

Typical Antipsychotic

Front 9

Depakene

Back 9

Anticonvulsant for Mood Disorder

Front 10

Clozaril

Back 10

Atypical Antipsychotic

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Antabuse

Back 11

Alcohol deterrant (Chronic alcoholism)

Front 12

Lexapro

Back 12

SSRI

Front 13

Ativan

Back 13

Benzodiazepine

Front 14

Prozac

Back 14

SSRI

Front 15

Suboxone

Back 15

Opiod Analgesic
(Opiate addiction)

Front 16

Ambien

Back 16

Hypnotic

Front 17

Deseryl

Back 17

Other Antidepressant

Front 18

Klonopin

Back 18

Benzodiazepine

Front 19

Vistaril

Back 19

Hypnotic

Front 20

Pamelor

Back 20

Tricyclic

Front 21

Pamelor

Back 21

Tricyclic

Front 22

Neurontin

Back 22

Anticonvulsant for Mood Disorder

Front 23

Cymbalta

Back 23

SSRI

Front 24

Valium

Back 24

Benzodiazepine

Front 25

Parnate

Back 25

MAOI

Front 26

Inderal

Back 26

Nonbenzodiazepine anxiolytic

Front 27

Paxil

Back 27

SSRI

Front 28

Catapres

Back 28

Nonbenzodiazepine anxiolytic

Front 29

Lamictal

Back 29

Anticonvulsant for Mood Disorder

Front 30

Zoloft

Back 30

SSRI

Front 31

Buspar

Back 31

Nonbenzodiazepine anxiolytic

Front 32

Blocks dopamine from receptor sites. Calms excited behavior. Reduces psychotic symptoms. Targets positive symptoms of schizophrenia.

Back 32

1st Generation / "Typical" Antipsychotics

Front 33

Blocks reuptake of norepinephrine & serotonin, increasing their concentration in the body. Treats anxiety & depression.

Back 33

Tricylclics

Front 34

Theoretically corrects ion exchange abnormality in the neuron, normalizes neurotransmission of norepinephrine, serotonin, dopamine, & acetylcholine. Regulates second messenger systems during neurotransmission. Treats bipolar & unipolar depression, aggressive behaviors, conduct disorder, and schizoaffective disorder.

Back 34

Mood-Stabilizer Lithium

Front 35

Inhibit reception of dopamine & serotonin at post-synaptic sites. May have mild antidepressant properties. Treats mood symptoms, hostility, and cognitive effects. Targets positive & negative symptoms of schizophrenia.

Back 35

2nd Generation / "Atypical" Antipsychotics

Front 36

Inhibits reuptake of serotonin, increasing serotonin at post-synaptic receptors, promotes serotonin neurotransmission. Treats depression & anxiety.

Back 36

SSRI

Front 37

Thought to decrease “kindling” and to potentiate GABA. Treats mood disorders.

Back 37

Anticonvulsants for Mood Disorders

Front 38

Depresses CNS. Treats anxiety & insomnia.

Back 38

Hypnotics

Front 39

Potentiates GABA. Depresses CNS reticular activating system. Mutes incoming stimuli. Reduces anxiety. Muscles relax. Targets physical and psychological symptoms of anxiety.

Back 39

Benzodiazepines

Front 40

Prevents destruction of monoamines, increasing level of neurotransmitters. Treats anxiety & depression.

Back 40

MAOI

Front 41

Low overdose potential. Observe patient for suicidal ideation, especially teenagers. May cause bipolar patient to become manic. 2-6 week lag time. Serotonin syndrome is serious possible side effect.

Back 41

SSRI

Front 42

Excreted by kidneys & adversely affects thyroid. Lag time 7-10 days/ 1-2 weeks. Seesaw effect/inverse relationship with sodium. Narrow therapeutic range—toxicity is a medical emergency. No antidote is available.

Back 42

Mood Stabilzer - Lithium

Front 43

Numerous anticholinergic side effects. Important to observe for EPS, agranulocytosis, and Neuroleptic Malignant Syndrome---all serious complications.

Back 43

1st Generation
"Typical" Antipsychotics

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Use cautiously in elderly—can cause nightmares & confusion. Some reports of memory loss/night eating/sleep walking on new medications.

Back 44

Hypnotics

Front 45

Life-threatening rash may occur (increases in children). Stevens-Johnson Syndrome. Overdose can be serious. Contraindicated in pregnancy.

Back 45

Anticonvulsant Lamictal

Front 46

Very expensive medication. Some EPS and agranulocytosis may occur. Schedule WBC counts and stress compliance. Can cause weight gain—metabolic disturbances. May cause sedation.

Back 46

2nd Generation
"Atypical" Antipsychotic

Front 47

High abuse/dependence/tolerance potential. Must be gradually withdrawn—abrupt withdrawal causes serious side effects. Should be used short-term only. Overdose treated with Romazicon/Mazicon. Most commonly prescribed psychotropic drugs.

Back 47

Benzodiazepines

Front 48

Baseline liver tests performed: May be lethal in overdose. Contraindicated for pregnancy or breastfeeding. Important side effect is thrombocytopenia—decrease dose.

Back 48

Anticonvulsant
Valproic Acid /
Depakene / Depakote

Front 49

Typically last choice. Serious side effect is Hypertensive Crisis. Important dietary precautions (foods containing tyramine). Important drug precautions (SSRIs, TCAs, other MAOIs, stimulants, OTC cough & cold, hypoglycemics, narcotic analgesics).

Back 49

MAOI

Front 50

Typically last choice. Serious side effect is Hypertensive Crisis. Important dietary precautions (foods containing tyramine). Important drug precautions (SSRIs, TCAs, other MAOIs, stimulants, OTC cough & cold, hypoglycemics, narcotic analgesics).

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MAOI

Front 51

Teach slow posture changes; rinse mouth; drink more; sugarless gum/candy; don’t drive; high fiber diet; avoid direct sunlight; wear sunglasses; compliance; check BP frequently; observe for fever, sore throat (agranulocytosis); observe for EPS & report immediately; use antidepressants and benzodiazepines cautiously.

Back 51

1st Generation
"Typical" Antipsychotics

Front 52

Teach to avoid foods and medication containing tyramine. Cannot be taken with TCAs, narcotics, anti-HTNs, sedatives, general anesthetics, stimulants. Must follow dietary and medication restrictions for 14 days after d/c MAOI. Patient should go to ER if experiences severe headache, increased BP, and palpitations.

Back 52

MAOI

Front 53

Teach to recognize and report signs of toxicity. Increase fluid to 2 to 3L/day. Do not restrict salt intake. Take with food to avoid GI upset. Profuse sweating or diarrhea increases risk of toxicity.

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Mood Stablizer - Lithium

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Do not discontinue abruptly. Alcohol and CNS depressants can potentiate effects. Teach alternative methods of reducing anxiety. Avoid driving until tolerance develops. Do not operate hazardous machinery.

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Benzodiazepines

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May be lethal in overdose. Do not use in pregnancy or while breastfeeding.

Back 55

Anticonvulsant
Valproic Acid / Depakene / Depakote

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Do not discontinue abruptly—may cause Withdrawal Syndrome. Teach S & S of Serotonin syndrome. Teach anticholinergic effects.

Back 56

Tricylclic

Front 57

Teach S & S of Stevens-Johnsons Syndrome.

Back 57

Anticonvulsant - Lamictal

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Teach S & S of Serotonin Syndrome. Do not take with St. John’s Wort or MAOIs. May take 2-6 weeks to effect change.

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SSRI

Front 59

Teach client about nutrition, exercise, and symptoms of diabetes mellitus—can cause weight gain & metabolic disturbances. May cause sedation.

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2nd Generation
"Atypical" Antipsychotics

Front 60

Use caution when driving and using machinery—causes sedation. Can cause nightmares and confusion in elderly.

Back 60

Hypnotics