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63 Cards in this Set
- Front
- Back
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What is another name for antipsychotic medications?
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neuroleptics
major tranquilizers |
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Typical Antipsychotic drugs include
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Chlorpromazine / Thorazine
Haloperidol . Haldol Perphenazine Prolixin (Fluphenazine) Mellaril (Thioridazine) Stelazine (Trifluoperazine) Navane / Thiothixene |
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Which symptoms most respond to antipsychotic medications: Positive or Negative
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Positive
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What are the side effects of anti-psychotics?
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dry mouth; drowsiness; dizziness when changing positions; blurry vision, rapid heartbeat; sensitivity to sun; skin rashes; problems with menstrual cycle
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Name 3 Extrapyramidal Symptoms (EPS)
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Parkinsonian Syndome: Parkinson like symptoms - tremor, rigidity and slow movement
Akinesia - without movement - stiff looking; masked face Akathisia - compulsion to be in motion (lower dosage) |
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Acute Dystonic Reactions
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Involuntary muscle spasms with tightening of the face, jaw, and neck. Most frightening is oculogyric which is rolling back of eyes (treat with benzos, antihistamine's, anti parkinson meds)
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Neuroleptic Malignant Syndrome
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MEDICAL EMERGENCY. Starts right after starting an anti-psychotic and involves tachycardia, fever, muscle rigidity, mental status change (quit taking meds and seek medical attention)
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Decanoate
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Injectable form
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What is a good solution for people who require anti-psychotics but have issues with medication adherence?
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Injection
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Which drug - Haldol D or Prolixin D - would you use on a client who is extremely psychotic and current dangerous?
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Haldol D - it brings symptoms down quicker
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Which drug - Haldol D or Prolixin D - would you use on a client who has issues with adherence?
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Prolixin D
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Name some atypical anti-psychotics.
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Risperidone (Dispresal)
Olanzapine (Zyprexa) Quetiapine (Seroquel) Ziprasidone (Geodon) Aripirazole (Abilify) Paliperidone (Invega) |
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What is a TCA?
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A tricylclic antidepressant - an older style of antidepressant
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Name a contraindication for a TCA
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Hypotension, tachycardia
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If you have a patient with high suicidality, should you use a MAOI, TCA or SSRI
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SSRI - the others have more overdose risk
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Name some TCAs
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imipramine (Tofranil)
Amitriptyline (Elavil) |
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How long for a TCA to start having an impact
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Typically 2-3 weeks
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MAOI
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Monoamine Oxidase Inhibitor
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Name some MAOIs
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Nardil
Parnate Marplan |
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In what instances might you use an MAOI?
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In atypical or non-endogenous depression
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What side effects might an MAOI cause?
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Hypertension
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What dietary restrictions do MAOIs have?
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No aged foods or pickled food
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SSRI
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Selective Seratonin Reuptake Inhibitor
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SNRI
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Serotonine and Norepinephrine Reuptake inhibitor
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Name some SSRIs
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Paxil - Paroxetine
Fluoextine - Prozac Citalopram - Celexa Sertraline - Zoloft Escitalopram - Lexapro |
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Name two SNRIs
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Duloxetine - Cymbalta
Venlafaxine - Effexor |
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Common side effects of SSRIs and SNRIs
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sleeplessness or drowsiness
headache agitation nausea sexual problems |
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What are Mood Stabilizers used to treat?
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Generally Bipolar I disorders
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What drug is most often used for bipolar I
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Lithium
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How often does Lithium work for Bipolar I
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70-90% of the time
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Can Lithium be toxic?
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Yes. There is only a small window where it is not toxic therefore blood needs to be monitored and well as thryoid and kidney functions
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What is the most common reason that people do not take their Lithium?
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Weight gain
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What are some common side effects of Lithium?
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GI issues
weight gain liver and kidney problems thyroid issues |
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Lithium is most effective at controlling mania or depression?
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Mania
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What drug might you use for rapid cycling?
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Depakote
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What is a common drug treatment for an anxiety disorder?
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An TCA, MAOI, SSRI
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What is a common drug used to treat OCD?
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TCA, MAOI or SSRI
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What drug is often used to treat a specific phobia like stage fright?
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Beta Blockers
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For treating, GAD, what drug is often uses?
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A Benzo
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What are some common side effects of benzos?
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Psychomotor functions and short term memory issues
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What is an anxiolytic?
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An antianxiety drug
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Barbituates
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An anxiolytic. Safety issues including overdose, abuse and dependance
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Drugs that help with sleep
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Hypnotics
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Name some hynotic drugs
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benzos
barbituates certain SSRIs like Trazadone |
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What would you use for ADD in kids
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Methylphenidate / Ritalin
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q.d.
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Daily
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b.i.d.
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2x daily
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t.i.d.
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3x daily
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q.i.d.
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4x daily
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h.s.
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at bedtime
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p.r.n.
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as needed
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What are some side effects of TCAs?
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Dry mouth, blurred vision, constipation
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Name some mood stabilizers?
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Lithium, Depakote, Tegretol, Klonopin
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Which drugs would you use for rapid cycling?
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Lithium and Depakote
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Which has fewer side effects: Lithium or Tegretol
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Tegretol
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Are phobias typically responsive to prescription drugs?
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No
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What are some typical anti-psychotics?
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Haldol and Prolixin, Thorzaine
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What are some Atypical anti-psychotics?
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Risperidone and Clozapine
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Why would you use an Atypical antipsychotic?
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Tardive Dyskenesia or treatment resistance
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What are some common side effects of Typical antipsychotics?
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Tardive Dyskenesia, Parkinsonian Syndrome
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What are some common side effects of Atypical antipsychotics?
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Weight Gain, Saliva Production, Sedation
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Name some TCA's?
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Elavil, Tofranil
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Name some MAOIs?
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Nardil, Marlplan
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