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40 Cards in this Set

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Central Nervous System Stimulants

Dexadrine (Dextroamphetamine)


Ritalin (Methylphenidate)


Concerta - Extended Release


Adderall (Amphetamine)


Vyvanse (Lisdexamfetamine)

Used for ADHD

Antidepressants

Anafranil (Clomipramine)


Effexor (Venlafaxine)


Tofranil (Imipramine)


Desyrel (Trazodone)


Remeron (Mirtazepine)

Used for depression, pain control, sleep induction, and OCD (NON SSRI)

SSRI Antidepressants


Selective Serotonin Reuptake Inhibitors

Prozac (Fluoxetine)


Paxil (Paroxetine)


Celexa (Citalopram)


Zoloft (Sertraline)


Lexapro (Escitalopram)

Used for depression, pain control, sleep induction and OCD

Other Antidepressants

Wellbutrin (Buproprion

Used for depression, pain control, sleep induction, and OCD

Antipsychotics

Risperdal (Risperidone)


Abilify (Ariprprazole)


Zyprexa (Olanxpaine)


Seroquel (Quetiapine)

Used for psychotic disorders, schizophrenia, Huntington's Disease, agitation, dementia, hyperactivity, hallucinations, delusions, Tourette's Disorder

Anticonvulsants

Tegretol (Carbamazepine)


Trileptal (Oxycarbazepine)


-req. periodic sodium levels


Depakote (Valproic Acid)


-req.periodic lab function levels

Used for treatments of seizures, mania, and impulsive behavior

Central Nervous System Stimulants

Side Effects:


weight loss, anorexia, decreased appetite, insomnia, headache, nervousness, dizziness, heart palpitations, & nausea

Antidepressants (NON SSRI)

Side Effects: dry mouth/eyes, blurred vision, constipation, failure to perspire, increased appetite, dizziness, nausea, drowsiness, difficult urination, photosensitivity, confusion, hallucination, weight gain

SSRI Antidepressants

Side Effects: insomnia, stomach upset (take with food), headache, nervousness/anxiety, dizziness, diarrhea, and excessive sweating

Other Antidepressants

Side effects: seizure activity (space doses as far apart as possible) headach, constipation, weight loss, dry outh, excessive sweating, tremor, dizziness, faster heart rate, agitation, blurred vision

Antipsychotics

Side effects:
Tardive Dyskinesia
Neuroleptic Malignant Syndrome
Serotonin Syndrome
Metabolic Syndrome
Parkinsonian Symptoms

Tardive Dyskinesia

Lip smacking, rapid tongue movement, uncontrolled chewing movements, increased heart rate, dizziness

Possible side effect of antipsychotics

Neuroleptic Malignant Syndrome

High temperature, hypertonic muscles, catatonic, fast heart rate. CRITICAL SITUATION, transport to ER immediately

Possible side effect of antipsychotics

Serotonin Syndrome

agitation, restlessness, confusion, increased heart rate and blood pressure, dilated pupils, loss of muscle coordination/twitching muscles heavy sweating, diarrhea, headache, shivering, high fever, seizures, irregular heartbeat, unconsciousness.

Possible side effect of antipsychotics

Occurs when taking medications that cause high levels of serotonin to accumulate in your body. can occur when increasing dose of such a drug or add new drug to regimen

Metabolic Syndrome

cluster of disorders comprising obesity (central and abdominal), dyslipidemias, glucose intolerance, insulin resistance, and hypertension. Highly predictive of type 2 diabetes mellitus and cardiovascular disease

Possible side effect of antipsychotics

Parkinsonian Symptoms

tremor, rigidity, slower movements, loss of balance, drowsiness, facial tics, sudden involuntary muscle movements, blurred vision, fever, lack of sweating, difficult urination, constipation, depression, confusion

Possible side effect of antipsychotics

Anticonvulsants

Side Effects: indigestion, nausea, vomiting, elevated enzymes, blurred vision, drowsiness, dizziness, constipation, diarrhea, sedation


Onset of Antipsychotics
2-3 weeks

Onset of OTHER antidepressants

4 weeks

Onset of SSRI Antidepressants

2-3 weeks

Onset of antidepressants

(non-SSRI)

3-4 weeks

Onset of Central Nervous System Stimulants

1 week

Paperwork Needed for Dr. Appointments

1. Physician Referral Form


2. Physician Order Form (4carbon)


3. Insurance info form/copies of cards

Antihypertensives

Inderal (propranolol) - Beta blocker


Clondine (Catapress)


Tenex (Guanfacine)

used for aggressive behavior, anxiety, depression, mania, decresed heart rate, blood pressure


Created calming effect, cuts down on fight or flight response, ADHD

Antihypertensives

Side Effects: drowsiness, dizziness, sedation, headache, fatigue, orthostatic hypotension, constipation, palpitations, nausea, vomiting, malaise, bizarre dreams, rasch, nocturia

6 Rights

right client


right medications


right dose


right time


right route


right documentation

0645

orange

blister pack color code

1200

yellow

blister pack color code

1600

green

blister pack color code

2000

blue

blister pack color code

PRN

black

blister pack color code

Controlled Substance
Red "C"

blister pack color code

Initials

Medication was given

charting codes for documentation

O

not given

charting codes for documentation

HP

hospital

charting codes for documentation

R

refusal

charting codes for documentation

Med Refusal

document on back of mar and notify nurse, have client sign form


HV

home visit

charting codes for documentation

S

med to be given at school

OG

given off grounds