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57 Cards in this Set
- Front
- Back
SSRIs increases availability of serotonin
what are some side effects? |
agitation
anxiety sleep disturbances tremors sexual dysfunction |
|
SSRIs cause what electrolyte imbalance
|
hyponatremia
|
|
SSRI's adverse effect is serotinin syndrome. CM:
|
abdominal pan
diarrhea tachycardia hypertension muscle spasms -can be caused when taken with an MAOI so discontinue all SSRIS for 2-5 wks before starting an MAOI |
|
citalopram (celexa)
|
ssri
|
|
Escitalopram (lexapo)
|
ssri
|
|
SSRIs increases availability of serotonin
what are some side effects? |
agitation
anxiety sleep disturbances tremors sexual dysfunction |
|
SSRIs cause what electrolyte imbalance
|
hyponatremia
|
|
SSRI's adverse effect is serotinin syndrome. CM:
|
abdominal pan
diarrhea tachycardia hypertension muscle spasms -can be caused when taken with an MAOI so discontinue all SSRIS for 2-5 wks before starting an MAOI |
|
citalopram (celexa)
|
ssri
|
|
Escitalopram (lexapo)
|
ssri
|
|
SSRIs increases availability of serotonin
what are some side effects? |
agitation
anxiety sleep disturbances tremors sexual dysfunction |
|
SSRIs increases availability of serotonin
what are some side effects? |
agitation
anxiety sleep disturbances tremors sexual dysfunction |
|
SSRIs cause what electrolyte imbalance
|
hyponatremia
|
|
SSRIs cause what electrolyte imbalance
|
hyponatremia
|
|
SSRI's adverse effect is serotinin syndrome. CM:
|
abdominal pan
diarrhea tachycardia hypertension muscle spasms -can be caused when taken with an MAOI so discontinue all SSRIS for 2-5 wks before starting an MAOI |
|
SSRI's adverse effect is serotinin syndrome. CM:
|
abdominal pan
diarrhea tachycardia hypertension muscle spasms -can be caused when taken with an MAOI so discontinue all SSRIS for 2-5 wks before starting an MAOI |
|
citalopram (celexa)
|
ssri
|
|
citalopram (celexa)
|
ssri
|
|
Escitalopram (lexapo)
|
ssri
|
|
Escitalopram (lexapo)
|
ssri
|
|
fluoxetine (prozac)
|
ssri
|
|
Paroxetine (paxil)
|
ssri
|
|
sertraline (zoloft)
|
ssri
|
|
TCAs increase amount of norepinephrine and serotinin
common side effects: |
anticholinergic actions like
-dry mouth -blurred vision -constipation -urinary retention pt's who experience constipation and urinary retention need to seek medical attention |
|
TCA
when should they take this pill? morning or night |
it is sedating, so give it at night.
|
|
TCA
-significant toxic effect is what |
cardiovascular related
-dysrhythmias -tachycardia -MI -heart block |
|
before beginning on a TCA, what does the patient need to have done?
contraindicated in: |
cardiac work up
MAOIs, MIs, cardiac problems, narrow angle glaucoma |
|
amitriptyline (elavil)
|
TCAs
|
|
clomipramine (anafranil)
|
TCAs
|
|
desipramine (norpramin)
|
TCAs
|
|
imipramine (tofranil)
|
TCAs
|
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Nortriptyline
|
TCAs
|
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"pramine"
|
TCA
|
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"triptyline"
|
TCA
|
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MAOI's, when tyramine is increased, what occurs:
|
high BP
hypertensive crisis CVA occurs |
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MAOI's what is important for the patient to monitor while taking these drugs?
|
routine monitoring of blood pressure
|
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phenelzine (nardil)
|
MAOIs
|
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atypical antipsychotics improve positive and negative symptoms
-what is the benefit of these |
they produce minimal to no side effects of EPS or tardive dyskinesia
|
|
-metabolic syndrome is a SE of this class
|
atypical antipsychotics
dyslipidemia and altered blood glucose |
|
abilify
|
atypical antipsychotics
|
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clozapine (clozaril)
|
atypical antipsychotics
|
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seroquel
|
atypical antipsychotics
|
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risperidone (risperdal)
|
atypical antipsychotics
|
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geodon
|
atypical antipsychotics
|
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clozapine (clozaril) is under what class of drugs:
significant side effects: |
atypical antipsychotics
-agranulocytosis (sore throat, fever, mouth sores, malaise) need to have WBC drawn weekly -seizures |
|
"azine"
|
conventional antipsychotics
|
|
"haldol"
|
conventional antipsychotics
|
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what type of antipsychotics cause anticholinergic effects?
|
conventional antipsythocis
"azine" "haldol" |
|
chlorpromazine (thorazine)
|
conventional antipsychotics
very sedating and causes significant hypotension |
|
thioridazine (mellaril)
|
conventional antipsychotics
|
|
trifluoperazine
|
conventional antipsychotics
|
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Haldol
|
conventional antipsychotics
|
|
conventional antipsychotics
side effects: |
sexual disturbance
halactorrhea drooling tardive dyskinesia (contractions of tongue, fingers, toes, neck, trunk, pelvis) |
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antipsychotics can cause an anticholinergic toxicity:
|
dry mucous membranes
reduces or absent peristalsis hyperthermia tachycardia dilated, nonreactive pupils hot dry skin |
|
anticholinergic SE occur with ______________ antipsychotics
-urinary retention -dry mouth -constipation -blurred vision -dilated pupils |
conventional
|
|
neuroleptic malignant syndrome (NMS) occurs from acute reduction of dopamine and is seen with both types of antipsychotics.
-what is it characterized by: |
decreased LOC
increased muscle tone (muscle rigidity) autonomic dysreflexia (fever over 103, hypertension, tachycardia, tachypenia, diaphoresis, drooling) |
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antipsychotics cause what 2 other SE:
|
agranulocytosis and liver impairment
|