Term
| Three types of Medications used to treat anxiety and sleep disorders |
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Definition
Antidepressants
Benzodiazepines
Barbiturates |
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| Withdrawal S/S of Sedatives, Hypnotics, Sedative Hypnotics |
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Definition
| Life threatening, fever, psychosis, seizures, tachycardia, hypotension, muscle cramps, memory impairment, loss of appetite, auditory and visual disturbances, insomnia, agitation, anxiety |
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Term
| Major Types of Anxiety Disorders |
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Definition
Situational anxiety
Generalized anxiety disorder (GAD)
Panic disorder
Phobias
Obsessive-compulsive disorder
Post-traumatic stress disorder |
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Term
| Nonpharmacologic Therapies to Cope with Anxiety |
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Definition
Cognitive behavioral therapy
Counseling
Biofeedback techniques
Meditation |
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Definition
| bind to GABA receptors increasing there effects (slowing neurotransmission) |
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| Uses:anxiety, insomnia, szs, & alcohol withdrawal |
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| Librium, Valium, Ativan, Versed |
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Definition
blocks the receptors from binding with the benzo
BENZO ANTIDOTE |
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Definition
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Term
| Romazicon works how fast? |
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Definition
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| IV over 30 seconds repeated every minute as needed |
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Highly addictive
Withdrawal s/s are severe and can be fatal
Overdose s/s-resp depression, hypotension, pin point pupils, & shock
Avoid other sedatives
IM can cause necrosis |
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Term
| Nonbenzodiazepines, Nonbarbiturate (CNS depressant) EX |
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Definition
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Term
| Nonbenzodiazepines, Nonbarbiturate (CNS depressant) AX |
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Definition
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| Nonbenzodiazepines, Nonbarbiturate (CNS depressant) Use |
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Definition
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| Nonbenzodiazepines, Nonbarbiturate (CNS depressant) SE |
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Definition
| mild nausea, dizziness, diarrhea, daytime drowsiness, amnesia, sleepwalking, ingesting carbohydrates while sleepwalking |
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Term
| Nonbenzodiazepines, Nonbarbiturate (CNS depressant) IMPS |
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Definition
works better if not used everyday
Watch for over sedation |
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Definition
| binds to serotonin and dopamine receptors and increases norepi metabolism |
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Definition
Decreases anxiety w/o causing sedation
Less likely to cause dependency
May take several weeks to be therapeutic |
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Definition
Natural hormone released from the pineal gland at night
Tryptophan is converted to serotonin and then to melatonin
Causes alertness and temperature to decrease, inviting sleep
Levels vary with age |
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Definition
Agitation, excessive talking, elevated mood, grandiose thoughts
Flight of ideas, constant movement, impulsive behavior
Inflated self-esteem, racing thoughts, short attention span |
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Term
| Tricyclic Antidepressants Ax |
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Definition
| blockmonoamine reuptake, intensifying the effects of norepi and serotonin |
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Term
| Tricyclic Antidepressants EX |
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Definition
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| Tricyclic Antidepressants SE |
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Definition
| orthostatic hypotension, anticholineric effects, sedation, cardiotoxic, szs, hypomania, sexual dysfunction, HTN crisis |
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Term
| Tricyclic Antidpressants Nursing IMps |
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Definition
Usually given once a day at bedtime
Watch for suicide
DO NOT give with MAOIs-severe HTN from excessive adrenergic stimulation
May take several weeks to be therapeutic
Many drug interactions |
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Definition
| decrease reuptake of serotionin into presynaptic nerve terminals |
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| depression, OCD, panic dxs, bulimia nervosa |
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May take several weeks to be therapeutic
Less SEs
Don’t give with MAOIs-serotonin syndrome
Do not discontinue abruptly |
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Definition
| inhibit monoamine oxidase (terminates the actionof dopamine, norepi, epi, and serotonin) |
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| orthostatic hypotension, HA, insomnia, and diarrhea |
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Lots of contraindications and interactions
Watch for liver, renal, and blood dysfunctions
May lower sz threshold |
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| szs, fatigue, neuromuscular impairment, wt gain |
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Term
| MOOD STABILIZER THERAPEUTIC INDEX |
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Definition
Very narrow therapeutic index
0.6-1.4
Toxicity begins at 1.5
Death may occur at 2.5 |
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Definition
Lots of interactions
Significant changes in Na intake can increase risk for toxicity
Monitor renal function |
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Definition
| insomnia, nervousness, anorexia, wt loss |
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Definition
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Definition
Can cause dependency
Monitor weight closely
Report any ticks that develop
Monitor EKG |
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Term
| ADHD NON CNS STIMULANTS EX. |
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Definition
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Term
| ADHD-Non-CNS Stimulants IMPS |
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Definition
Often used in conjunction with another med
Not very effective if used alone |
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Term
| Most common psychotic disorder |
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Definition
Most common psychotic disorder
Manifests in men aged 15 to 24 years
Manifests in women in aged 25 to 34 years |
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Term
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Definition
Hallucinations, delusions, or paranoia
Strange and irrational behavior
Severe depression
Alternating rapidly between extreme hyperactivity and stupor
Attitude of indifference or detachment toward life activities
Deterioration of personal hygiene and/or job or academic performance
Withdrawal from social and interpersonal relationships |
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Definition
| add on to normal behavior |
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Definition
| subtract from normal behavior |
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Term
| schizo ass. with what receptro in the brain |
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Definition
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| Antipsychotic Med's General Info |
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Definition
Do not cure schizophrenia
Are effective as long as the client takes the medication
Have multiple undesirable side effects
Selection of appropriate medication related to several factors |
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Term
| Conditions that may mimic the behaviors of schizophrenia |
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Definition
Drug use
Brain neoplasm
Infections
Hemorrhage |
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Term
| Schizoaffective disorder characterizations |
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Definition
Distorted perceptions
Hallucinations
Delusions
Extreme depression following these symptoms |
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Term
| Extrapyramidal Symptoms (EPS) |
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Definition
Tardive dyskinesia
Acute dystonias
Akathisia
Stooped posture, shuffling gait
Parkinsonism symptoms |
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Term
| Neuroleptic Malignant Syndrome (NMS) |
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Definition
| Toxic reaction to therapeutic doses of antipsychotic drug |
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Term
| Neuroleptic Malignant Syndrome (NMS) s/s |
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Definition
Elevated temperature
Unstable blood pressure
Profuse sweating
Dyspnea
Muscle rigidity
Incontinence |
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Term
| Typical Antipsychotic aka 1st gen |
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Definition
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Definition
| prevent dopamine and serotonin from binding to receptors |
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| Typical Antipsychotic IMPS |
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Definition
Many SEs-EPS, etc
May give with Cogentin |
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| Cause less sedation and fewer SEs, but still can cause EPS |
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| Atypical PYSCHOTICS AKA 2nd Gen ax |
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Definition
| may block several receptors in the brain |
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| Dopamine System Stabilizers EX |
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Definition
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| Dopamine System Stabilizers IMPS |
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Definition
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