Shared Flashcard Set

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Psychotropic Meds
Psych Notes
16
Nursing
Not Applicable
04/03/2011

Additional Nursing Flashcards

 


 

Cards

Term
Antipsychotics
Definition

-↓ mood swings

-↓ depression, psychosis

-↓ agression

-↓ nausea

 

Term
Older Antipsychotics
Definition

-Block dopamine

-↓ Positive symptoms, nothing for negative

-Haldol: ↑ EPS, anticholinergic, less sedation, small dosage, photosensitive, TD

-Thorazine: Ortho hypTN, anticholinergic, ↑ sedation, sz, liver problems, N/V, TD, NMS

-Prolixin, Stelazine, Navane, Trilafon

Term
New/ Atypical Antipsychotics
Definition

-↓ Negative and Positive symptoms

-Affects serotonin, norepinepherine, and dopamine

-↓ or no EPS or anticholinergic effects

-Weight gain, hyperglycemia, sz

-Clozaril: agranulocytosis, resp arrest, myocarditis, photo

-Risperdal: similar to Haldol, less restlessness, ↑ mortality, photo

Zyprexa: wt gain, sleepiness, less restlessness, photo

-Seroquel: sleepiness, TD, dry mouth, ↑ mortality, ↑ suicide, photo

-Geodon: restless, TD, NMS, QTc, little weight gain, ↑ mortality, photo

-Abilify: restless, little weight gain, ↑ mortality, ↑ suicide, photo 

Term
Neuroleptic Malignant Syndrome
Definition

-hyperpyrexia, HTN, severe muscle rigidity (pipe-like arms), incontinence, confusion

 

-Medical Emergency! Hold meds, call MD

Term
Extrapyramidal Side Effects
Definition

-Dystonia: muscle contractions (neck*, jaw,

 back), laryngospasms, involuntary

-Akathisia: restless

-Pseudoparkinsonism

-Tardive Dyskinesia: "vermicular" tongue movements, late sign, use AIMS test

Term
Anticholinergic Side Effects
Definition

-Can't see, can't spit, can't pee, can't sh!t

-Tachy

-Ortho hypoTN

-GERD

Term
Mood Stabilizers
Definition

-↓ Mood swings (bipolar- manic & dep)

-↓ Bad depression

-↓ Sz

-Lithium: mania & dep; blurred vision, sz, diarrhea, ataxia, dehydration, *toxicity

-Depakote: mania>dep & mood swings; sleepy, GI upset, *hepatotoxicity, *pancreatitis

-Tegretol: mania>dep; ↑ drug-drug interaction (no MAOI), dizzy, *derm, *anemia, *agranulocytosis 

-Triliptal: mania>dep; tegretol with less drug-drug interaction, dizzy, derm, N/V, ↓Na

-Topamax: mania>dep; wt loss, sleepy, tingling, confusion, blurred vision, ↑ temp

-Lamictal: dep>mania; *rash, N/V, dizzy, anemia, rhinitis, anemia, liver failure, anx/dep

-Atypical Antipsychotics: anti-manic, anti-dep effects

-Benzos

Term
Antidepressants
Definition

-Tricyclic (TCA): dep, chronic pain, anxiety

-MAOI: dep only

-SSRIs: dep, anxiety

-Atypical: dep, anxiety, insomnia, smoking

Term
TCAs
Definition

-Tofranil, Elavil

 

-Dep, chronic pain, anxiety

-SE: anticholinergic, cardiac dysryth, ortho hypoTN, OD

Term
SSRIs
Definition

-Paxil, Prozac, Zoloft, Celexa, Lexapro

 

-Dep, anxiety

-SE: tremors, GI upset, insomnia/hypersomnia, sexual dysfx, withdrawal, fever, coma rare, ↑ SI

-NEVER with MAOI → serotonin syndrome, lethal

Term
MAOIs
Definition

-Parnate, Nardil

 

-Dep only

-SE: tyramine free diet, drug-drug, wt gain, sleepy

-NEVER with SSRI → serotonin syndrome, lethal

Term
Tyramine Free Diet
Definition

-No cheese, fish, caffeine, liver, chocolate

-MAOIs → HTN crisis

 

Term
Atypical Antidepressants
Definition

-Wellbutrin: dep, attn, smoking; ↑ psychotic symptoms

-Effexor: dep, anx

-Remeron: dep with insomnia; wt gain

-Desyrel: sleep, dep at ↑ dosage; anticholinergic, painful erection

-Cymbalta: dep (SSNRI)

-Serzone: dep; liver disease

Term
Sedatives
Definition

-Ambien: liver problems

-Vistaril: tachy, anticholinergic

-Benadryl: like Vistaril, ↑ sedating, OTC

-Trazodone: very sedating, anticholinergic, painful erection

-Benzo: addictive, liver problems

-Sedating Antidepressants: Remeron, Elavil

-Sedating Atypical Antipsychotics: Seroquel, Zyprexa

-Melatonin: h/a, "hangover"

-Lunesta: still new, h/a, GI upset, "hangover", rash, CP, kidney problems

Term
Meds for Addiction
Definition

-Smoking: Zyban, NRT

-Opiates:Buprenex, Catapres, Methadone, Narcan, Suboxone

-Alcohol: Antabuse, Naloxone, Campral, benzos (short term), anti-sz

Term
Meds for Memory
Definition

-Acetylcholinesterase inhibitors: Aricept, Reminyl, Exelon

-Cholinesterase inhibitors: Cognex

-NMDA: Namenda

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