Term
| two z's for schizophrenia |
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Definition
Zyprexa (olanzapine)
Ziprasidone (Geodon) |
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Term
Serotonin greater than dopamine
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Definition
| less incidence of esps and td |
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Term
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Definition
Acute dystonia- spasm of tongue and neck(can give benadryl if bad reaction)
Pseudeparkinsonism-tremors ticks etc
Akathisia-pacing and restlesness
Tardive dyskinesia-twisting or wormlike movement of tongue or lip smacking |
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Term
| Neuroleptic Malignant syndrome |
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Definition
life threatening emergency
high grade fever
bp fluctuations
dysrhythmias
muscle rigidity
change in level of consciousness
Give Dantrolene, ASA tylenol, cooling blankets and stop the meds |
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Term
Zyprexa(olanzapine)
Ziprasidone(Geodon) |
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Definition
Adverse effects: Sedation, orthostatic hypotension, dry mouth, blurred vision, conostipation from Muscaranic blockade
Metabolic effects weight gain (Geodon) being the lowest contributor, diabetes
Report flu like sypmtoms, chest pain.
NOT FOR DEMENTIA |
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Term
SSRI Selective Serotonin reuptake inhibitors
Anti depressants
S.E.F. |
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Definition
Sertraline(Zoloft)
Escitalopram(lexapro)
Fluoxetine(prozac) |
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Term
SSRI(S.E.F) F is also for with (food)
Sertraline(Zoloft)
Escitalopram(lexapro)
Fluoxetine(Prozac)
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Definition
Sexual dysfunction, weight gain, sleepiness
effects in 10-20 days
wean off slowly
Take with food
can cause serotonin syndrome
can increase bleeding in the GI tract do not take with NSAIDs
MAOI increase the risk |
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Term
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Definition
begins 2-72 hours after starting treatment
sweating, mental confusion,agitation,anxiety,hallucinations,hyperreflexia,tremors |
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Term
SNRI
Serotonin and Norepinephrine Reuptake Inhibitor |
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Definition
Desvenlafaxine (pristiq)
used when SSRIs dont work
A/E nausea, headache,anorexia
2-4 weeks to see results
wean slowly
do not take with MAOIs |
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Term
NDRI
Norepinephrine Dopamine Reuptake Inhibitor |
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Definition
Bupropion(welbutrin)
Stimulant action and supresses appetite
used when SSRIs dont work
SAD(seasonal affective disorder) and smoking cessation therapy
A/E most serious seizures
common agitation,headache,dry mouth |
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Term
MAOI
Monoamine oxidase inhibitor
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Definition
phenelzine(nardil)
block MAO in the brain increasing norepinephrine and serotonin available for transmission=byebye depression
A/E CNS stimulation(anxiety,agitation,mania) Orthostatic hypotension
Most dangerous hypertansive crisis from eating foods with tyramine(yogurt,cheese,chocalate,red wine,yeast sausage,bananas,smoked meat) |
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Term
Bipolar Disorder
Aripirazole(abilify)
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Definition
makes it ABIL to wait for therapeutic levels of lithium
Dopamine and serotonin agonist
Adverse effects: Suicidal thoughts, drowsiiness, extrapyramidal reactions, akathisia, confusion, depression
used to control symptoms during manic episodes |
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Term
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Definition
Blocks serotonin receptors and protects against neuronal atrophy and/or promote neuronal growth
A/E: N/V, diarrhea, thirst, polyuria (3Lday) lethargy, slurred speech, hand tremors,muscle weakness
category D do not breastfeed
Later signs blurred vision, seizures, trembling, confusion, and ataxia
some uses alcoholism,bulimia |
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Term
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Definition
initial 0.8-1.4
good level 0.4-1.0
toxic>1.5
must maintain a good sodium level 135-145 low sodium causes lithium buildup
Can take with aspirin
take with food and maintain a normal sodium intake
drink 2-3 liters of fluid per day
monitor blood levels regularly |
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Term
Benzodiazepines
nonbarbituate sedative hypnotic
(Anxiety)Alprazolam(xanax)
(anxiety-epileptics)Lorazepem(ativan)
(anxiety-musclespasm)Diazepam(valium)
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Definition
Enhance the action of GABA in the CNS brain
Calming effect on the CNS
Useful to control agitation and anxiety
Not used for long time due to rebound insomnia
With valium give flumazenil for overdose
take before bed avoid alcohol and other cns stimulants |
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Term
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Definition
Paradoxal excitement-insomnia,excitation,euphoria,anxiety, rage
Side effects drowsiness dizziness vertigo lethargy
hangover effect due to REM rebound
OVERDOSE is drowsiness, lethargy,confusion,slow respirations |
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Term
ADHD CNS Stimulants
R.A.S.
these kids and people will ras you |
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Definition
Methylphenidate(Ritalin,Concerta)
Amphetamine(adderall XR)
Atomoxetine(strattera) |
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Term
ADHD CNS Stimulants
Methylphenidale(Ritalin,Concerta)
Amphetamine(Adderall XR)
Atomoxetine(strattera) |
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Definition
Release Norepinephrine and dopamine in the brain and inhibit reuptake
A/E:CNS stimulation insomnia and restlessness weight loss, dysrhythmias,and angina, paranoid psychosis
Take Am dose after breakfast and pm early afternoon to minimize interference with eating
strattera can cause suicidal thinking |
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Term
ADHD CNS stimulants
Methylphenidale(ritalin,concerta)
Amphetamine(adderallXR)
Atomoxetine(Strattera) |
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Definition
IMprove attention and focus
Nursing diagnosis might be sleep pattern disturbance with adderall, possibly used with narcolepsy, are give orally
monitor for reduced appetite, emotional lability,do not crush or chew. can cause suicidal thoughts
increase wakefulness, alertness, reduce fatigue, augment self confidence, supress appetite and perception of pain and increase heart rate |
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