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Stack #161754
Question | Answer |
---|---|
Stadol/butorphanol | decreases pain without the resp.depression and GI side effects. Is not as effective in treating moderate to severe pain as agonsits. |
Benzodiazepine- Valium/diazepam | Acts by increasing neurotransmitter levels in the brain which reduces anxiety and relaxes muscles. |
Barbiturates-Luminal/pentobarbital | used to treat anxiety, seizures and to produce analgesia and sedation. Ultra short to long acting. |
Amphetamines-dexadrine/dextroamphetamine | acts by increasing production of norepinephrine, dopamine, and serotonin.(causes euphoria, mental alertness, decreases fatigue, sympathetic ns stimulation. |
Tricylic agents-Elavil/amitriptyline | More side effects than newer agents, SE: sedation, ortho.hypotension, weight +, anticholingeric effects.Most serious SE: cardiac toxicity/arrythmias. |
SSRI's- Prozac/Fluozetine | Less serious side effect than tricylics, very effective in treating major depression. SE: sexual dysfunction, weight +/-, nausea, headaches, insomnia. |
Serotonin Syndrome | usually begins with first few days of therapy.usually caused by drug interaction with other serotonergics/MAOI S&S: altered mental status, incoordination, fever, etc. |
MAO inhibitors | often used in atypical depression-bulimia, panic attacks, OCD, SE: CNS stimulation, hypotension, weight gain, sexual dysfunction.Hypertensive crisis if patient eat foods with tyramine. |
Mood stabilizer: Eskalith/lithium | used to treat mania in bipolar disorder,narrow range, 75% of pts will have one or more of these effects: tremors, weight gain,fatigue, polydipsia, polyuria, edema, GI upset |
Typical anti-psychotics- Thorazine/chlorpromazine | more effectice at treating postive effects. low to high potency agents. |
Extrapyramidal symptoms | early-dystonia,akathisia, parkinsonism. Late-Tardive dyskinesia treatment:benadryl, cogentin |
Neuroleptic Malignant Syndrome | The most serious of all SE, characterized by lead-pipe rigidity, sudden high fever and changes in cognition. Dantrium/dantrolene |
Atypical Anti-psychotic agent- Risperidone/Risperdal | SE: Orthostatic Hypotension, sedation, antiolinergic effects. These agents cause fewer EPS |
Clozaril/clozapine | major SE of most other atypical antipsychotics is agranulocytosis. Patients are taught to report sore throat, fever, mucous membrane, ulceration and fatigue. |
Muscle relaxantsCentral acting- Flexeril/cyclobenxaprine | Used to relieve acute muscle spasm. SE: drowsiness, dizziness. Don't use with other CNS depressants. |
Lioresal/baclofen | treats spasticity, acts by relieving spasms at the spinal cord level. SE: drowsiness. |