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Psychiatric meds
| Question | Answer |
|---|---|
| What does the neurotransmitter serotonin do? | Sara makes you happy. |
| What are the SSRIs and what are they used for? | Selective Seritonin Reuptake Inhibitors: anti-depressant |
| SSRI drugs end with ______. Example? | "tine", "line "Fluoxetine (Prozac) Paroxetine (Paxil); Sertraline (Zoloft) |
| Side effects of SSRI'S..HINT: SSRI | Suicide, serotonin syndrome, reproduction dysfunction, insomnia |
| Symptoms of serotonin syndrome | agitation, hyperthermia, tremors |
| What do MAO's treat. | Depression |
| How do they work? | Inhibits an enzyme MAO that is responsible for breaking down neurotransmitters. Also breaks down tyramine which controls blood pressure. |
| Give example of MAO | selegiline (Eldepryl) also (P-N for psych nurse) -(Parnate) and (Nardil); |
| What are the side/adverse effects of MAOIs? | CNS Stimulation(nervousness, increased B/P, and HR. HYPERTENSIVE CRISIS (resulting from intake of tyramine): |
| What are some tyramine-rich foods? | Aged cheese, pepperoni, salami, avocados, figs, bananas, smoked fish, protein, some dietary |
| What does lithium treat? | bipolar |
| Nursing considerations for lithium | Need regular blood work. It's a salt. Avoid using table salt. |
| Lithium toxicity | drowsiness, blurred vision, confusion, tremors, coma |
| How long does it take for antidepressant medication to work? | 2-4 weeks |
| What are TCAs and give an example | 3 ringed chemical that keeps norepinephrine and serotonin in the nerve terminals. Used for Depression, Depressive episodes of bipolar disorder. Example amitriptyline (Elavil) |
| What are the side/adverse effects of TCAs | Orthostatic hypotension; Anticholinergic effects (dry mouth, blurred vision, urinary retention, constipation, tachycardia) |
| What does the neurotransmitter dopamine do? | Neurotransmitter of pleasure and coordinated movement. |
| Schizophrenia patients are thought to have an excess of what neurotransmitter? | dopamine |
| Example of dopamine antagonist? | chlorpromazine (Thorazine), thioridazine (Mellaril ), clozapine (Clopine), |
| Common side-effects of dopamine antagonist | sedation, dystonia, expyramidal effects (uncoordinated movement-too little dopamine) |
| What does the neurotransmitter gaba(for short) do? | Inhibitory neurotransmitter that quiets nerves. |
| How do benzodiazepines work? | Enhance gaba |
| Ending and Example of a benzodiazepine | Pam-diazepam (valium), lorazepam (ativan)..end in PAM-she's an anxious lady.;) |
| What are benzodiazepines used for? | anxiety, seizures, deliurium tremors |
| Benzodiazepine side effects | drowsiness, sedation, amnesia, confusion |
| What kind of diet is needed for those on MAO inhibitors | Low tyramine diet |
Created by:
tgwin7
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