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PSYCHMEDS Word Scramble

 
 

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Question Answer
2ND GENERATION/ATYPICAL ANTIPSYCHOTICSCLOZAPINE(CLAZARIL)USED AS A LAST RESORT FOR PEOPLE WITH RETRACTABLE PSYCHOSIS.S/E DROWSINESS, SEDATION, DIZZINESS, TACHYCARDIAPOSS FATAL S/EAGRANULOCYTOSIS, CONVULSIONS, NEUTROPHILS < 2000/ABSOL NEUTROPHILS <1000 D/C PERM
MOOD STABILIZERSLITHIUM, TEGRETOL(carbamazepine), DEPAKOTE (divalproex), LAMICTAL (lamotrigine), NEURONTIN (gabapentin), TOPAMAX (topiramate), KLONOPIN (CLONAZEPAM)**USED FOR BIPOLAR, MOOD CHANGES WITH MANIA AND PSYCOSIS
LITHIUMMOST ESTABLISHED STABILIZER, NORMALIZES REUPTAKE OF NT, REDUCES RELEASE OF NOREPI, ACTION OCCURS INTRACELLULARLY INSTEAD OF AT SYNAPSE, REQUIRES SERUM MONITORING
LITHIUMTHEURAPEUTIC RANGE 0.6-1.2S/E: N/D ANOREXIA, FINE HND TREMOR, POLYURIA, POLYDIPSIA, METAL TASTE, FATIGUE, >WBC..LATER S/E: WGT GAIN, ACNE, ALOPECIA, COARSE TREMORS, CONFUSSION, SLURRED SPCH, SEDATION..EVENT LEADING TO: ARRITHYMIAS, SEIZURES, COMA, DEATH
LITHIUM TEACHINGCOMPLIANCE, SERUM LEVELS, TAKE WITH FOOD, HYDRATION, Na INTAKE SHOULD STAY AT LEVEL AS WHEN MED WAS THERAPEUTIC.HAND TREMORS...HOLD LITHIUM
SEROTONININHIBITS CATECHOLAMINE AND MEDIATES COGNITIVE EFFECTS, EMOTIONS DURING PANIC, MEMORY AND ANXIETY, VIOLENCE/AGGRESSION, SEXUAL FUNCTION, SLEEP/WAKE CYCLE
ANTIDEPRESSANTS TYPICAL/STANDARDELAVIL (amitriptyline), TOFRANIL (imipramine)req bld level, PAMELOR (nortriptyline) req bld levelANTICHOLINERGIC S/E, CARDIAC S/E1980'SOD=DEATHNEEDS TO BE TAPERED OFF
ANTIDEPRESSANTS SSRI'SPROZAC (fluexetine)stim effect, ZOLOFT (sertraline), PAXIL (paroxetine), CELEXA (citalopram), LEXAPRO (escitaopram)1990'sOD=SEROTONIN SYNDROME
ANTIDEPRESSANTS MAOI'SMARPLAN(isocarvexazid), NARDIL(pheneizine), PARNATE(tranylcypromine)menoamine oxidase inhibitors MENOAMINES(NOREPI,EPI, DOPAMINE,TYRMINE)TRYPTOPHAN WILL INCREASE TYRAMINE WHICH >BP.DIETARY RESTRICTIONS: AGED,SMKD,FERM FOORS,ETOH,COFF,CHOC, MANY OTC MEDS
MAOI'SMUST BE D/C GRADUALLYORIGINALLY USED FOR TBPATIENT MUST BE COGNITIVELY AWARE ENOUGH TO FOLLOW DIET AND RESTRICTIONS