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psychopharm

nursing 211 psych

QuestionAnswer
role of nurse: ethical and legal implications- we need to understand what the implications associated with the administration of psychotropic meds
neurotransmitters: they are what; where are the chemicals stored; what runs through the neuron; the electrical impulse stimulates what; chemicals; in the axon terminals of the presynaptic neuron; an electrical impulse; the neuron to release neurotransmitters
neurotransmitters: where are the neurotransmitters released into; what determines whether or not another electrical impulse is generated the synaptic cleft; the synaptic cleft
how do psychotropics work: receptors- they are molecules that are situated where; they are the binding sites for what; on the cell membrane; neurotransmitters
neurotransmitters: dopamine: aka; these influence what; too much causes what; too little causes what; what old meds increase it; what new meds effect it DA; emotional behavior; mania; parkisonium s/s flat effect; thorazine, Haldol; abilify, Seroquel, zyprexa
neurotransmitters: norepinephrine: aka; what secretes this; this is secreted in response to what; when we do not have enough what med do we take; NE; the adrenal glands; stress; SNRI;
neurotransmitters: acetycholine- aka; what nervous system is this located; this gets inadvertently blocked with what; when this is blocked with other meds this is called what Ach; peripheral and central; others meds; anticholinergic effect
neurotransmitters: serotonin- aka; this effects what; not enough causes what; too much causes what; some meds can cause ___ syndrome; what is tx for serotonin syndrome; 5-HT; sleep arousal, pain, perception, libido, apetite; depressed; psychosis; serotonin syndrome; reduce meds
neurotransmitters: GABA- this inhbits what; what promotes it; the CNS; ETOH and benzos
how psychotropics work: antidepressents- they block what; MAOIs prevents the metabolism of what reuptake of neurotransmitters; neurotransmitters
how psychotropics work: antipsychotics- they block what; where are these blocked dopamine; in the post synaptic site;
how psychotropics work: benzodiazepines- this facilitates the transmission of ___; examples; GABA; Ativan, xanax
how psychotropics work: psychostimulants- ex of illegal; ex of legal; this increases the release of what meth; Adderall, ridalin; neurotransmitters
background assessment data for antianxiety agents: indication for them; what is the action for them; who are they contraindicated in; anxiety disorders, anxiety s/s, acute alcohol withdrawal, skeletal muscle spasms, convulsive disorders, status epilepticus, preoperative sedation; depression of the CNS; known hypersensitivity, in combo with CNS depres, preg/lactation, glaucoma, coma,
background assessment data for antianxiety agents: indication for them: who should we use these catiously with; teach what; what are nrsg dx; are they for long term use elderly, debilitated clients, clients with renal or hepatic dysfunction, hx of ETOH, depressed or suicidal; how sedating they can be; risk for injury; no
background assessment data for antidepressents: indications; dysrythmic disorders, major depression,depression associated with organic disease, ETOH;
background assessment data for antidepressents: action- they increase the concentration of what in the body; how do they increase these; norepi an serotonin; by blocking their reuptake by the neurons or by inhibiting the release of monoamine oxide
background assessment data for antidepressents: action- what meds block the reuptake by the neuron; what meds inhibit the release of monoamine oxidase tricyclics, tetracyclics, SSRIs; MAOIs
background assessment data for antidepressents: why is there a black box warning for suicidal idiations the med can life pt out of depression at first just enough to act out suicide before the med is at the maxed potential
serotonin reuptake inhibitors: name them; these block the reuptake of what; what is the major side effects; Prozac, Zoloft, luvox, celexa, Lexapro; serotonin; serotonin syndrome;
serotonin syndrome: what happens to temp; what happens to bp; what happens to consciousness; what happens to muscles; what is med tx; increases; increases; confusion, halluncinations, agitation, drowsiness; rigid, hyperflexia; periactin or cyproheptidine
SNRI: what is the dual action; examples of them; what med can also be used for chronic pain; what med is also used for metapausal hot flashes blocks both serotonin and norepi; Effexor, Cymbalta, pristiq; Cymbalta; pristiq
MAO inhibitors: what are the examples; what are the diet restrictions; why is there diet restriction; why is med not given much monoamine oxidase, tyramine; cant have aged cheese, red wine, hard salami; tyramine effects if these foods are eaten causing a pounding Ha and increased BP; bc the diet restrictions are hard to maintain
MAO inhibitors: why does position need to be moved slowly; why is it lethal in overdose;examples due to risk for hypotension; bc it changes QT interval; clomipramine(anafranil), imipramine(tofranil), amitriptyline (Elavil), nortriptyline(pamelor), desipramine(desyrel)
mood stabilizing agents: indications; examples; what is action of lithium; there is a very narrow window of what for lithium prevention and tx of manic episodes associated with bipolar disorder; lithium carbonate; changes electrical conduction, enhances uptake of norepi; therapy
mood stabilizing agents: lithium- this is toxic to what, what concurrent med do we need to be careful with kidneys, diuretics
mood stabilizing agents: other examples; clonazepam, carbamazepine, valproic acid, lamotrigine, gabapentin, topitamate, verapamil, variousantipsuchotic;
antipsychoics: examples; indications; abilify, invega, zyprexa, clozaril, geodan, Risperdal; treatment of acute and chronic psychoses, selected agents are also used in the tx of bipolar mania, intractable hiccups, control of tics in tourettes;
antipsychoics: action; unknown but thought to block postsynaptic dopamine receptors in the basal ganglia, hypothalamus, limbic system, brainstem, medulla;
EPS: what are s/s of this; what med is given to treat these s/s dystonia-spasms, muscle tightening, pseudo-parkinsonism, akathisia, tardive dyskinesia; Cogentin, Benadryl, Ativan, artane, akineton, Inderal, symmetrel,
Created by: jmkettel