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Pyschiatric

What are the two drug groups of anti anxiety drugs? Anti histamines, and benzodiazapines
What are the anti histamines and the benzo diazepenes hydroxyzine ( verastaril) Diazepam ( valium) Lorazepam ( Ativan) Alprazolam ( Xanax)
What are benzo's used for ? need to know info anxiety, seizures, pre op sedation, alcohol withdrawal Contradicted in Pt with narrow angle glaucoma Adverse effects- drowsiness, dizziness, sedation, retrograde amnesia, hypotension, GI issues, HA
What are anti histamines used for? anxiety, pre-post op sedation, N/V IM only-no IV or subq monitor sedative effects Adverse Effect, HA, hypotension, dry mouth, dizzy, hives
What are the Antipsychotic drug groups? Phenothiazines, Nonphenothiazines, Atypical Antipsychotics, Lithium
The Phenothiazines include and used for ? Chlorpromazine * Thorazine, Fluphenazine ( prolixin) - psychotic disorders- schizophrenia, mania, tourettes
Need to know about phenothiazines ? Thorazine - may cause orthostatic hypotension Adverse effects - extrapyramidal reactions, neuroleptic malignant syndrome, seizures, anorexia, urinary retention, dry mouth, leukopenia, agranulocytosis, sedation, tardive dyskenisa - long use
What are the Nonphenothiazines and the use ? Haloperidol - Acute and chronic psychosis - schizophrenia restiance to other meds, Touretts, children w/ serve behavior issues, combative, suppress narcotic withdrawal.
Haldol contradictions and adverse effects? Contradicted w/ narrow angle glaucoma, severe hepatic, renal, cardiovascular disease, parkinsons - Life threatening effects tachycardia, seizures, urinary retention, reparatory distress, layrngospasm, neuro malignant syndrome, dysrhythmias
Atypical Antipsychotics include used for? Risperidone ( Risperidal) Quetapine ( Seroquel) Aripiprazole ( Abilify) - Phychotic disorder - Schizophrenia, bipolar, mania
Need to know Aytypical Antipsychotics Less likely to cause extrapyramidal effects, nueroleptic malignant syndrome, tar dive dyskinesia, - phenothiazines Adverse effects- sedation, drowsy, weight gain= eat more, orthostatic hypotension, HA, dry mouth agitation, anxiety
Litium use, levels, contradiction, toxic effect, longterm, monitor Mania, bipoalr theareputic 1-1.5 meq/L >2 toxic Contradiction less than 12 , hypothyroidism Effect- tremor , confusion, seizure, death Longterm-causes hypothyroidism montior Na - need normal levels
Created by: Emvilsaint