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Psych meds

Lab test for clozapine (Clozaril) WBC due to agranulocytosis
irreversible involuntary movements (face, lips, tongue, arms, legs) tardive dyskinesia
muscle rigidity, hyperpyrexia, agitation, tachycardia, hypotension, diaphoresis; extreme cases---coma and death serotonin syndrome
fluphenazine (Prolixin) 1st generation antipsychotic
T or F? A client who takes an SSRI with an MAOI is at risk for hypertensive crisis? false; at risk for serotonin syndrome
methylphenidate drug class ADHD stimulant
disulfiram (Antabuse) alchohol antagonist
buspirone drug class nonbenzo anxiolytic
lithium drug class anti-manic
rigidity, hyperpyrexia, unstable/elevated BP, diaphoresis, pallor, delirium NMS
neurotransmitter: complex movements, motivation, cognition, regulation of emotional responses dopamine
neurotransmitter: mood, sleep, sex, temperature regulation serotonin
neurotransmitter for: attention, learning, memory norepinephrine
haloperidol (Haldol) drug class 1st generation antipsychotic
aripiprazole (Abilify) drug class 3rd generation antipsychotic
clozapine (Clozaril) drug class 2nd generation antipsychotic
doxepin (Sinequan) TCA
What time of day does pt take: TCAs? SSRIs? TCA=HS, SSRI=AM
fluphenazine (Prolixin) 1st generation antipsychotic
lurasidone (Latuda) 2nd generation antipsychotic
olanzapine (Zyprexa) 2nd generation antipsychotic
quetiapine (Seroquel) 2nd generation antipsychotic
ziprasidone (Geodon) 2nd generation antipsychotic
risperidone (Risperdal) 2nd generation antipsychotic
chlorpromazine (Thorazine) 1st generation antipsychotic
fluoxetine (Prozac) SSRI
citalopram (Celexa) SSRI
paroxetine (Paxil) SSRI
sertraline (Zoloft) SSRI
venlafaxine (Effexor) SSNRI
duloxetine (Cymbalta) SSNRI
foods that may affect lithium caffeine-may lower lithium level; sodium-avoid major changes in salt intake (no sudden increase/decrease)
St John's Wort herbal for depression
foods to avoid with St. John's Wort tyramine foods; can cause hypertensive crisis
alprazolam (Xanax) benzodiazepine anxiolytic
lorazepam (Ativan) benzodiazepine anxiolytic
chlordiazepoxide (Librium) benzodiazepine anxiolytic
clonazepam (Klonopin) benzodiazepine anxiolytic
buspirone (Buspar) nonbenzodiazepine anxiolytic
methylphenidate (Ritalin) ADHD stimulant
amphetamine mixture (Adderall) ADHD stimulant
foods to avoid with ADHD caffeine, sugar, chocolate
tacrine (Cognex) anti-dementia (mild to moderate dementia)
lab test for Cognex LFTs (usually every 1-2 weeks d/t med increases liver enzymes; rarely prescribed)
donepezil (Aricept) anti-Alzheimer's (early to moderate Alzheimers)
mamatine (Namenda) anti-Alzheimer's (moderate to severe Alzheimer's)
varenicline (Chantix) nicotine receptor agonist
disulfiram (Antabuse) alcohol antagonist
methadone opioid agonist
naloxone (Narcan) opioid antagonist
valerian herbal used for insomnia, ADHD, anxiety, depression
foods to avoid with MAOIs tyramine foods; can cause hypertensive crisis
nortriptyline (Pamelor) TCA
dry mouth, constipation, urinary hesitancy or retention anticholinergic effects
EPS acute dystonia, pseudoparkinsonism, akathisia
acute muscular rigidity and cramping, a stiff or thick tongue with difficulty swallowing, and, in severe cases, laryngospasm and respiratory difficulties acute dystonia
shuffling gait, mask-like faces, muscle stiffness (continuous) or cogwheeling rigidity (ratchet-like movements of joints), drooling, and akinesia (slowness and difficulty initiating movement) pseudoparkinsonism
intense need to move about; characterized by restless movement, pacing, inability to remain still, and the client’s report of inner restlessness akathisia
treatment for EPS lowering the dosage of the antipsychotic, changing to a different antipsychotic, or administering anticholinergic medication or Benadryl
A decrease in which neurotransmitter has been implicated in seizure disorders? GABA
disulfiram (antabuse) used concurrently with alcohol will cause what? acetaldehyde syndrome
N/V, weakness, sweating, palpitations, hypotension; can progress to resp. depression, CV suppression, seizures, death acetaldehyde syndrome symptoms
action of antipsychotic meds block dopamine
1st gen antipsychotics affect positive or negative symptoms? positive
2nd gen antipsychotics affect positive and/or negative symptoms? positive and negative
3rd gen antipsychotics affect positive and/or negative symptoms? positive and negative; can also improve cognitive functioning
3 or more of these symptoms are criteria for metabolic syndrome obesity, HTN, hyperglycemia, hyperlipidemia
action of TCAs? blocks serotonin and norepinephrine
action of SSRIs? blocks serotonin reuptake
action of SSNRIs? blocks serotonin and norepinephrine
action of benzos? mediation of GABA
action of Buspar? partial agonist activity at serotonin receptors
Created by: nurse savage