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Med Postings #1&2

Mental Meds For Quiz

QuestionAnswer
What is the classification of Prolixin (fluphenazine)? Antipsychotic
What is the classification of Elavil (amitriptyline)? Antidepressant - Tricyclic
What is the classification of Haldol (haloperidol)? Antipsychotic, Neuroleptic
What is the classification of Lithium? Antimanic, Antipsychotic, Mood Stabilizing Agent
What is the classification of Klonopin (clonazepam)? Anticonvulsant
What is the classification of Risperdol (risperidone)? Antipsychotic
What is the classification of Librium (chlordiazepoxide)? Antianxiety
What is the classification of Cogentin (benztropine)? Antiparkinson's Agent, Anticholinergic
What is the classification of Zyprexa (olanzapine)? Antipsychotic, Neuroleptic
What is the classification of Lamictal (lamotrigine)? Anticonvulsant
Generic name for Thorazine? chlorproMAZINE
Generic name for Prolixin? fluphenazine decanoate
Generic name for Zyprexa? olanzapine
Generic name for Risperdol? risperidone
Generic name for Elavil? amitriptyline
Generic name for Haldol? haloperidol
Generic name for Cogentin? benztropine
Common SE of Librium? Dizziness, drowsiness, confusion, lethargy, dry mouth, N/V, blood dyscrasias, dependency and tolerance
Common SE of Xanax? Dizziness, drowsiness, confusion, lethargy, dry mouth, N/V, blood dyscrasias, dependency and tolerance
Common SE of Serax? Dizziness, drowsiness, confusion, lethargy, dry mouth, N/V, blood dyscrasias, dependency and tolerance
Common SE of Valium? Dizziness, drowsiness, confusion, lethargy, dry mouth, N/V, blood dyscrasias, dependency and tolerance
Common SE of Tranxene? Dizziness, drowsiness, confusion, lethargy, dry mouth, N/V, blood dyscrasias, dependency and tolerance
Common SE of Risperdol? EPS, drowsiness; dizziness, dry mouth; constipation, increased appetite; wt gain, ECG changes, hyperglycemia and diabetes, sedation, agitation, insomnia, HA
Neuroleptic Malignant Syndrome hyperthermia, increased CPK, altered mental status, muscle rigidity - give Parlodel or Dantrium to counteract
Pseudoparkinsonism rigidity, tremors, pill rolling, shuffling gait
Tardive Dyskinesia Occurs when prolonged blockade of Dopamine has occured. S/S - bizzare movements of the jaw, mouth, tongue, and extremeties, tongue protrusion, lip smacking, chewing, and choreiform movements
Acute Dystonia Sudden spasms of the neck and tongue pulling to one side
Akathisia Restlessness and inner aggitation, inability to sit still, no pattern to movements
Common SE of Zyprexa? EPS, seizure, HA, neuroleptic malignant syndrome, drowsiness; dizziness, hyperglycemia
Common SE of Geodon (ziprasidone)? EPS, seizure, neuroleptic malignant syndrome, dizziness, tremor, facial droop, torsade de pointes (bursts of an uncommon variable of ventricular tachycardia called polymorphous VT), hyperglycemia
Common SE of Clozaril? Neuroleptic malignant syndrome, sedation, dizziness, HA, tremors, sleep problems, fever, seizures, sweating, confusion, insomnia, slurred speech, agitation, drooling, excessive salivation, leukopenia, agranulocytosis, fast irregular HR, myocarditis
Labs needed with Clozaril? CBC - DC if WBC <3000 or ANC (absolute neutrophil count) <1500 r/t agranulocytosis
S/S Agranulocytosis? Flu like, weakness, lethargy, fever, sore throat, malaise, ulcers on the lips, mouth or other mucous membranes
Serotonin Syndrome Potentially life-threatening effect of SSRIs if they are taken with other antidepressants (buspirone, lithium, dopamine agonists and "triptin" meds, MAOIs, tryptophan, and amphetamines
S/S Sertonin Syndrome Confusion, agitation, tachycardia, HTN, nausea, abd pain, myoclonus (muscle twitching), muscle rigidity, fever, sweating, and tremors
Treatment of Serotonin Syndrome DC offending drug, monitor VS, use cooling blankets, and support vital functions. Cyproheptadine and dantrolene may be prescribed.
Which class of medication is given for EPS? Antiparkinsonian Agents - they restore acetylcholine and dopamine in the brain - Cogentin (benztropine), Akineton (biperiden), Artane (trihexyphenidyl), and Kemadrin (procyclidine)
Oculogyric Crisis Uncontrolled rolling back of the eyes
Lithium Levels Therapeutic level is 1.0-1.5 mEq/L for acute mania and 0.6-1.2 mEq/L for maintenance therapy - Townsend0.4-1.3 mEq/L - ATI
Why load Lamictal (anticonvulsant) gradually over several weeks? To avoid a rare but dangerous skin reaction - hives, fever, swollen lymph glands, painful sores in the mouth or around the eyes, or swelling of the lips or tongue, usually in children, but can affect adults.
Created by: Teigh