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Mental Health Unit 3
Pharmacology
| Question | Answer |
|---|---|
| Selective Serotonin Reuptake Inhibitors (SSRI) | inhibit serotonin uptake to produce an antidepressant response |
| Selective Serotonin Reuptake Inhibitors (SSRI) are Selective or Nonselective | Selective serotonin |
| Nonselective Serotonin Reuptake Inhibitors are Selective or Nonselective | Nonselective serotonin |
| Commonly used SSRI drugs | Celexa, Paxil, Effexor, Zoloft, Lexapro, Luvox |
| How early can Zoloft work | as early as 1-2 weeks |
| Can Zoloft be given at bedtime for sleep | yes |
| What are some major considerations when taking SSRIs | Monitor liver and renal functions as well as neutrophils; Monitor for priapism-a painful, prolonged erection; avoid alcohol |
| If you take Prozac what should you do | take early in the day to avid interference with sleep |
| What are some side effects of SSRI | Dry mouth and Sexual Dysfunction |
| Before giving medication what should you do | monitor Liver Function Test (LFTs) Check the liver |
| How long does it take for medication to work | about 1 month (30 days) |
| If the patient is feeling better should they stop their medication | Do not stop the medication when starting to feel better |
| In patient medication what can ensure patient compliance | the least number of dosage |
| Can you take alcohol or other illegal drugs while take prescription medication | no |
| If a client has a SUDDEN change in mood what should you suspect | Suicidal ideation; ask about a plan |
| Mental Health patients always have a concerns for | Sexual Dysfunction |
| What side effect should you encourage the use of hard candies or sugarless gums | For Dry Mouth |
| Should you abruptly stop mental medications | No; do not abruptly stop any of these medications; Taper all doses |
| Can you mix two classes of medications | you cannot mix two classes of medications together |
| What happens when you mix two medication classes | leads to hypertensive crisis or spiraling of mental health condition |
| Should fall precautions be implemented for any client taking mental health | Yes |
| What medications Blocks Serotonin uptake | SSRIs |
| Which SSRI medication can work as early as 2 weeks | Zoloft |
| What two SSRI medications should be given at bedtime to curtail issues with insomnia | Prozac and Zoloft |
| What SSRI medications should be taken early in the morning | Celexa Effexor Lexapro Luvox |
| Tricyclic Antidepressants (TCAs) medications | blocks reuptake of norepinephrine and serotonin |
| What medication class is most lethal of all mental health drugs | Tricyclic Antidepressants (TCAs) |
| What medications may reduce effectiveness of seizure and antihypertensive medications | TCAs (Tricyclic Antidepressants |
| What does Monoamine Oxidase Inhibitors (MAOIs) medications do | Inhibits MAO enzyme which turns into amines |
| What is a commonly used MAOI medication | Parnate |
| What could the drug Parnate trigger | headaches |
| What drug class is were mostly everything interferes with these drugs and causes patients to have unusually high blood pressures | MAOI |
| What tyramine foods should you avoid while taking MAOI medications | sour cream, aged cheese, pickled herring, avocados, bananas, figs, sausage, bologna, pepperoni, salami, soy sauce, raisons, red wine, organ meats (NO LIVER AND ONIONS), caffeine and chocolate |
| What does Antimanic medications do | affect cellular transport enhancing serotonin function |
| What drug is used cautiously with diuretics and NSAIDS | Lithium |
| A Lithium level higher than 1.2 is considered | more deadly |
| What is needed to bind with Lithium to make it work | Salt |
| What do antianxiety/anxiolytics drugs do | depress CNS increasing levels of GABA producing relaxation and decreasing limbi system |
| What should you monitor for when taking anxiety medications | monitor for ups and owns of mood and emotion |
| Who shouldn't use anxiety medicaitons | those with a history of alcohol abuse |
| Do Benzos rapidly or slowly absorb in the body? | Benzos rapidly absorb in the body |
| This medication is the worst Benzos because it absorbs so fast, and most patients have a feeling of being out of it quickly | Xanax |
| What is the classical manifestations telling the nurse something is wrong | ataxia, sedation, and dizziness |
| What medication class depress reticular activating system; the part of the brain responsible for operations of respirations, cardiac rhythms and consciousness | Insomnia Agents |
| What medication class expect a handover effect and it goes away in about 2 weeks | Insomnia Agents |
| What medication is both an antidepressant and insomnia medication | Remeron |
| What medication class improves thought processes by blocking dopamine in the brain; blocks chemoreceptor trigger zone and vomiting center in the brain | Antipychotics |
| What is termed a typical agent | produces the single effect you want |
| what term mean producing combined effects | Atypical |
| What medication is an atypical and typical agent and has less side effects | Risperdal |
| What is the most common side effect of Antipyschotics | akathisia (they can't be still) |
| Electro Convulsive Therapy (ECT) must have what from a patient | informed consent |
| What patients usually can't receive ECT | if they have Cardiac Decompensation (MI), TB (acute or chronic), End stage respiratory disease, recent fractures or osteoporosis, COPD, Emphysema, or Chronic Bronchitis |
| Should a patient receiving ECT be turned on their right side | No, the patient should be turned on the left side |
| What a patient is using ECT what should you monitor for | postoperative seizures, fractures, aspirations and changed in BP |
| Can a patient have something to eat 2 hours before ECT | No, NPO |
Created by:
Valadiece
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