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Psychotropic Meds
Chronicity Test 1
| Question | Answer |
|---|---|
| These drugs prevent the re-uptake of norepinephrine and serotonin | Antidepressants |
| Imipramine, Amitriptyline and Trazadone are examples of what type of anti-depressant? | Older generation: Tricyclic and heterocyclic antidepressants |
| Phenalzine (Nardil) is an example of what type of anti-depressant? | MAOI's: Monoamine Oxidase Inhibitor |
| Burproprion (Wellbutrin) is an example of what kind of anti-depressant? | Dopamine reuptake inhibitor, Norepinephrine reuptake inhibitor |
| Fluoxetine (Prozac) Sertraline (Zoloft) Paroxetine (Paxil) Citalopram (Celexa) Fluvoxamine (Luvox) Escitlopram (Lexapro) are examples of what type of anti-depressant? | SSRI's: Selective Serotonin Reuptake Inhibitors |
| Duloxitine (Cymbalta) Venlafexine (Effexor) Desvenlafexine (Pristiq) are examples of what type of anti-depressant? | SNRI's: Selective Norepinephrine Reuptake Inhibitors |
| Sarafem and Zyban are both marked under different names, what are they? | Sarafem=Prozac and Zyban=Wellbutrin |
| Name some side effects to newer generation drugs like SSRI's and SNRI's | Insomnia, sedation, weight loss, GI upset, sexual dysfunction |
| Name some side effects to older generation drugs like TCA's, HCA's, and MAOI's | Dry mouth, blurred vision, urinary retention, tachycardia, bradycardia, orthostatic hypertension, hypertensive crisis (MAOI) |
| These class of drugs help block receptors for the transmission of dopamine and inhibits neurotransmitter involvement in facilitating nerve impulse transmissions | Antipsychotic agents |
| Chlorpromazine (Throazine) Fluphenazine (Prolixin) Thiothixene (Navane) Haloperiodol (Haldol) Perphenazine (trilafon) are examples of what type of antipsychotic? | Older generation: Typical antipsychotics |
| Clozapine (Clozaril) Risperidone (Risperdal) Olanzapine (Zyprexa) Ziprasidone (Geodon) Seroquel are examples of what type of antipsychotic ? | Atypical antipsychotics |
| Name some antipsychotics that are created for long acting injectables | Invega sustenna, risperdal consta, zyprexa relprivv, haldol deconate, prolixin deconoate |
| Name some EPSE (Extra pyramidal side effects) and to what antipsychotic to they belong too? Typical or Atypical? | Akathesia (restlessness), akinesia (numbness/tingling) , dystonia (thick tongue), rigidity, tremor, tardive dyskenesia (mouth tick) |
| Name some common side effects for atypical antipsychotics | Sedation, anticholinergic SE (dry mouth, blurred vision, urinary retention), tachycardia |
| Clozaril (atypical antipsychotic) has what side effect? | Agranulocytosis, be sure to check WBC |
| What are some nursing considerations when working with a patient who is taking Clozaril (atypical antipsychotic)? | WBC at least once a week, sore throat, fever, weakness, fatigue |
| Name a solution if you found a patient cheeking medication. | Use liquid or dissolvable forms |
| This class of drug is often used for people who are manic. | Lithium |
| What drug class may enhance re-uptake of norepinepheron and serotonin, may also inhibit release of norepinephrine and increase its reuptake. | Lithium |
| Metallic taste in mouth, and tremors are side effects to what drug class? | Lithium |
| The following S/S of lithium toxicity are for which, Moderate or Severe toxicity? Impaired consciousness, confusion, seizures, coma and death | Severe |
| The following S/S of lithium toxicity are for which, Moderate or Severe toxicity? Diarrhea, nausea, vomiting, tinnitus, blurred vision, increased tremors | Moderate |
| When using lithium, when the client reports _______ hold the medication and contact the physician to avoid ________. | Diarrhea, further toxicity |
| What nursing consideration should you have in regards to fluid intake and a patient taking lithium? | Too much can flush lithium from system, too little can create toxic blood levels. |
| Toxicity occurs at _____mEq/L and above (in regards to lithium) | 1.5 |
| This drug is used for impulse control and control of aggression | Anticonvulsants |
| Topirimate (Topamax), Carbamazepine (Tegretol), Clonazepam (Klonopin) Valproic acid (Depakote) Gabapentin (Neurontin) are what kind of mood stabilizers? | Anticonvulsants |
| Name 2 SE for anticonvulsants | Drowsiness and ataxia (stumbling) |
| These affect gamma amino butyric acid (GABA) which has an inhibitory response on the post synaptic nerve cell to decrease nerve impulses. | Anti-anxiety Agents |
| Diazepam (Valium), Lorazepam (Ativan), Alprazolam (Xanax), Buspirone WCL (Buspar) are meds used to help control ______. | Panic attacks |
| This drug is used for anxiety relief, as a hypnotic and to ease symptoms of ETOH withdrawal. | Anti-anxiety meds |
| True/False?: Diazepam (Valium), Lorazepam (Ativan), Alprazolam (Xanax) are addictive medications | TRUE |
| Name 2 SE for anti-anxiety meds | Drowsiness and dizziness |
| What can happen in the elderly who are using addictive meds? | Paradoxical reaction, such as increased hostility, insomnia, and excitability |
| True/False?: Alcohol potentiates SE | TRUE |
| True/False?: Most anti-anxiety medications are addictive, especially Buspar. | FALSE |
| Name S/S of an individual who is going through withdrawal. | Increase HR, Increase BP, Increase Respirations, Increase Agitation |
| Beztropine (cogentin) Diphenhydramine HCL (benedryl) are what type of medication | Anti side effect medications |
| Name some side effects to anti side effect medication | Anticholinergic side effects, bowel and bladder paralysis |
| Confusion and psychosis are related to toxicity in what type of medication? | Anti side effect medication |
Created by:
bberg