Question | Answer |
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. |