Pyschiatric
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| What are the two drug groups of anti anxiety drugs? | Anti histamines, and benzodiazapines
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| What are the anti histamines and the benzo diazepenes | hydroxyzine ( verastaril)
Diazepam ( valium) Lorazepam ( Ativan) Alprazolam ( Xanax)
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| What are benzo's used for ? need to know info | anxiety, seizures, pre op sedation, alcohol withdrawal
Contradicted in Pt with narrow angle glaucoma
Adverse effects- drowsiness, dizziness, sedation, retrograde amnesia, hypotension, GI issues, HA
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| What are anti histamines used for? | anxiety, pre-post op sedation, N/V
IM only-no IV or subq
monitor sedative effects
Adverse Effect, HA, hypotension, dry mouth, dizzy, hives
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| What are the Antipsychotic drug groups? | Phenothiazines, Nonphenothiazines, Atypical Antipsychotics, Lithium
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| The Phenothiazines include and used for ? | Chlorpromazine * Thorazine, Fluphenazine ( prolixin)
- psychotic disorders- schizophrenia, mania, tourettes
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| Need to know about phenothiazines ? | Thorazine - may cause orthostatic hypotension
Adverse effects - extrapyramidal reactions, neuroleptic malignant syndrome, seizures, anorexia, urinary retention, dry mouth, leukopenia, agranulocytosis, sedation, tardive dyskenisa - long use
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| What are the Nonphenothiazines and the use ? | Haloperidol - Acute and chronic psychosis - schizophrenia restiance to other meds, Touretts, children w/ serve behavior issues, combative, suppress narcotic withdrawal.
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| Haldol contradictions and adverse effects? | Contradicted w/ narrow angle glaucoma, severe hepatic, renal, cardiovascular disease, parkinsons
- Life threatening effects tachycardia, seizures, urinary retention, reparatory distress, layrngospasm, neuro malignant syndrome, dysrhythmias
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| Atypical Antipsychotics include used for? | Risperidone ( Risperidal) Quetapine ( Seroquel) Aripiprazole ( Abilify)
- Phychotic disorder - Schizophrenia, bipolar, mania
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| Need to know Aytypical Antipsychotics | Less likely to cause extrapyramidal effects, nueroleptic malignant syndrome, tar dive dyskinesia, - phenothiazines
Adverse effects- sedation, drowsy, weight gain= eat more, orthostatic hypotension, HA, dry mouth agitation, anxiety
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| Litium use, levels, contradiction, toxic effect, longterm, monitor | Mania, bipoalr
theareputic 1-1.5 meq/L >2 toxic
Contradiction less than 12 , hypothyroidism
Effect- tremor , confusion, seizure, death
Longterm-causes hypothyroidism
montior Na - need normal levels
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