Medical Treatment of Psychiatric disorders

Jessica Loy
Flashcards by Jessica Loy, updated 6 months ago
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Drug flashcards for MH
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Bipolar is treated with what class of meds? (5) SSRI Atypical Antipsychotic Antianxiety Anticonvulsant Mood Stabilizers
What are the three SSRI drugs used in treatment of Bipolar disorder? (Prozac) fluoxetine (Paxil) paroxetine hydrochloride (Zoloft) sertraline
Prozac treats what in Bipolar disorder? TX of Mania, diminishes frequency and intensity of manic episodes
Side Effects associated with Prozac (fluoxetine)? (4) Nausea Dry mouth Blurred vision Constipation
Contraindications associated with Prozac (fluoxetine)? (1) MAOIs
Nursing Interventions associated with Prozac (fluoxetine)? Oral care Avoid ETOH
(Paxil) paroxetine hch treats what in Bipolar disorder? TX of Mania
Side Effects associated with (Paxil) paroxetine hch? (4) Nausea Dry Mouth Blurred Vision Constipation
Contraindications associated with (Paxil) paroxetine hch? MAOIs Caution with drugs metabolized in the liver
Nursing Interventions associated with (Paxil) paroxetine hch? Oral care Avoid ETOH
(Zoloft) sertraline treats what in Bipolar disorder? Tx of mania
Side Effects associated with (Zoloft) sertraline? (4) Nausea Dry Mouth Blurred vision Constipation
Contraindications associated with (Zoloft) sertraline? MAOIs Suicidal tendencies
Nursing Interventions associated with (Zoloft) sertraline? Oral care Avoid ETOH
Atypical Antipsychotics associated with Bipolar disorder (Abilify) aripiprazole (Zyprexa) olanzapine (Risperdal) resperidone
What does Abilify (aripiprazole) treat in Bipolar disorder? Tx of Mood stabilization
Side Effects associated with Abilify (aripiprazole)? (6) Drowsiness, EPS, dizziness, dry mouth, increased Blood sugar, dry mouth
Contraindications associated with Abilify (aripiprazole)? Increased FBS, extreme agitation, EPS/ TD
Nursing Interventions associated with Abilify (aripiprazole)? Monitor FBS frequency, change position slowly
What does Zyprexa (olanzapine) treat in Bipolar disorder? Tx of Mood stabilization
Side Effects associated with Zyprexa (olanzapine)? (6) Drowsiness, EPS, dizziness, dry mouth, increased Blood sugar, dry mouth
Contraindications associated with Zyprexa (olanzapine)? Increased FBS, extreme agitation, EPS/ TD
Nursing Interventions associated with Zyprexa (olanzapine)? Monitor FBS frequency, change position slowly
Anti-anxiety medications to treat Bipolar disorder? Xanax (alpraxolan) Buspar (buspirone) Restoril (temazepam)
Xanax (alpraxolan) treats what in Bipolar disorder? Tx: Adjustment of manic levels and a mild tranquilizer
Side Effects associated with Xanax (alpraxolan)? (3) Drowsiness , dizziness, fatigue, and excitement
Contraindications associated with Xanax (alpraxolan)? Closed-angle glaucoma, sleep, apnea, and pregnancy
Nursing Interventions associated with Xanax (alpraxolan)? Frequent visits to the ophthalmologist and pregnancy testing
Buspar (buspirone) treats what in Bipolar disorder? Tx: Adjustment of manic levels and a mild tranquilizer
Side effects associated with Buspar (buspirone)? Drowsiness, dizziness, fatigue, and excitement
Contraindications associated with Buspar (buspirone)? NO MAOI concurrent use
Restoril (temazepam) treats what in Bipolar disorder? Tx: Adjustment of manic levels and a mild tranquilizer
Side effects associated with Restoril (temazepam)? Drowsiness, dizziness, fatigue, and excitement
Contraindications associated with Restoril (temazepam)? NO MAOI concurrent use
Nursing interventions associated with Restoril (Temazepam)? Slow movement and decrease hypo-tension
What anticonvulsants are used in treatment of Bipolar disorder? Tegretol (carbamazepine) Depakote (divalproex sol) Neurontin (gabapentin)
Tegretol (carbamazepine) is used for what in Bipolar Disorder? Mood Stabilizer and mild tranquilizer
Side Effects associated with Tegretol (carbamazepine)? (4) Drowsiness, dizziness, fatigue, and excitement
Contraindications associated with Tegretol (carbamazepine)? No grapefruit juice (increases drug to toxic levels)
Nursing Interventions associated with associated with Tegretol (carbamazepine)? Periodic skin rash assessment and I&O
Depakote (divalproex sol) is used for what in treatment of Bipolar disorder? Mood Stabilizer and mild tranquilizer
Side Effects associated with Depakote (divalproex sol)? (4) Drowsiness, dizziness, fatigue, and excitement
Contraindications associated with Depakote (divalproex sol)? No grapefruit juice (increases drug to toxic levels)
Nursing Interventions associated with Depakote (divalproex sol)? Periodic skin rash assessment and I&O
Neurontin (gabapentin) helps treat what in Bipolar disorder? Mood Stabilizer and mild tranquilizer
Side Effects associated with Neurontin (gabapentin)? (4) Drowsiness, dizziness, fatigue, and excitement
Contraindications associated with Neurontin (gabapentin)? No grapefruit juice (increases drug to toxic levels)
Nursing interventions associated with Neurontin (gabapentin)? Periodic skin rash assessment and I&O
Risperdal (Resperidone) treats what in Bipolar disorder? Diminishes frequency and intensity of manic episodes, mood stabilizer
Side Effects associated with Risperdal (Resperidone)? (3) EPS, TD, NMS
Contraindications associated with Resperdal (Resperidone)? Renal or liver problems, lactation, and cardiovascular disease
Nursing interventions associated with Resperdal (Resperidone)? Change positions slowly, monitor for s/sx EPS, TD, and NMS
Antipsychotics used in treatment of Bipolar disorder? Haldol (haloperidol) Thorazine (chlorpromazine)
Haldol (haloperidol) treats what in Bipolar disorder? Diminishes frequency and intensity of manic episodes, mood stabilizer
Side effects associated with Haldol (haloperidol)? (3) EPS, TD, NMS
Contraindications associated with Haldol (haloperidol)? Renal or liver problems, lactation, cardiovascular dx
Nursing interventions associated with Haldol (haloperidol)? Observe for hallucinations Change positions slowly, monitor sx EPS, TD, NMS
An Antimatic used in treatment of Bipolar? Lithium
Lithium does what in treatment of Bipolar disorder? Adjusts manic moods and length of manic episode
Side effects associated with Lithium? Lack of coordination, drowsiness, and hand tremors
Contraindications associated with Lithium? Renal, and cardiovascular disease
Nursing interventions associated with Lithium? AV block, hypotension monitoring
Calcium channel blocker's used in treatment of Bipolar disorder? (2) Calan SR (verapamil) Norvasc (amlodipine)
Calan SR (verapamil) treats what in bipolar disorder? Adjusts manic mood, length of manic phase, tx of mania and TD
Side effects associated with Calan SR (verapamil)? Dizziness, drowsiness, and hypotension
Contraindications associated with Calan SR (verapamil)? Hypotension
Norvasc (amlodipine) treats what in bipolar disorder? Adjusts manic mood, length of manic phase, tx of mania and TD
Side effects associated with Norvasc (amlodipine)? Dizziness, drowsiness, and hypotension
Contraindications associated with Norvasc (amlodipine)? Hypotension
Thorazine (chlorpromazine) treats what in Bipolar disorder? Diminished frequency and intensity of mania
Side effects associated with Thorazine (chlorpromazine)? EPS, TD, and NMS
Contraindications associated with Thorazine (chlorpromazine)? Renal/ Liver/ Cardiovascular disease
Nursing interventions associated with Thorazine (chlorpromazine)? Change position slowly, monitor closely
Benzodiazepines used in treatment of anxiety? (4) Ativan (lorazepam) Xanax (alprazolam) Librium (chlordiazepoxide) Valium (diazepam)
Ativan (lorazepam) treats what in anxiety disorders? Used as a sedative, decreases sleep disturb, decrease tremors and muscle tension
Side Effects associated with Ativan (lorazepam)? Paranoia, suicidal ideation, impaired judgment, drowsiness, H/A
Contraindications associated with Ativan (lorazepam)? Drug- herb Drug- drug History of liver disease
Nursing interventions associated with Ativan (lorazepam)? Pharmacist follow up
Xanax (alprazolam) treats what in anxiety disorders? Used as a sedative, decreases sleep disturb, decrease tremors and muscle tension
Side effects associated with Xanax (alprazolam)? Paranoia, suicidal ideation, impaired judgment, drowsiness, H/A
Contraindications associated with Xanax (alprazolam)? Drug- herb Drug- drug History of liver disease
Nursing Interventions associated with Xanax (alprazolam)? Pharmacist follow up
Librium (chlordiazepoxide) treats what in anxiety disorders? Used as a sedative, decreases sleep disturb, decrease tremors and muscle tension
Side effects associated with Librium (chlordiazepoxide)? Paranoia, suicidal ideation, impaired judgment, drowsiness, H/A
Contraindications associated with Librium (chlordiazepoxide)? Drug- herb Drug- drug History of liver disease
Nursing interventions associated with Librium (chlordiazepoxide)? Pharmacist follow up
Valium (diazepam) treats what in anxiety disorder? Used as a sedative, decreases sleep disturb, decrease tremors and muscle tension
Side effects associated with Valium (diazepam)? Paranoia, suicidal ideation, impaired judgment, drowsiness, H/A
Contraindications associated with Valium (diazepam)? Drug- herb Drug- drug History of liver disease
Nursing interventions associated with Valium (diazepam)? Pharmacist follow up
Tricyclic Antidepressant used in treatment of anxiety disorder? (3) Elavil (amitriptyline) Tofranil (impramino) Sinequan (doskepril)
What does Elavil (amitriptyline) treat in anxiety disorder? Depression, anxiety, insomnia, and chronic pain disorder
Side effects associated with Elavil (amitriptyline)? Suicidal ideation, lethargy, sedation, dry mouth, and constipation
Contraindications associated with Elavil (amitriptyline)? MAOIs SSRIs
Nursing interventions associated with Elavil (amitriptyline)? Do not use with SSRI (Cause toxic levels of antidepressant), monitor BP, Pulse, and administer right after meal
Tofranil (impramino) treats what in anxiety disorders? Depression, anxiety, insomnia, and chronic pain disorder
Side effects associated with Tofranil (impramino)? Suicidal ideation, lethargy, sedation, dry mouth, and constipation
Contraindications associated with Tofranil (impramino)? MAOIs SSRIs
Nursing Interventions associated with Tofranil (impramino)? Do not use with SSRI (Cause toxic levels of antidepressant), monitor BP, Pulse, and administer right after meal
Sinequan (doskepril) treats what in anxiety disorder? Depression, anxiety, insomnia, and chronic pain disorder
Side effects associated with Sinequan (doskepril)? Suicidal ideation, lethargy, sedation, dry mouth, and constipation
Contraindications associated with Sinequan (doskepril)? MAOIs SSRIs
Nursing interventions associated with Sinequan (doskepril)? Do not use with SSRI (Cause toxic levels of antidepressant), monitor BP, Pulse, and administer right after meal
Beta blockers used in treatment of Mental illness such as anxiety disorder? Inderal (propranolol)
Inderal (propranolol) treats what in anxiety disorder? Blocks tremors and sweating, calms aggression
Side effects associated with Inderal (propranolol)? SOB, numbness( fingers and arms), fainting, bradycardia
Contraindications associated with Inderal (propranolol)? AV blocks, de-compensated HF
Nursing interventions associated with Inderal (propranolol)? Monitor VS frequency , change position slowly
Anti psychotics used to treat schizophrenia? (3) thioridazine (Mellaril) chlorpromazine (Thorazine) haloperidol (Haldol)
What drug class is thioridazine (Mellaril)? Antipsychotic, Phenothiazine
What does thioridazine (Mellaril) treat? Schizophrenia and psychosis
Side effects associated with thioridazine (Mellaril)? (3) EPR, TD, Dry mouth
Contraindications associated with thioridazine (Mellaril)? Possible electrolyte imbalance, heart arrhythmia
Nursing interventions associated with thioridazine (Mellaril)? Not ETOH, s/x TD EPS
What drug class is chlorpromazine (Thorazine)? Antipsychotic, Phenothiazine
chlorpromazine (Thorazine) treats what with psychotic disorders? Schizophrenia and psychosis
Side effects associated with chlorpromazine (Thorazine)? EPS, TD, and dry mouth
Contraindications associated with chlorpromazine (Thorazine)? Electrolyte imbalance, heart arrhythmia
Nursing interventions associated with chlorpromazine (Thorazine)? No ETOH, s/sx TD and EPS
What is Tardive Dyskinesia? (TD) Irreversible Rhythmic movements of fingers, tongue, face, mouth Pill-rolling
What is Neuroleptic Malignant Syndrome (NMS) Combination of EPR with hyperthermia and autonomic disturbances A rare reaction
What is Extrapyramidal Syndrome? Reversible Tremors, rigidity, slow movement, akathisia (constant motion), dystonia (uncontrolled muscle movements), sedation, hypotension, dry mouth, photosensitivity, agitation If they reduce the dose it will go away
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