Flashcards
Medical Treatment of Psychiatric disorders
Cards in this deck (122)
- 1Bipolar is treated with what class of meds? (5)SSRI
Atypical Antipsychotic
Antianxiety
Anticonvulsant
Mood Stabilizers - 2What are the three SSRI drugs used in treatment of Bipolar disorder?(Prozac) fluoxetine
(Paxil) paroxetine hydrochloride
(Zoloft) sertraline - 3Prozac treats what in Bipolar disorder?TX of Mania, diminishes frequency and intensity of manic episodes
- 4Side Effects associated with Prozac (fluoxetine)? (4)Nausea
Dry mouth
Blurred vision
Constipation - 5Contraindications associated with Prozac (fluoxetine)? (1)MAOIs
- 6Nursing Interventions associated with Prozac (fluoxetine)?Oral care
Avoid ETOH - 7(Paxil) paroxetine hch treats what in Bipolar disorder?TX of Mania
- 8Side Effects associated with (Paxil) paroxetine hch? (4)Nausea
Dry Mouth
Blurred Vision
Constipation - 9Contraindications associated with (Paxil) paroxetine hch?MAOIs
Caution with drugs metabolized in the liver - 10Nursing Interventions associated with (Paxil) paroxetine hch?Oral care
Avoid ETOH - 11(Zoloft) sertraline treats what in Bipolar disorder?Tx of mania
- 12Side Effects associated with (Zoloft) sertraline? (4)Nausea
Dry Mouth
Blurred vision
Constipation - 13Contraindications associated with (Zoloft) sertraline?MAOIs
Suicidal tendencies - 14Nursing Interventions associated with (Zoloft) sertraline?Oral care
Avoid ETOH - 15Atypical Antipsychotics associated with Bipolar disorder(Abilify) aripiprazole
(Zyprexa) olanzapine
(Risperdal) resperidone - 16What does Abilify (aripiprazole) treat in Bipolar disorder?Tx of Mood stabilization
- 17Side Effects associated with Abilify (aripiprazole)? (6)Drowsiness, EPS, dizziness, dry mouth, increased Blood sugar, dry mouth
- 18Contraindications associated with Abilify (aripiprazole)?Increased FBS, extreme agitation, EPS/ TD
- 19Nursing Interventions associated with Abilify (aripiprazole)?Monitor FBS frequency, change position slowly
- 20What does Zyprexa (olanzapine) treat in Bipolar disorder?Tx of Mood stabilization
- 21Side Effects associated with Zyprexa (olanzapine)? (6)Drowsiness, EPS, dizziness, dry mouth, increased Blood sugar, dry mouth
- 22Contraindications associated with Zyprexa (olanzapine)?Increased FBS, extreme agitation, EPS/ TD
- 23Nursing Interventions associated with Zyprexa (olanzapine)?Monitor FBS frequency, change position slowly
- 24Anti-anxiety medications to treat Bipolar disorder?Xanax (alpraxolan)
Buspar (buspirone)
Restoril (temazepam) - 25Xanax (alpraxolan) treats what in Bipolar disorder?Tx: Adjustment of manic levels and a mild tranquilizer
- 26Side Effects associated with Xanax (alpraxolan)? (3)Drowsiness , dizziness, fatigue, and excitement
- 27Contraindications associated with Xanax (alpraxolan)?Closed-angle glaucoma, sleep, apnea, and pregnancy
- 28Nursing Interventions associated with Xanax (alpraxolan)?Frequent visits to the ophthalmologist and pregnancy testing
- 29Buspar (buspirone) treats what in Bipolar disorder?Tx: Adjustment of manic levels and a mild tranquilizer
- 30Side effects associated with Buspar (buspirone)?Drowsiness, dizziness, fatigue, and excitement
- 31Contraindications associated with Buspar (buspirone)?NO MAOI concurrent use
- 32Restoril (temazepam) treats what in Bipolar disorder?Tx: Adjustment of manic levels and a mild tranquilizer
- 33Side effects associated with Restoril (temazepam)?Drowsiness, dizziness, fatigue, and excitement
- 34Contraindications associated with Restoril (temazepam)?NO MAOI concurrent use
- 35Nursing interventions associated with Restoril (Temazepam)?Slow movement and decrease hypo-tension
- 36What anticonvulsants are used in treatment of Bipolar disorder?Tegretol (carbamazepine)
Depakote (divalproex sol)
Neurontin (gabapentin) - 37Tegretol (carbamazepine) is used for what in Bipolar Disorder?Mood Stabilizer and mild tranquilizer
- 38Side Effects associated with Tegretol (carbamazepine)? (4)Drowsiness, dizziness, fatigue, and excitement
- 39Contraindications associated with Tegretol (carbamazepine)?No grapefruit juice (increases drug to toxic levels)
- 40Nursing Interventions associated with associated with Tegretol (carbamazepine)?Periodic skin rash assessment and I&O
- 41Depakote (divalproex sol) is used for what in treatment of Bipolar disorder?Mood Stabilizer and mild tranquilizer
- 42Side Effects associated with Depakote (divalproex sol)? (4)Drowsiness, dizziness, fatigue, and excitement
- 43Contraindications associated with Depakote (divalproex sol)?No grapefruit juice (increases drug to toxic levels)
- 44Nursing Interventions associated with Depakote (divalproex sol)?Periodic skin rash assessment and I&O
- 45Neurontin (gabapentin) helps treat what in Bipolar disorder?Mood Stabilizer and mild tranquilizer
- 46Side Effects associated with Neurontin (gabapentin)? (4)Drowsiness, dizziness, fatigue, and excitement
- 47Contraindications associated with Neurontin (gabapentin)?No grapefruit juice (increases drug to toxic levels)
- 48Nursing interventions associated with Neurontin (gabapentin)?Periodic skin rash assessment and I&O
- 49Risperdal (Resperidone) treats what in Bipolar disorder?Diminishes frequency and intensity of manic episodes, mood stabilizer
- 50Side Effects associated with Risperdal (Resperidone)? (3)EPS, TD, NMS
- 51Contraindications associated with Resperdal (Resperidone)?Renal or liver problems, lactation, and cardiovascular disease
- 52Nursing interventions associated with Resperdal (Resperidone)?Change positions slowly, monitor for s/sx EPS, TD, and NMS
- 53Antipsychotics used in treatment of Bipolar disorder?Haldol (haloperidol)
Thorazine (chlorpromazine) - 54Haldol (haloperidol) treats what in Bipolar disorder?Diminishes frequency and intensity of manic episodes, mood stabilizer
- 55Side effects associated with Haldol (haloperidol)? (3)EPS, TD, NMS
- 56Contraindications associated with Haldol (haloperidol)?Renal or liver problems, lactation, cardiovascular dx
- 57Nursing interventions associated with Haldol (haloperidol)?Observe for hallucinations Change positions slowly, monitor sx EPS, TD, NMS
- 58An Antimatic used in treatment of Bipolar?Lithium
- 59Lithium does what in treatment of Bipolar disorder?Adjusts manic moods and length of manic episode
- 60Side effects associated with Lithium?Lack of coordination, drowsiness, and hand tremors
- 61Contraindications associated with Lithium?Renal, and cardiovascular disease
- 62Nursing interventions associated with Lithium?AV block, hypotension monitoring
- 63Calcium channel blocker's used in treatment of Bipolar disorder? (2)Calan SR (verapamil)
Norvasc (amlodipine) - 64Calan SR (verapamil) treats what in bipolar disorder?Adjusts manic mood, length of manic phase, tx of mania and TD
- 65Side effects associated with Calan SR (verapamil)?Dizziness, drowsiness, and hypotension
- 66Contraindications associated with Calan SR (verapamil)?Hypotension
- 67Norvasc (amlodipine) treats what in bipolar disorder?Adjusts manic mood, length of manic phase, tx of mania and TD
- 68Side effects associated with Norvasc (amlodipine)?Dizziness, drowsiness, and hypotension
- 69Contraindications associated with Norvasc (amlodipine)?Hypotension
- 70Thorazine (chlorpromazine) treats what in Bipolar disorder?Diminished frequency and intensity of mania
- 71Side effects associated with Thorazine (chlorpromazine)?EPS, TD, and NMS
- 72Contraindications associated with Thorazine (chlorpromazine)?Renal/ Liver/ Cardiovascular disease
- 73Nursing interventions associated with Thorazine (chlorpromazine)?Change position slowly, monitor closely
- 74Benzodiazepines used in treatment of anxiety? (4)Ativan (lorazepam)
Xanax (alprazolam)
Librium (chlordiazepoxide)
Valium (diazepam) - 75Ativan (lorazepam) treats what in anxiety disorders?Used as a sedative, decreases sleep disturb, decrease tremors and muscle tension
- 76Side Effects associated with Ativan (lorazepam)?Paranoia, suicidal ideation, impaired judgment, drowsiness, H/A
- 77Contraindications associated with Ativan (lorazepam)?Drug- herb
Drug- drug
History of liver disease - 78Nursing interventions associated with Ativan (lorazepam)?Pharmacist follow up
- 79Xanax (alprazolam) treats what in anxiety disorders?Used as a sedative, decreases sleep disturb, decrease tremors and muscle tension
- 80Side effects associated with Xanax (alprazolam)?Paranoia, suicidal ideation, impaired judgment, drowsiness, H/A
- 81Contraindications associated with Xanax (alprazolam)?Drug- herb
Drug- drug
History of liver disease - 82Nursing Interventions associated with Xanax (alprazolam)?Pharmacist follow up
- 83Librium (chlordiazepoxide) treats what in anxiety disorders?Used as a sedative, decreases sleep disturb, decrease tremors and muscle tension
- 84Side effects associated with Librium (chlordiazepoxide)?Paranoia, suicidal ideation, impaired judgment, drowsiness, H/A
- 85Contraindications associated with Librium (chlordiazepoxide)?Drug- herb
Drug- drug
History of liver disease - 86Nursing interventions associated with Librium (chlordiazepoxide)?Pharmacist follow up
- 87Valium (diazepam) treats what in anxiety disorder?Used as a sedative, decreases sleep disturb, decrease tremors and muscle tension
- 88Side effects associated with Valium (diazepam)?Paranoia, suicidal ideation, impaired judgment, drowsiness, H/A
- 89Contraindications associated with Valium (diazepam)?Drug- herb
Drug- drug
History of liver disease - 90Nursing interventions associated with Valium (diazepam)?Pharmacist follow up
- 91Tricyclic Antidepressant used in treatment of anxiety disorder? (3)Elavil (amitriptyline)
Tofranil (impramino)
Sinequan (doskepril) - 92What does Elavil (amitriptyline) treat in anxiety disorder?Depression, anxiety, insomnia, and chronic pain disorder
- 93Side effects associated with Elavil (amitriptyline)?Suicidal ideation, lethargy, sedation, dry mouth, and constipation
- 94Contraindications associated with Elavil (amitriptyline)?MAOIs
SSRIs - 95Nursing interventions associated with Elavil (amitriptyline)?Do not use with SSRI (Cause toxic levels of antidepressant), monitor BP, Pulse, and administer right after meal
- 96Tofranil (impramino) treats what in anxiety disorders?Depression, anxiety, insomnia, and chronic pain disorder
- 97Side effects associated with Tofranil (impramino)?Suicidal ideation, lethargy, sedation, dry mouth, and constipation
- 98Contraindications associated with Tofranil (impramino)?MAOIs
SSRIs - 99Nursing Interventions associated with Tofranil (impramino)?Do not use with SSRI (Cause toxic levels of antidepressant), monitor BP, Pulse, and administer right after meal
- 100Sinequan (doskepril) treats what in anxiety disorder?Depression, anxiety, insomnia, and chronic pain disorder
- 101Side effects associated with Sinequan (doskepril)?Suicidal ideation, lethargy, sedation, dry mouth, and constipation
- 102Contraindications associated with Sinequan (doskepril)?MAOIs
SSRIs - 103Nursing interventions associated with Sinequan (doskepril)?Do not use with SSRI (Cause toxic levels of antidepressant), monitor BP, Pulse, and administer right after meal
- 104Beta blockers used in treatment of Mental illness such as anxiety disorder?Inderal (propranolol)
- 105Inderal (propranolol) treats what in anxiety disorder?Blocks tremors and sweating, calms aggression
- 106Side effects associated with Inderal (propranolol)?SOB, numbness( fingers and arms), fainting, bradycardia
- 107Contraindications associated with Inderal (propranolol)?AV blocks, de-compensated HF
- 108Nursing interventions associated with Inderal (propranolol)?Monitor VS frequency , change position slowly
- 109Anti psychotics used to treat schizophrenia? (3)thioridazine (Mellaril)
chlorpromazine (Thorazine)
haloperidol (Haldol) - 110What drug class is thioridazine (Mellaril)?Antipsychotic, Phenothiazine
- 111What does thioridazine (Mellaril) treat?Schizophrenia and psychosis
- 112Side effects associated with thioridazine (Mellaril)? (3)EPR, TD, Dry mouth
- 113Contraindications associated with thioridazine (Mellaril)?Possible electrolyte imbalance, heart arrhythmia
- 114Nursing interventions associated with thioridazine (Mellaril)?Not ETOH, s/x TD EPS
- 115What drug class is chlorpromazine (Thorazine)?Antipsychotic, Phenothiazine
- 116chlorpromazine (Thorazine) treats what with psychotic disorders?Schizophrenia and psychosis
- 117Side effects associated with chlorpromazine (Thorazine)?EPS, TD, and dry mouth
- 118Contraindications associated with chlorpromazine (Thorazine)?Electrolyte imbalance, heart arrhythmia
- 119Nursing interventions associated with chlorpromazine (Thorazine)?No ETOH, s/sx TD and EPS
- 120What is Tardive Dyskinesia? (TD)Irreversible
Rhythmic movements of fingers, tongue, face, mouth
Pill-rolling - 121What is Neuroleptic Malignant Syndrome (NMS)Combination of EPR with hyperthermia and autonomic disturbances
A rare reaction - 122What 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