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Description
Flashcards by Jessica Loy, updated more than 1 year ago
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Created by Jessica Loy
almost 5 years ago
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| Question | Answer |
| 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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