Mental Health Pharmacology
Atypical antipsychotic medications produce fewer of the movement disorder side effects True or False
True
Medications with anticholinergic side effects must have assessments and interventions for which of the following problems? 1.Tardive dyskensia 2.Constipation 3.Extrapyramidal symptoms 4.Teeth decay 5.Bladder distention 6.Dry mouth
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What are blood dyscrasias?
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What are the Lithium perameters?
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What are the s/sx of lithium toxicity?
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What is Lamotrigine used for?
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When should lithium levels be drawn?
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Which antipsychotics typically have EPS and tardive dyskenisa as side effects? 1.haloperdol 2.chlopromazine 3.quetiapine 4.aripiprozole 5.zyprasidone
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Antianxiety Meds Addicting meds end in what?
-am -ams Alprazolam Lorazepam Diazepam
Non addicting antianxiety meds
-ill -ones Visteril Buspirone
How do you identify tricyclics according to thier name?
-line -amine -p- -trypto-
Describe Stevens Johnson Syndrome
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How does lithium toxicity occur?
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Which of the following types of drugs are used for antiparkinson effects? 1.Dopaminergic agonist 2.Antihistomine 3.Anticholinergic 4.Antipsychotic
1.Dopaminergic agonist 2.Antihistomine 3.Anticholinergic
A nurse is teaching a client about tricyclic antidepressants. Which potential side effects should the nurse include? Select all that apply 1.Dry Mouth 2.Drowsiness 3.Constipation 4.Severe hypertension 5.Orthostatic hypotension
1.Dry Mouth 2.Drowsiness 3.Constipation 5.Orthostatic hypotension
A depressed client is given sertraline 50 mg at HS. For what drug related side effects should the nurse monitor the client? Select all that apply 1.Dry mouth 2.Weight gain 3.Constipation 4.Photosensitivity 5. Projectile Vomiting
1.Dry mouth 3.Constipation
Mixing drugs with CNS depression can potentially cause which problems? 1.Hypotension 2.Byradycardia 3.Sleepiness 4.Vigilance 5.Hypertension 6.Tachycardia
1.Hypotension 2.Byradycardia 3.Sleepiness
Which statement by the client indicates to the nurse that the teaching about taking an antidepressant medication has been understood? 1.I need to take every dose of my medication as prescribed 2.I need to discontinue the medication if I have side effects 3.I dont have to be concerned about taking my medication 4.I can double the dose of the medication if I still feel depressed
1.I need to take every dose of my medication as prescribed
An older client has been prescribed an atypical antipsychotic medication. Which nursing intervention demonstrates that the nurse has determined the clients risk for injury? Select all that apply 1.Monitoring the pulse for irregular rhythm 2.Sitting with the client during the meals to encourage eating 3. Offering a favorite beverage between meals to maintain hydration 4.Assessing the temperature to determine the possibility of infection 5.Teaching the client about the importance of taking an anticholenergic medication
1.Monitoring the pulse for irregular rhythm 4.Assessing the temperature to determine the possibility of infection
A health care provider prescribes carbamazepine for a client. The nurse teaches the client about effects of the drug that should be reported to the health care provider. Which effects identified by the client as cause to call the provider indicate an understanding of the teaching? Select all that apply 1.Nausea or vomiting 2.Dizziness or drowsiness 3.Unusual bleeding or bruising 4.Sensitivity to light or fun 5.Breast enlargement or sexual dysfunction
1.Nausea or vomiting 3.Unusual bleeding or bruising
The most common side effects of atypical antisycholics are 1.Photosensitivity 2.Elevated tryglycerides 3.Insulin resistance 4.Weight gain 5.Constipation 6.Orthostatic hypotension
1.Photosensitivity 4.Weight gain 5.Constipation 6.Orthostatic hypotension
Olanzipine is prescribed for a client with bipolar disorder, manic episode. What cautionary advice should the nurse give to the client? 1.Sit up slowly 2.Report double vision 3.Expect increased salivation 4.Take the medication on an empty stomach
1.Sit up slowly
What are the two major side effects for most of the psychopharm meds except Wellbutrin, Cognitive Enhancers and Stimulant? 1.Sleepiness 2.Anticholenergic Effects 3.Dizziness 4. CNS Depressents
2.Anticholenergic Effects 4. CNS Depressents
How long does it take a tricyclic antidepressant to work?
3 Weeks
A client is started on fluphenazine. What should the nurse emphasize when teaching the client about this medication? 1. Driving is forbidden 2. There will be a feeling of increased energy 3. Sunscreen should be used for outdoor activities 4.High blood pressure will be indirectly controlled
3. Sunscreen should be used for outdoor activities
Fill in the blank _______ antipsychotics are both dopamine and serotonin receptor blockers 1.Typical 2.Dopamine 3.Atypical 4.1st Generation
3.Atypical
A client with psychosis is receiving olanzapine. What is important for the nurse to consider when adminitering the drug? 1.It may be given IM 2.A special tyramine-free diet is required 3.It dissolves instantly after PO administration 4.An empty stomach increases its effectiveness
3.It dissolves instantly after PO administration
Anti-Parkinson drugs work to 1.Increase the blood pressure during orthostatic hypotension 2.Reduce constipation 3.Decrease insulin resistance 4.Increase dopamine
4.Increase dopamine
A client is receiving a MAOI. What should the nurse teach the client? 1. It is necessary to avoid the sun 2. Drowsiness is an expected side effect of this medication 3. The therapeutic and toxic levels of the drug are very close 4.Many prescribed and OTC drugs cannot be taken with this medication
4.Many prescribed and OTC drugs cannot be taken with this medication
The Antianxiety class contains medications from several types of preparations. Benzodiazepines
Alprazolam Diazepam Lorazepam Chlordiazepoxide Oxazepam Clonazepam
What is gabapentin/neurontin used for?
Anticonvulsant and anxiety
What is fluoxetine used for?
Bulimia OCD Depression Panic Disorder PPMD
The Antianxiety class contains medications from several types of preparations. Non-addictive specific antianxiety medication
Buspirone
Which drugs are known for causing blood dyscrasias?
Carbamazepine/ tegretol
Longest acting benzodiazapine
Chlordiazapoxide
Which tricyclic medication is used for OCD?
Clomipramine
What is the name of the longest acting benzo?
Clonazapam/ Klonopin
How would serotonin syndrome be caused?
Combining multiple antidepressants, fentanyl, statins and herbal products like St. Johns Wart.
A client with type 1 DM is found to have psychosis and is to receive haloperidol. Which response should a nurse anticipate with this drug combination? 1. Depressed respiration 2. Intensified action of both drugs 3.Decreased control of DM 4. Increased danger of extrapyrimidal side effects
Decreased control of DM
True or False When taking antidepressants they dose can be increased rapidly over a short period of time.
False, it needs to be started low and slowly increased
What was the first SSRI approved by the FDA for OCD?
Fluvoxetine
What is the neurotransmitter associated with gabapentin/ neurontin?
GABA
The Antianxiety class contains medications from several types of preparations. Antihistamines
Hydroxyzine
Olanzapine is prescribed for a client who experienced agranulocytosis with clozapine. Which statements include that the nurse's teaching about olanzapine has been effective? Select all that apply 1.I've got to remember to take my cogentin 2.I need to be careful not to gain too much weight 3. I might feel restless while Im taking this medication 4.I need to be careful so I dont nick myself when I shave 5.This medication should help me enjoy fun activities again
I need to be careful not to gain too much weight This medication should help me enjoy fun activities again
Which tricyclic medication is used to prevent enuresis?
Imipramine
Which is the best SSRI medication to take for depression after a heart attack?
Lexapro
What is the main mood stablizer?
Lithium
Should Valporoic Acid/ Depakote be taken when pregnant?
NO
Should lithium and diurectics be combined?
No, they increase toxicity risk
Which neurotransmitters are involved in depression?
Norepinephrine Serotonin Dopaming
Describe Serotinin Syndrome
Occurs when taking antidepressants. Tachycardia Hypertension Fever Sweating Shivering Confusion Disorientation Tremors Spasms
What is the med created secondary to carbamazepine that has the same properties but has less problems?
Oxycarbamazepine/tripeptal
What is paroxetine used for?
Panic Disorders OCD GAD PTSD PMDD Anxiety Bulemia Depression
A practitioner prescribes haloperidol 10 mg po BID for a client who is also receiving phenyton for control of epilepsy. When planning the clients care the nurse considers that anticonvulsants may interact with haloperidol to: 1.Make its therapeutic effect 2.Interfere with its absorption 3.Enhance its rate of metabolism 4.Potentiate its CNS depressant effect
Potentiate its CNS depressant effect
How should Lamotrigine be administered?
Start low and go slow
Whats the major side effect with anticonvulsants you want to avoid?
Steven's Johnson Syndrom
What makes Litium dangerious?
Toxicity
What is the shortest acting benzodiazepine?
alprazolam