pharm for mental

Card Set Information

pharm for mental
2012-06-08 21:09:48
mental pharm

pharm for mental
Show Answers:

  1. Pyschotropics alter neurotransmitters by???
    Preventing reuptake of neurotransmitter at presynaptic neuron = increase of nts

    •Binding to receptor sites at postsynaptic neuron= block nts from binding

    •Preventing enzymes from metabolizing neurotransmitters = increase in nts
  2. So the Pyschotropic drugs can increase what??
    block what???
    • Increase the amount of neurotransmitters
    • Block nts from binding to receptor site
    • Block nts from being taken back up into the synaptic cells
  3. What do Psychotropic target??
    These drugs targe physiological alterations
  4. how do Psychotropics act on the brain??
    relieve behavioral and emotional symptoms of mental illness
  5. What is the Medulla oblongata??
    Center for respiration, HR, and vasomotor activity
  6. the Medulla oblongata regulateds what??
    Regulated internal organs and is responsible for vital functions
  7. Medulla oblongata connect what with what?
    Connects cerebrum w/ spinal cord
  8. Medulla oblongata plays a role in helping
    cerebrum carry out conscious activity
  9. Medulla oblongata is the initial processing center for what??
    sensory info
  10. The cerebellum controls what??
    Controls muscle tone, coordination and maintains our equilibrium
  11. the Cerebrum is the ____part of the brain and controls what???
    Largest part of brain and

    controls mental processes,emotional states, conscious perception, language & communication, among other things
  12. Parietal Lobe ='s
    sensory and motor
  13. Temporal lobe='s
  14. Occipital Lobe='s
  15. Frontal Lobe='s
    thought processes
  16. What are the Monoamines???
    • Serotonin
    • Dopamine
    • Norepinephrine
    • Epinephrine
    • Acetylcholine
  17. What are the Amino Acids??
    • GABA
    • Glycine
    • Glutamin Acid
  18. Serotonin controls what??
    Controls appetite, sleep, memory, temperature, MOOD, BEHAVIOR, memory and learning….
  19. If you have too much serotonin you feel
    feel sick, less hungry, headaches
  20. If you have too little Serotonin you are
  21. Dopamine Controls
    • muscle tension, EMOTIONS, perceptions
    • & sorting the real from imagination
  22. If you have too little Dopamine you have
  23. If you have too much Dopamine you have
  24. Norepinephrine controls what??
    heart, BP, sleep, restlessness, arousal, MOOD, EMOTION
  25. Too much norepinephrine you are
    anxious and jittery
  26. Too little norepinephrine you are
    depressed, sedated, low bp
  27. Acetylcholine controls what??
    muscle contraction, arousal, memory and learning tasks
  28. Too little acetylcholine
    muscle tighten
  29. Too little acetylcholine
    dry mouth, blurred vision,constipation, confusion
  30. tooOo much GABA you are
    drowsy and sedated
  31. ToO little GABA you are
  32. What psychotropic drug alters dopamine??
    Affected by antipsychotics
  33. What psychotropic durg alters Serotonin
    Antidepressants & Antipsychotics
  34. What psychotropic drugs alter Norephinephrine??
    Mood Stabilzers, Antidpressants, Antipsychotics & Psychostimulants
  35. What psychotropic durgs alter GABA
    Antianxiety agents

    Acetylcholine -Anticholinesterase agents,

    Antipsychotics & Antidepressants
  36. What symptoms do Typical (conventional/traditional) first generation antipscyhotics show
    Postive symtpoms
  37. What do Atypical (2nd Generation) antipscyhotic durgs show
    Positive and Negative symptoms
  38. Typical Antipsychotic Agents block what??
    Block selected dopamine receptors
  39. A high potency of Typical Antpsychotics cause what??
  40. What are the med treatments for bipolar disorder
    • Lithium
    • Carbamazepine
    • Valproic Acid
    • Gabapentin
    • Topiramate
    • Lamotrigine
  41. Carbamazepine trade name is what ??

    and used for What??

    used for bipolar disorders
  42. Valproic Acid's trade name is what

    and used for What disorder??

    used for Bipolar disorder
  43. Gabapentin's trade name is what

    used for what diorder??

    used for bipolar disorder
  44. Topiramate's trade name is what??

    used for what disorder??

    used for bipolar disorder
  45. Lamotrigine's trade name is what??

    used for what disorder

    used for bipolar disorder
  46. Lithium is used for what disorder
    Bipolar disorder
  47. What are the SSRIs
    • Celexa
    • Prozac
    • Luvox
    • Paxil
    • Zoloft
    • Lexapro
  48. Citalopram ='s
  49. Fluoxetine =s
  50. Fluvoxamine =s
  51. Paroxetine=s
  52. Sertraline=s
  53. Escitalopram='s
  54. What are you less likely to do on SSRIs??
    less likely to overdose
  55. what are the Newer Atypical Agents??
    • Wellbutrin
    • Zyban
    • Desyrel
    • Effexor
    • Remeron
    • Cymbalta
  56. Wellbutrin=s
  57. Desyrel=s
  58. Effexor =s
  59. Remeron =s
  60. Cymbalta=s
  61. What does wellbutrin inhibit??
    norepinephrine and dopamine reuptake inhibitor
  62. Wellbutrin helps with what addiction??
    Nicotine addiction
  63. Trazodone can be what kind of aid??
    sleep aid
  64. Bupropion can have a high risk for what??
    High risk for seizures
  65. Mirtazapine has what strong effect??
    Strong sedating effect
  66. What are the anticholinergic Side effects??
    • dry mouth
    • blurred vision
    • constipation
    • urinary retention
    • tachycardia
    • possible confusion
  67. What are the MAOIs
    • Nardil
    • Parnate
    • EMSAM
  68. Nardil =s
  69. Parnate =s
  70. What is a toxic affect of an MAOI??
    Hypertensive Crisis
  71. what are the Signs and symptoms of Hypertensive Crisis??
    • Severe Headache
    • Stiff, sore neck
    • flushing cold clammy skin
    • tachycardia
    • Sever nosebleeds
    • dilated pupils
    • chest pain
    • stroke
    • coma, death
  72. In a hypertensive crisis what might be given to lower BP??
    • Phentolamine (regitine) 5mg
    • Oral Chlorpromazine
    • Nifedipine (procardia) : calcium channel blocker 10 mg
  73. What are all the Mood Stabilizers (Antiepileptic drugs AEDs)???
    • Tegretol
    • Depakene
    • Lamictal
    • Neurotin
    • Topamax
  74. Tegretol =s
  75. Depakene =s
  76. Lamictal =s
  77. Neruotin =s
  78. Topamax =s
  79. What is a big adverse affect w/ Tegretol??
    Agranulocytosis and aplastic anemia

    blood levels should be monitored throughout first 8wks
  80. What mood stabilizer need a baseline liver function test ??
  81. What Mood stabilizer has an Adverse effect of a life Threatening Rash (steven-johnson syndrome)???
  82. What are the adverse effects of Neurontin???
    • difficulty breathing
    • swelling of the lips
    • rash
    • slurred speech
    • drowsiness
    • diarrhea
  83. What two mood stabilizers are used off label for bipolar ??
    Neurontin and Topamax
  84. What is the therapeutic level of Lithium??
  85. what are the expected S/S for a therapeutic level of lithium??
    Fine hand tremor, polyuria and mild thirst
  86. What are early signs of toxicity level of lithium??

    medication should be w/held, blood lithium levles measured
  87. What are the advanced signs of toxicity in lithium??

    coarse hand tremor
  88. What are the Atypical (second Generation) Antipsychotic Meds
    • Clozaril
    • Risperdal
    • Zyprexa
    • Seroquel
    • Geoden
    • Abilify
  89. Clozaril ='s
  90. What are the common side effects of clozaril??
    • ACh effects
    • orthostatic hypotension
    • high sedation
  91. What are the common Adverse side effects of Clozaril??
    • Agranulocytosis
    • Sig weight gain
    • Excessive salivation
  92. What do Atypical (second generation) Antipsychotic agents diminish??
    Diminish positive and negative signs and symptoms of schizophrenia
  93. What are the Typical (first generation) Antipsychotics??
    • Haldol
    • Stelazine
    • Prolixin
    • Navane
    • Loxitane
    • Moban
    • Thorazine
    • Taracton
    • Mellaril
  94. What do the typical (first generation) antipsychotics target
    They target the positive symptoms of schizophrenia
  95. What is a consideration with Haldol
    High EPS effect
  96. How often is Haldol given IM??
    every 3-4 wks
  97. How often can Prolixin can be given
    IM 2-4wks
  98. Thorazine has increase in what??
    increase sensitivity to sun
  99. Throazine has what high effects
    highest sedative and hypotensive effects