NRN 202 Final Exam

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NRN 202 Final Exam
2012-12-12 11:50:07
Mental Health

Mental Health
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  1. Eating Disorders Medications
    • Amitriptyline (Elavil) other antidepressants
    • antihistamine cyproheptadine (Periactin) promotes weight gain [anorexia nervosa]
    • Olanzapine (Zyprexa) body image distortions
    • Fluoxetine (Prozac) prevents relapse
  2. Personality Disorders-Psychotic Symptoms Medical Management
    magical thinking, odd beliefs, illusions, suspiciousness, ideas of reference
    Low-dose antipsychotic medications (Clozaril, Zyprexa, Seroquel, Abilify)
  3. Schizophrenia Medications 1
    • Conventional Antipsychotic Drugs
    • Phenothiazine (Thorazine, Prolixin, Mellaril, Stelazine), Navane, Haldol, Loxitane, Moban
    • Side effects: EPS [dystonia-spasms, akathisia-restleness, pseudoparkinsonism, tardive dyskinesia-later, anticholinergic, neuroleptic malignant syndrome (fever, chills, decrease BP), hypotension
  4. Schizophrenia Medications 2
    • Atypical Antipsychotic Drugs
    • Clozaril, risperdal, Zyprexa, Seroquel, Geodon, Abilify
    • Side Effects: Weight gain, Agranulocytosis (Clozaril) weekly WBC monitoring
    • no immed reversible drug
  5. Depression 1
    • MAOIs (Marplan, Parnate, Nardil) used infrequently
    • Tyramine-free diet (aged cheese, meat, beer, wine, sauerkraut, soy
    • Serotonin Syndrome: inadequate washout period (altered mental statys, weakness, tremors
  6. Depression 2
    SSRIs (Prozac, Zoloft, paxil, Celexa) prescribed fo rmild and moderate depression
  7. Depression 3
    TCAs (Elavil, Tofranil, Norpramin, pamelor, sinequan) used for moderate and sever depression
  8. Depression 4
    Atypical antidepresants (Effexor, Wellbutrin, Serzone)
  9. Biopolar Disorder
    • Lithium
    • requires lifetime maintenance
    • monitor serum lithium levels to prevent toxicity
    • maintain normal salt intake, 2-3 L/day in fluid
    • contraindicated in pregnancy
    • take with food
    • do not take with OTC or diuretics
  10. Biopolar Treatment-Lithium
    • Lithium 1.5-2 mEq/L (nausea, slurred speech)--> w/h next dose and call MD
    • Lithium 2-3 mEq/L (Ataxia, blurred vision, rash)--> w/h future doses and admin IV NSS
    • Lithium 3 and > mEq/L (arrhythmias, seizures, coma)-->admin aminoflimin, manitol, hemodialysis