NCLEX- Depression anxiety drugs

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Gandrews
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194848
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NCLEX- Depression anxiety drugs
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2013-01-27 22:43:41
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NCLEX Depression Drugs
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NCLEX- Depression Drugs
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  1. Amitriptyline (Elavil)
    TCAs for depression
  2. Imipramine (Tofranil)
    TCA antidepressant.
  3. how do TCA's work?
    Block the reuptake of NE and serotonin in the synaptic space.
  4. What the the 3 main side effects of TCAs
    Orthostatic hypotension, Anticholinergic side effects, sedation
  5. Phenelzine (Nardil)
    MAOI (monoamine oxidase inhibitor for depression) use for Depression. Block MAO in brain increasing NE, dopamine and serotonin.
  6. What type of foods should a person taking MAOIs avoid?
    Tyramine- rich foods because they can lead to a HTN crisis.
  7. MAOIs are contraindicated in who?
    Clients taking SSRIs and those in those with pheochromocytoma.
  8. Why are MAOI's such as Phenelzine (nardil) contraindicated in a person taking an SSRI?
    because it can cause serotonin syndrome.
  9. What type of foods should be avoided when taking a MAOI such as Phenelzine (nardil)?
    Tyramine-Rich foods because together can cause a HTN crisis.
  10. Bupropion HCL (Wellbutrin)
    Atypical Antidepressant. Inhibits dopamine uptake.
  11. What are the theraputic uses of buproprion HCL (wellbutrin) a atypical antidepressant?
    tx of depression, aid to quit smoking, and prevention of SAD (seasonal affective disorder)

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  12. Floxetine (Prozac)
    SSRI. Block reuptake of serotonin. Used for major depression.
  13. Effexor
    SSRI- Major depressive disorder.
  14. What adverse effect can happen within 2-72 hours of taking an SSRI such as Prozac?
    Serotonin syndrome. Symptoms: confusion, Fever, anxiety, agitation, tremors
  15. What is a adverse effect of SSRI's
    serotonin syndrome, suicidal thoughts
  16. alprazolam (xanax)
    Benzodiazepine used for anxiety.
  17. In order to avoid Lithium toxicity, what drugs should the client avoid while taking lithium?
    NSAIDS. Concurent use w/ NSAIDS will increase renal reabsorption of lithium. leading to toxicity
  18. Risperidone (Risperdal)
    Atypical Antipsychotics. Used for the tx of Schizophrenia
  19. What is a side effect of Risperidone (Risperdal)?
    New onset of diabetes mellitus. Monitor for polyuria
  20. What is important to monitor patients for when taking lithium and a diuretic?
    Signs and symptoms of Lithium toxicity because na is lost with diuretics.
  21. The nurse would avoid administering Bupropion (Wellbutrin) to a client who is @ risk what?
    Seizures. If a client has suffered a head injury, would avoid because client is also @ risk for seizures
  22. Buspirone (BuSpar)
    anxiolytic (nonbarbituate)
  23. What is important to inform the client about BuSpar?
    the effects do not occur immediately.
  24. Paroxetine (Paxil)
    SSRI antidepressant.
  25. What is the antidote for Benzodiazepine toxicity?
    Flumazenil (Romazicon)
  26. What is a side effect that any SSRI can cause?
    Bruxism
  27. Concurrent use of what drug can help tx Bruxism (Teeth grinding)?
    Low-dose Buspirone
  28. A pt taking Phenelzine (Nardil) for depression should be monitored for what?
    Orthostatic hypotension.
  29. Which type of antidepressant can cause sexual dysfunction side effects?
    SSRIs
  30. What 3 major conditions can valporic acid cause?
    Thrombocytopenia, pancreatitis or liver disease.
  31. Chlorpromazine (Thorazine)
    Antipsychotic- Conventional (causes EPS symptoms)
  32. immediately during and after administration, pt's are @ risk for what when receiving Chlorpromazine (thorazine)?
    hypotension
  33. Haloperidol (haldol)
    Antipsychotic- High potency
  34. What is the advantage of taking atypical antipsychotic vs conventional psychotics?
    There is less EPS symptoms with atypical antipsychotics
  35. Clozapine (Clozaril)
    Atypical antipsychotic
  36. What is important to monitor for patients taking Clozapine (clozaril)
    WBC count
  37. Atomextine (Strattera)
    NSRI for ADHD.

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