ch4 mental health drugs

Card Set Information

Author:
murleyman
ID:
287332
Filename:
ch4 mental health drugs
Updated:
2014-10-31 12:54:28
Tags:
mental health drugs
Folders:
nursing
Description:
nursing drugs
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user murleyman on FreezingBlue Flashcards. What would you like to do?


  1. antidepressant meds
    MAOI's
    monoamine oxidase inhibitor blocks enzyme that metabolizes norepinephrine and serotonin

    special diet-avoid tyramine-in aged food and beverages..cheese wine... and avoid cough medicine w pseudoephedrine to prevent hypertensive crisis

    phenelzine(Nardil) and tranylcypromine (parnate)
  2. TCAs Tricyclic Antidepressants
    • Block norepinephrine & serotonin receptors thereby increasing norepinephrine at the synapse.-dizziness & hypotension/risk for falls-cardiotoxicity
    • Elavil (amitripytylline)
    • anafranil (clomipramine)
    • norpramin (desipramine)
    • toframil (imipramine)
    • pamelor(nortriptylline)
    • asendin (amoxapine)
  3. SSRI (selective serotonin reuptake inhibitors)
    • Prevent reuptake of serotonin
    • -suicidal impulses, anxiety, insomnia, sex dysfx,
    • GI problems
    • -slow tapering to avoid withdrawal
    • Escitalopram (Lexapro)
    • Fluvoxamine (Luvox)
    • Paroxetine (Paxil)
    • Sertraline (Zoloft)
    • Fluoxetine (Prozac) or (Sarafem) for PMS
    • Citalopram (Celexa)
  4. SNRIs
    serotonin-norepinephrine reuptake inhibitors
    • increase levels of serotonin and norepinephrine
    • also used for neuropathic pain
    • Duloxetine (Cymbalta)
    • Desvenlafaxine (Pristiq)
    • Venlafaxine (Effexor)
  5. SNDIs
    serotonin -norepinephrine disinhibitors
    Remeron (antianxiety/antidepressant)
  6. NDRIs
    Norepinephrine-dopamine reuptake inhibitors
    • Bupropian (Wellbutrin)
    • Trazadone (Desyrel)
  7. Lithium (Eskalith, Carbolith, Lithane)
    • Mood Stabilizer for Bipolar
    • -works at cellular level Na/K to stabilize electrical activity & decrease mania
    • -cardiac dysrhythmias, seizures
    • -check kidney functioning and thyroid levels
    • toxic > 1.5 meq/L drawn 8 hrs after 
    • Therapeutic  0.4 - 1.3
  8. Mood Stabilizers-Antimanic Drugs
    often in conjunct with Lithium
    • Anticonvulsants: enhance GABA, decrease mania
    • Divalproex sodium (Depakote)
    • Carbamazepine (Tegretol)
    • Oxcarbazine (Trileptal)
    • Lamofrigine (Lamictal)
    • Gabapentin (Neurontin)
    • Topiramate (Topamax)

    • Valproic Acid (Depakene)
    • Oxcarbezepine (Trileptal)
  9. First Generation/conventional(typical) Antipsychotics
    • Bind to dopamine receptors and reduce transmission
    • decrease positive schizophrenia symptoms
    • cost effective
    • -EPS, Tardive dyskinesia, NMS
    • "phenothiazines"
    • Chlorpromazine (thorazine)-low potency
    • -orthostatic hypotension
    • Haloperidol (Haldol) -high potency
    • -less sedating, fewer anticholinergic effects
    • -More EPS
    • Fluphenazine (Prolixin)
    • Pherphenazine (Trilafon)
    • Thioridazine (Mellaril)
  10. anticholinergic effects
    dry mouth, blurred vision, constipation, urinary hesitancy, tachycardia
  11. Adverse effects of receptor blockage of antipsychotic agents
  12. Second Generation/Atypical antipsychotics
    • Colzapine (Clozaril): *agranulocytosis *
    • Olanzapine (Zyprexa) : weight gain
    • Risperidone (Risperdal) : EPS, orthostatic  hypotension, sedation
    • Quetiapine (Seroquel) : Sedation, orthostatic hypotension, weight gain
    • Ziprasidone (Geodon) : dizziness, sedation & dysrhythmias
    • aripiprazole (Abilify) : headache, insomnia, nausea
    • Paliperidone (Invega)
    • -fewer EPS/NMS
    • -Affect negative & positive symptoms of schizophrenia
    • -improves cognition

What would you like to do?

Home > Flashcards > Print Preview