Exam 2 Meds

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servinggod247
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297399
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Exam 2 Meds
Updated:
2015-03-03 00:00:23
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psych
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psych
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psych
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  1. Anixety meds
    • Benzodiazephine sedative hypnotic anxiolytics (Valium)
    • Atypical anxiolytic/nonbarbiturate anxiolytics (BuSpar)
    • Antidepressents such as Paxil, Zoloft and Effexor, Elavil, Anafranil
    • Antihistamines (Vistaril) and (Atarax)
    • Beta blockers (Inderal)
    • Anticonvulsants (gabapentin)
  2. Benzo action
    enhances the inhibitory effects of GABA in the central nervous system, relief from anxiety occurs rapidly
  3. Benzo use
    • seizure
    • insominia
    • muscle spasm
    • alcohol withdrawl
    • induction of anesthesia
    • amnesic
    • short term use
  4. Benzo side effects
    • sedation, light headedness, ataxia, decreased cognitive function
    • Anterograde amnesia- difficulty recalling events that occur after dose
    • Acute toxicity (oral- drowsiness, lethargy, confusion, IV- resp depression, severe hypotension, cardiac arrest)
    • Paradoxical effects
    • withdrawal effects
  5. Benzo contraindications
    • schedual 4
    • preganacy D
    • sleep apena
    • resp depression
    • glaucoma
    • liver disease
    • DONT CHEW
    • TAKE WITH FOOD
  6. Atypical anxiolytics action
    • binds to seratonin and dopamine receptors. Less dependency and sedation
    • Used with MAOI antidepressents
    • 3-6 weeks to work
  7. Atypical anxiolytic uses
    • Panic disorder
    • OCD
    • social anxiety disorder
    • PTSD
  8. Atypical anxiolytic complications
    • dizziness, nausea, headache, agitation
    • Dont take with St. Jons wort, grapefrutit juice
  9. SSRI purpose for anxiety
    • inhibits seratonin reuptake, allowing more to stay at the junction of the neurons
    • 4 weeks to work
    • causes insomnia
    • used for GAD, panic disorder, OCD, social anxiety, trauma and stressor, depression
  10. SSRI complications
    • nausea, diaphoresis, tremor, fatigure, drowsiness
    • sexual dysfunction, weight gain 20 lbs or more
    • GI bleeding
    • hyponatremia
    • Serotonin syndrome
    • Bruxism
    • Use cautiously in bipolar due to risk for mania
  11. Take SSRI in morning to reduce
    sleep disturbances
  12. Antidepressants
    • Tricyclic antidepressents
    • SSRI
    • MAOI
    • Atypical antidepressents
  13. Trycilic purpose
    • block reuptake of norepi and serotonin in the synaptic space
    • used for depressive disorders
  14. Adverse effects of Tryclic
    • anticholinergic effects
    • orthostatic hypotension
    • sedation
    • toxisity
    • decreased seizure threshold
    • excessive sweating
  15. Do not take Tryclic with
    • MAOI
    • Antihystamines
    • alcohol, benzo, opiods,
  16. MAOI purpose
    • block MAO in the brain, increasing amount of norepi, dopamine, serotonin
    • USed for depression and bulimia
  17. Adverse of MAOI
    • CNS stimulation(anxiety, agitation, hypomania, mania)
    • orthostatic hypo
    • hypoertensive crisis if taken with tyramine
    • local rash associated with transdermal preparation
  18. Atypical antidepressant purpose
    • inhibits dopamine uptake
    • used to treat depression, sexual dysfunction, quit smoking, seasonal pattern depression
  19. Atypical antidepressant adverse
    • headache, dry mouth
    • GI
    • constipation
    • increased hr
    • nausea
    • restlessness
    • insomnia
    • weight loss
    • seizures
  20. Do not take atypical antidepressants if you have
    • anorexia
    • bulemia
  21. Bipolar meds
    • lithium
    • depakote
    • tegretol
    • lamictal
    • antidepressions
    • anxiolytics
    • atypical antiphsychotics
  22. Lithium purpose
    serotonin receptor blockade
  23. Lithium adverse
    • GI
    • fine hand tremors
    • polyuria
    • thirst
    • weight gain
    • renal tox
    • goiter
    • hypotension
  24. lithium takes affect in
    7-14 days
  25. Depakote purpose
    • slowing entrance of sodium and calcium into neuron
    • Used for manic and depressive episodes, rapid cycling and mixed mania
  26. Carbamezapine adverse
    • CNS effects
    • Nystagmus
    • double vision
    • vertigo
    • staggering gait
    • headache
    • blood dyscrasias
    • teratogenesis
    • hypoosmolarity
    • skin disorders (Stevens Johnson syndrome)
  27. Lamotrigine adverse
    • doubel vision, n/v, dizziness
    • serious skin rashes (stevens johnson syndrome)
  28. Depakote advrse
    • GI
    • Hepatotox
    • Pancreatitis
    • Thrombocytopenia
    • Teratogenesis

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