ch 16

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Author:
christal
ID:
50410
Filename:
ch 16
Updated:
2010-11-18 10:41:46
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pharm
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  1. how was depression treated in the 50's and 60's?
    with electroshock therapy ECT
  2. what are the 3 major disorders?
    • neurosis
    • phychosis
    • affective disorders
  3. neurosis
    • distressing but still understands reality
    • nervous and scared but don't know why
    • treated with minor tranqs
  4. psychosis
    • impairment of reality
    • delusions, hallucinations, bizarre behavior
  5. affective disorders
    • mood/feelings expressed outward appearance
    • 2 major emotions-depression/mania
  6. benzodiazepines are the...
    • most common drugs for anxiety/neurosis
    • effect emotional behavior,provide sedation,decrease tension
    • xanax/valium
  7. antidepressant drugs treat what?
    • anxiety associated with depression
    • cymbalta/prozac
  8. psychosis
    • total loss of reality/chemical imbalance
    • hallucinations, delusions, bizarre behaviors
  9. *schizophrenia
    • most common form of psychosis
    • disturbed sense of self, inappropriate emotional reactions, and withdrawal frm external world
  10. treatment of psychosis
    • antipsychotic drugs/neuroleptics/major tranq
    • block receptors in brain that control emotion
    • NOT consider addictive
  11. zyprexa is a drug that dissolves in mouth in 5-15 sec for pts bc...
    schizos/psychotic pts dont stay on their meds!!
  12. *phenothiazine can cause what
    tardive dyskinesia
  13. *symptoms of tardive dyskinesia are...
    involuntary, repetive movements of face, smacking lips, chewing, rocking back and forth, humming
  14. drugs that counteract with tardive dyskinesia
    lithium/reserpine
  15. affective disorders have 2 major emotions-depression/mania
    • depression occurs daily & interferes with everything
    • decreased levels of norepinephrine/serotonin
  16. antidepressant drugs aka mood-elevating drugs do...
    • alleviate symptoms of depression
    • increase mental alertness
    • normalize sleep patterns
    • restore/decrease appetite
    • decrease suicide thoughts
  17. 5 categories of antidepressants
    • (1-2)tricyclic/tetracyclic antidepressants
    • selective serotonin reuptake inhibitors
    • serotonin/norepinephrine reuptake inhibitors
    • monoamine oxidase inhibitors (MAOs)
  18. tricyclic/tetracyclic antidepressants
    • prolong action enhance effect of norepinephrine/serotonin in brain help correct low levels. increase sensitivity of receptors making it easier for neurotransmitters to connect
    • amitriptyline
  19. selective serotonin reuptake inhibitors SSRIs
    • serotonin low in pts w/depression, allow available serotonin bind receptors for longer periods of time
    • prozac, zoloft
  20. serotonin/norepinephrine reuptake inhibitors
    • serotonin/norepinephrine are low, drug allows available serotonin/norepinphrine to activate more receptors longer period
    • cymbalta
  21. monoamine oxidase inhibitors (MAOs)
    • prevent enzyme from breaking down of nore/sero
    • rx less frequently due to severe side effects from drug-food interactions
  22. mania
    • increased levels of norepinphrine in brain
    • nore mimics epinephrine cuases to speed up
  23. symptoms of mania
    • hyperactivity
    • euphoria
    • think/talk rapidly
    • poor judgment
  24. bipolar disorder (manic depressant)
    • mania and depression together
    • topamax, thorazine
  25. OCD
    • continuing thoughts that cause anxiety or repetitive actions
    • celexa, prozac
  26. panic attacks/panic disorder
    • intense fear can mimic heart attack
    • xanax, zoloft
  27. social anxiety disorder (social phobia)
    • afraid in public areas or @ crowds, stores, meetings, parties
    • fear of speaking to strangers
    • SSRI/SNRI drugs r used
    • paxil, zoloft
  28. performance anxiety
    • before going on stage
    • taking a pill right bf go on
    • inderal
  29. post-traumatic stress disorder PTSD
    • caused by something that happend bf
    • brainwave altered increased levels of epinphrine and nore and decreased levels of cortisol
  30. symptoms of PTSD
    • sleep abnormalities
    • headaches
    • nausea
    • dizziness
    • chest pain
    • cymbalta/zoloft
  31. anorexic
    • loss appetite
    • very thin
  32. Bulimia
    • sees themself overweight binges then pukes
    • prozac
  33. addiction
    • frequent or constant use and abuse either drugs or alcohol
    • methadone
    • -withdralw from alcohol-librium
  34. withdrawal from cocaine/alcohol
    topamax
  35. ADD
    • restlessness, short attention span, easily distracted
    • 5xs more common in boys
    • ritalin, adderall

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