Home > Flashcards > Print Preview
The flashcards below were created by user
on FreezingBlue Flashcards. What would you like to do?
What class of drug should not be used on patients with cardiac problems? Even a small # of these pills can make a person OD, and lead to death (even in a pt. w/o cardiac problems.
Tricyclic antidepressants (eg. Elavil)
This class of antidepressants, when given in LOW doses (10-50 mg) at bedtime for sleep, for diabetic foot pain, for fibromyalgia & other pain syndromes (don't have antidepressants effect). Antidepressant doses are 150-200 mg.
Tricyclic antidepressants (eg. Elavil)
This is a typical antipsychotic. Its MOA is blocking dopamine, alpha, serotonin, histamine receptors, minimally cholinergic receptors.
Its major contraindication is PARKINSON'S DZ b/c it blocks dopamine
What is a rx for dystonia? for akathesia? for tardive dyskinesia?
- 1. Dystonia. Rx: antihistamines: benadryl, cogenten
- 2. Akathisia: Rx: beta blockers, benzodiazepenes
- 3. Tardive dyskinesia: Rx: No real rx. remove antipsychotics. Cautious when receiving antipsychotics in the future. Start at low dose.
What are the side effects of antipsychotics? (11)
- 1. EPS
- 2. NMS (rare. in OD)
- 3. anticholinergic
- 4. orthostatic hypotension
- 5. sedation
- 6. neuroendocrine effects
- 7. seizures
- 8. sexual dysfunction
- 9. dermatologic effects
- 10. agranulocytosis
- 11. severe dysrhythmias
Benzodiazepenes are for....
Can antipsychotic drugs cause addiction?
What atypical antidepressants that don't have sexual dysfunction side effect?
What are some drugs to avoid when taking lithium?
- 1. Diuretics - alter serum concentration of lithium
- 2. NSAIDs
- 3. Anticholinergics
What is the treatment for benzodiazepines overdose? What is one thing we must be cautious about when giving that antidote?
flumazenil (Romazicon) - but also antagonist of Narcan (the antidote for morphine)
A patient has overdose on barbiturates. What are you going to do?
No antidote = call for ventilators & supportive care
What are the sx of acute barbiturates toxicity?
- 1. respiratory depression
- 2. coma
- 3. pinpoint pupil
What are some type of drugs to avoid when taking antipsychotics?
- 1. anticholinergic drugs
- 2. CNS depressants: alcohol, antihistamines, benzodiazepines, barbiturates
- 3. Any drugs that increases dopamine: for Parkinson's (levadopa, dopamine -agonists)
When giving Dilantin via IV, what should we be cautious about?
GO SLOW SLOW SLOW b/c too fast can cause cardiovascular collapse
Mix ONLY W/ NS & FLUSH WELL!!!!
What antipsychotic is used for chronic hiccups?
What is a common antipsychotic drug used for DT's? It is also a preferred drug for Tourette's syndrome
Give a common brand name for Tricyclic Antidepressants
What is SSRI's used for?
A lot of things:
- 1. Depression
- 2. OCD
- 3. PMDD (severe PMS)
- 4. Bulimia nervosa
- 5. Anxiety
If your elderly pt. is on diuretics thiazide & the Dr. prescribes her w/ an SSRI, what should you watch out for?
What's going to happen if you're thirsty & decide to drink a lot of water while you're taking lithium?
Watch for hyponatremia because that can increases lithium toxicity
Why should we avoid high protein diet & B6 in a pt. taking Sinemet?
What are some examples of B6?
Because they compete w/ levodopa for absorption in intestines --> less levadopa getting to the brain
B6 = Oatmeal, meats
What are the side effects of Sinemet?
- 1. Psychosis: hallcucinations, vivid dreams, paranoia
- 2. Orthostatic hypotension: change position slowly
- 3. EPS: especially dyskinesia
- 4. Dysrhythmias: notify MD if tachycardia, palpitations
- 5. N/V
What are the side effects of Aricept?
- 1. GI (n/v, decreased appetite)
- 2. Cholinergic side effects
- 3. dizziness
- 4. headache
- 5. bronchoconstriction
Because one of the side effects of Aricept is decreased appetite, n/v, what should you do as a nurse?
Monitor for nutrition: give protein, calories count. If they're not eating well, give them shakes
This is a new drug.
It is better tolerated than cholinesterase inhibitors.
It is an adjunct to Aricept
It is indicated for moderate to severe AD