NCLEX Mental Health Meds

Dx: Anxiety, panic, premenstrual dyshporic

• Side Effects
• Dizziness, drowsiness
• Orthostatic hypotension
• Blurred Vision

• Considerations:
• Onset 30 ming, peak 1-2 hour, duration 4-6 hour
• Habit forming
• Memory impairment with long-term use
• Preg Cat D

Dx: Anxiety

• Side Effects:
• Dizziness, headaches
• Stimluation, insomnia, nervousness
• Light-headedness, numbness
• Nausea, diarrhea, constipation
• Tachycardia, palpitations

• Considerations:
• Onset 7-10 days, optimum 3-4 weeks
• Avoid alcohol and CNS depressants
• Preg Cat B

Dx: anxiety, alcohol withdrawlSide Effects

• Dizziness, Drowsiness
• Pain at IM side

• PO: onset 1-2 H, peak .5-4 H
• IM: onset 15-30 min, slow, erratic absorption
• IV: onset 1-5 min, duration 15-60 min
• Abrupt stop can have withdrawl
• Avoid alcohol, other CNS depressants
• Pre Cat D

Dx: Anxiety, acute alcohol withdrawl, seizures

• Side Effects
• Drowsiness, fatigue, ataxia
• Hypotension
• Paradoxic anxiety- Elderly
• Orthostatic hypotension
• Blurred vision

• Considerations
• PO: onset .5 H
• IM: deep, slowly- inset 15-30 min, duration 1-1.5 H, slow absorption
• IV: large vein, <5mg/min, onset immediate, duration .25-1 H
• Smoking decrease affectiveness
• Avoid alcohol/CNS depressants
• Habit forming
• Preg Cat NA

Dx: ADHD

• Side Effects
• Headache
• Respiratory Infection
• Abdominal pain
• Cough

• Considerations
• Do not crush
• Contraindicated: anxiety, tension, glaucoma
• Habit forming
• Preg Cat C

Dx: anxiety, irritability, preop, insomnia

• Side Effects
• Dizziness, drowsiness
• Orthostatic hypotension
• Blurred vision

• Considerations
• PO: onset 30 min, peak 1-6 H
• IM: onset 15-30 min, peak 1-1.5 H
• IV: onset 5-15 min, peak unknown
• Habit forming
• Avoid alcohol/CNS depressant
• Preg Cat D

Dx: major depression

• Side Effects
• Sedation/drowsiness
• Blurred vision, dry mouth, diaphoresis
• Postural hypotension, palpitations
• Nausea, vomiting, diarrhea
• Constipation, urinary retention
• Increased appetite
• Sexual dysfunction

• Considerations
• Suide risk 10-14 days
• Avoid alcohol
• Sun block required
• Increase fluid
• Heavy smoker-higher dose
• Preg Cat C

Dx: major depression, anxiety

• Side Effects
• Sedation/drowsiness
• Blurred vision, dry mouth, diaphoresis
• Postural hypotension, palpitations
• Nausea, vomiting, diarrhea
• Constipation, Urinary retention
• Anorexia
• Sexual dysfuntion

• Consideration
• Avoid alcohol
• Suicide risk 10-14 days
• Increase fluid
• Heave smoke- higher dose
• Preg Cat C

Dx: depression, enuresis in children

• Side Effects
• Sedation/drowsiness
• Dry mouth
• Postural hypotension, palpitations
• Diarrhea, urinary retention
• Anorexia

• Considerations
• Small amounts at first because suicide
• Avoid alcohol/CNS depressants
• Preg Cat C

Dx: major depression

• Side Effects
• Sedation/drowsiness
• Blurred vision, dry mouth, diaphoresis
• Postural hypotension, palpitaions
• Nausea, vomiting, diarhea
• constipation, urinary retention
• Increased appetitie
• Sexual dysfunction

• Considerations
• Avoid alcohol/CNS depressants
• Suicide risk 10-14 days
• Increase fluid
• Heavy smoker- larger dose
• Preg Cat C

Dx: Major Depressionn

• Side Effects
• palpitations, bradycardia
• Nausea, vomiting, diarrhea
• Decresed appetite
• Nervousness, insomnia
• Drowsiness

• Considerations
• Take in AM to avoid insomnia
• Potentiate effects of digoxin, coumadin, and valium
• avoid CNS depressants for one week after therapy end
• Take at same time of day
• Preg Cat C

Dx: depression/OCD, bulimia, anorexia

• Side Effects
• palpitations, nausea, diarrhea, constipation
• decresed appetite w weight loss
• nervousness, insomnia, urinary retention
• drowsiness, rash, pruritus, excessive sweating
• Fatigue

• Considerations
• Take same time of day
• Can potentiate effects of digoxin, Coumadin, and Valium
• Avoid CNS depresants one week after end of therapy
• Preg Cat B

Dx: anxiety, depression, OCD/ social anxiety disorder, panic disorder, PTSD

• Side Effects
• palpitations, nausea, vomiting, diarrhea, constipation
• Decreaed appetite, nervousness, insomnia

• Considerations
• Take same time of day
• Avoid CNS depressants one week after end of therapy
• Preg Cat C

Dx: depression, OCD, panic disorder w/ or w/o agoraphobia, PTSD, anorexia

• Side Effects
• headache, dizziness, tremor, nausea, diarrhea
• insomnia, dry mouth, male sexual dysfunction

• Considerations
• Take same time of day
• Can potentiate effects of digoxin, Coumadin, Valium
• Avoid CNS depressants one week end of therapy
• Preg Cat B

Dx: depression, smoking cessation

• Side Effects
• agitation, nausea, vomiting, headache
• dry mouth, tremor

• Considerations
• Missed dose depression: take ASAP and space remaining doses at not less than 4 hour intervals
• Smoking missed dose: omit dose
• Avoid CNS depressant one week after end of therapy
• Preg Cat B

Dx: depression

• Side Effects
• drowsiness, dizziness, increased appetite,
• weight gain, constipation, dry mouth

• Considerations
• Do not use within 14 days of MAOI
• Gradual reduction
• Avoid CNS depressant one week after end of therapy
• Preg Cat C

Dx: majore depression

• Side Effects
• Drowsiness, hypotention, nausea, dry mouth
• Dizziness, priapism

• Considerations
• Take with food
• Avoid CNS depressant for one week after end
• Preg Cat C

Dx: majore depression/relapse, genral anxiety

• Side Effects
• Abnormal dreams, insomnia, aniety, nervousness
• Dizziness, weakness, headache, abdominal pain
• Nausea, vomiting, diarrhea, anorexia, wt loss
• Sexual dysfunction, sedation

• Considerations
• Take with food
• Avoid CNS depressant one week after end
• Preg Cat C

Dx: Psychotic states, tourette syndrome

• Side Effects
• Drowsiness, dizziness
• Photosensitivity

• Considerations
• Avoid CNS depressants
• Preg Cat C

Dx: psychotic disorder management, main bipolar

• Side Effects
• Somnolence, agitation, hostility, diziness
• Rhinitis, nervousness, joint pain
• Postural hypotension

• Considerations
• Manage dose tightly
• Preg Cat C

Dx: psychotic states

• Side Effects
• drowsiness, dizziness
• Tardive dyskinesia, constipation

• Considerations
• Notify MD if fever, sore throat, bruising/bleeding, tics/spasms, trembling, shuffling gate
• Avoid strenuous exercise in hot weather
• Chek before taking OTC
• Preg Cat C

Dx: psychotic states

• Side Effects
• Drowsiness, dizziness

• Considerations
• Avoid CNS depressants
• Notify MD if fever, sore throat, bruising/bleeding, tics/spasms, trembling, shuffling gait
• Avoid strenuous exercise in hot weather
• Check before taking OTC meds
• Preg Cat C

Dx: psychotic

• Side Effects
• Drowiness, dizziness
• Tardive dyskinesi, constipation

• Considerations
• Avoid CNS depressants
• Notify MD is sore throat, bruising/bleeding, tics/spasms, trembling, shuffling gait
• Avoid strenuous exercise in hot weather
• Check before taking OTC meds
• Avoid breast-feeding
• Preg Cat C

Dx: bipolar, seizures, trigeminal neuralgia, diabetic neuropathy

• Side Effects
• Myelosuppression, dizziness, drowsiness, ataxia
• Diplopia, rash, photosensitivity

• Considerations
• monitor blood levels, CBC during first 2 months
• Eye exams
• Take w/ food or milk
• Urine can be pink to brown
• Avoid CNS depressants
• Pt should wear medical tag
• Preg Cat C

Dx: seizures, manic episodes w/ bipolar, migrane prophylaxis

• Side Effects
• Sedation, drowsiness, dizziness
• Mental status and behavior changes
• Nausea, vomiting, constipation, diarrhea, heartburn
• Prolonged bleeding time

• Considerations
• Take w/ food
• No crushing
• Monitor blood levels, platelets, bleeding time, and liver function
• Wear meical info
• Preg Cat D

Dx: manic episodes, mood stabilizer

• Side Effects
• Dizziness, impaired vision, fine hand tremors
• Reversible leukocytosis
• Intoxication: vomiting, diarrhea, drowsiness, muscular weakness, ataxia

• Considerations
• Check serum levels
• Take w/ food
• Decrease dose during depressive stages
• Increase H2O
• Avoid caffeine, increased exercise, saunas
• Preg Cat D

Dx: Short term use of insomnia

• Side Effects
• Drowsiness, dizziness, lethargy, weakness
• Euphoria, anorexia

• Considerations
• Avoid uner age 18
• Avoid alcohol
• Don't use more than 10 days
• Preg Cat D

Dx: short term insomnia treatment

• Side Effects
• Headache, myalgia, dizziness, asthenia
• Dyspepsia, eye pain

• Considerations
• Does not prolong sleep time or decrease awakenings
• Take IMMEDIATELY before bedtime
• Avoid alcohol
• Habit-forming
• Preg Cat C

Dx: short term insomnia treatment

• Side Effects
• Headache, drowsiness, Flu like S/S
• Dizziness, nausea

• Considerations
• Dose adjusted down if pt is using CNS depressant to avoid addictive effect
• Side effects increase with prolonged use
• Preg Cat B