NCLEX Mental Health Meds

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brinnjo
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97175
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NCLEX Mental Health Meds
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2011-08-27 18:00:29
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NCLEX Mental Health Meds
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NCLEX Mental Health Meds
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  1. Alprazolam

    (Xanax)
    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
  2. Buspirone

    (BuSpar)
    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
  3. Chlordiazepoxide

    (Librium)
    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
  4. Diazepam

    (Valium)
    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
  5. Methylphenidate HCl

    (Concerta)
    Dx: ADHD

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

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

    (Ativan)
    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
  7. Amitriptyline

    (Elavil)
    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
  8. Doxepin

    (Adapin, Sinequan)
    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
  9. Imipramine

    (Tofranil, Tipramine)
    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
  10. Nortriptyline

    (Pamelor)
    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
  11. Citalopram

    (Celexa)
    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
  12. Fluoxetine HCl

    (Prozac)
    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
  13. Paroxetine HCl

    (Paxil)
    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
  14. Sertraline HCl

    (Zoloft)
    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
  15. Bupropion HCl

    (Wellbutrin, Zyban)
    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
  16. Mirtazapine

    (Remeron)
    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
  17. Trazodone

    (Desyrel)
    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
  18. Venlafaxine

    (Effexor)
    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
  19. Haloperidol

    (Haldol)
    Dx: Psychotic states, tourette syndrome

    • Side Effects
    • Drowsiness, dizziness
    • Photosensitivity

    • Considerations
    • Avoid CNS depressants
    • Preg Cat C
  20. Olanzapine

    (Zyprexa)
    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
  21. Riperidone

    (Risperdal)
    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
  22. Quetiapine

    (Seroquel)
    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
  23. Ziprasidone HCl

    (Geodon)
    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
  24. Carbamazepine

    (Tegretol)
    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
  25. Divalproex Sodium

    (Depakote)
    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
  26. Lithium

    (Lithobid, Eskalith)
    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
  27. Temazepam

    (Restoril)
    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
  28. Zalepion

    (Sonata)
    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
  29. Zolpidem Trartrate

    (Ambien)
    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

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