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Psych meds exam 2
Terms in this set (39)
Which is newer, typical or atypical antipsychotics?
T/F: atypical antipsychotics are more effective than typical
F: they are equally effective
Which has more side effects, atypical or typical antipsychotics?
How do atypical antipsychotics work?
work on dopamine AND block SEROTONIN (therefore they can treat negative (mood) symptoms as well as positive symptoms)
What would you use antipsychotic meds for?
schizophrenia, mania, autism and symptoms of psychosis
Positive symptoms: hallucinations, delusions, agitation, etc.
How are antipsychotics metabolized?
by the liver
What is the primary neurotransmitter involved in antipsychotic meds?
What may complicate the absorption of antipyschotics?
food, antacids, smoking
What cardiovascular effect may antipsychotics cause?
prolonged QTc interval
What type of side effect is common but very serious with antipsychotics?
(dry mouth, constipation, urinary retention, blurred vision, confusion
Which antipsychotics often cause weight gain?
olanzapine and clozapine
Which antipsychotic poses the greatest risk for agranulocytosis?
A patient has a high fever, sore throat, and mouth sores. What is this side effect and what med caused it?
agranulocytosis caused by clozapine
How often does clozapine require blood samples?
weekly for the first 6 months and then q2 weeks and 4 weeks after DC
What is neuroleptic malignant syndrome and what is the first intervention?
life threatening condition! monitor and recognize early!
A patient has severe muscle rigidity, an elevated temp, his BP and HR have increased, he is sweating and recently has become confused. His CK is elevated.
What does this patient have and what is the first action to take?
neuroleptic malignant syndrome
How do you treat neuroleptic malignant syndrome?
benzos, transfer to ICU, treat fever, monitor closely
Neuroleptic Malignant Syndrome is seen in patient taking what kinds of meds?
antipsychotics or lithium
What are some examples of extra-pyramidal symptoms?
dystonia, pseudoparkinsonism, akathisia
A patient has involuntary muscle spasms, abnormal posture in her head and neck, a protruding tongue, eyes rolled up, and head tilted to one side. What is she suffering from?
What is oculogyric crisis?
eyes rolled up
What is torticollis?
head tilts to one side, chin to the other due to muscle stiffness in neck
A patient has rigidity, slowed movements, and a tremor. What are they suffering from?
What is akinesia?
A patient is restless, jittery, cannot sit still, and feels extremely anxious and unable to relax. What is he suffering from?
What should nurses tell patients who are suffering from extrapyramidal symptoms?
reassure them that it is not a worsening of the psychiatric condition but a TREATABLE SIDE EFFECT OF MEDS. Validate their concerns/symptoms
A patient has irregular, repetitive involuntary movements of her mouth and is repeatedly chewing and smacking her lips. She is also making a "pill rolling" movement with her fingers. What is she suffering from?
tardive dyskinesia (TD)
What should nurses use to monitor for symptoms of tardive dyskinesia?
What should the nurse do if they observe symptoms of tardive dyskinesia?
report to NP/MD immediately as they may be irreversible (the best treatment is prevention)
What medications are used to treat alcohol withdrawal ?
benzodiazepines titrated down over several days
(chlordiazepoxide/Librium and lorazepam/Ativan)
What medications are used to treat ongoing alcohol use disorder?
Disulfram and Naltrexone
How does Disulfiram work? What is important to tell the patient?
negative reinforcement: causes severe N/V if even a trace amount of ETOH is used (i.e mouthwash, kombucha)
How does Naltrexone work?
reduces cravings for ETOH (and narcotics)
What are the 3 FDA approved medications for treatment of opioid use disorder?
What type of med is methadone?
full mu agonist
What kind of med is buprenorphine?
partial mu agonist
What kind of med are naltrexone and naloxone?
full mu antagonist
What med is used in treating bulimia nervosa?
What med is used in treating binge eating disorder?
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