Anxiety Medications
This class of medication is used short-term due to high risk of abuse
What is Benzodiazepines?
The 4 common medical treatments for bipolar disorder
What are Antidepressants
Mood stabilizers
Psychotherapy
ECT?
These medications are classified as Benzodiazepines
What is Alprazolam (Xanax)
Lorazepam (Ativan)
Diazepam (Valium)
Clonazepam (Klonopin)?
This is the rationale for staying with a patient experiencing an acute or severe anxiety attack
This is a symptom that is the name for speaking quickly and with force
What is pressured speech?
This is the patient education you'd give when administering SSRI's
Medication takes 6-8 weeks to begin working
Do not abruptly stop taking
Do not take with other serotonin involved drugs
Do not take with St. John's wort and SAMe
Common side effects are N+V, decreased libido, weight loss from decreased appetite, increased suicide risk the first month of therapy.
IF YOU HAVE INCREASED SUICIDAL THOUGHTS WITH A PLAN, CALL YOUR PROVIDER IMMEDIATELY.
This is patient education you'd give on Lithium
What is avoiding prolonged heat without proper hydration
avoid diuretic therapy
drink plenty of water as this drug is nephrotoxic
this medication cannot be taken if heart problems are present
DO NOT TAKE IF PREGNANT
may be contraindicated with other medications
there is a narrow therapeutic index so regular blood draws/appointments are required?
This medication is classified as an Antimanic agent
What is Lithium (Eskalith)?
This is what you encourage the patient to do to maintain open communication
What is encourage patient to verbalize thoughts and feelings?
These are the symptoms for BPD
increased energy, restlessness, lack of sleep
grandiose ideation
irritability
poor judgment
pressured/rapid speech
flight of ideas, racing thoughts
participation in activities that give the person pleasure, but have bad consequences
obnoxious, provocative, intrusive behavior
This medication class needs to be taken before 1500 or 3pm and takes 6-8 weeks to take effect
What are SSRI's?
therapeutic drug level for Lithium
What is 0.6-1.4 mEq/L?
These medications are classified as Selective Serotonin Reuptake Inhibitors (SSRIs)
Sertraline (Zoloft)
Paroxetine (Paxil)
Escitalopram (Celexa)
Fluvoxamine (Luvox)?
This is the type of activity a person experiencing anxiety needs to avoid, as it negates diversion activities
What is competitive situations/games?
What is depression lasting longer, more frequent relapses, more depressive symptoms, more delusions or hallucinations, higher suicide rates, higher rates of hospitalization, and more incapacitation in general.
Taking this class of medication is HIGHLY contraindicated during pregnancy and has side effects such as sedation, ataxia, confusion, dizziness, dry mouth, blurred vision.
therapeutic drug level for Carbamazepine
What is 4.0-12.0 mg/ML?
These medications are classified as Anticonvulsants/Mood Stabilizers
What is Carbamazepine (Tegretol)
Lamotrigine (Lamictal)
Valproic Acid (Depakote)?
A patient is prescribed Alprazolam (Xanax) for acute anxiety. Which patient history would cause the nurse to question the order?
A. History of alcohol dependence
B. History of personality disorder
C. History of Schizophrenia
D. History of HTN
What is A. History of alcohol dependence
Benzodiazepines have a high risk of abuse, especially in those with previous history of dependence problems
This is a dietary change needed when taking Lithium
decreased sodium w/ decreased fluid intake causes retention of lithium and increased serum lithium levels
increased sodium w/ increased fluid intake causes excretion of medication, which causes symptoms to worsen when experiencing mania
This class of drugs cannot be taken with St. John's wort, SAMe, MAOIs
What are SSRI's?
1) this medication is used during acute manic phases in combination with the regular mood stabilizer
2) this other medication can actually induce manic episodes
What is 1) antipsychotics
and 2) antidepressants ?
This medication is classified as Antiparkinsonian Agents
What is Benztropine (Cogentin)
Trihexyphendyl (Artane)
Diphenhydramine (Benadryl)?
Define obsessive compulsive in OCD
What is the repetitive, mental urge/thought plus an excessive, repetitive drive to perform an act in response to the mental obsession?
This is what should be done prior to beginning treatment for BPD
What is rule out physiological causes for the disorder?