I'm tired, but anxious
What type of meds are used for anxiety and sleep?
What are benzodiazepines
Which medications may be taken for depression, but also for other conditions such as neuropathy, fibromyalgia, OCD, ADHD, and insomnia?
What are tricyclic antidepressants such as Amytriptyline, Doxepin, and Nortriptyline
This salt produces neurochemical changes in the brain to control acute mania, depression, and incidence of suicide.
What is Lithium carbonate
What are extrapyramidal side effects?
What are spasms of the tongue, neck, face, or back. These are uncontrollable.
Client has pinpoint pupils, decreased respirations, heartrate, and blood pressure. What medication do you anticipate giving?
What is naloxone, possible opiate overdose
Which medication is known for sleep behaviors such as sleep driving, sleep eating, with no recollection of the events?
What is zolpidem (Ambien)
Which medication class do we need to limit the dietary intake of tyramine? Why?
What are MAOI inhibitors, because the increase in tyramine can cause a hypertensive crisis
What other medications can be used to treat bipolar disorder?
What are antiepileptics, antipsychotics (mood stabilizers), anxiolytics, and antidepressants.
Antipsychotic medications side effects we need to monitor for are...
What are EPS, agranulocytosis, seizures, neuroleptic malignant syndrome, diabetes, dyslipidemia, and orthostatic hypotension.
What medication can you give a client that will cause them to have a bad reaction if they ingest alcohol, such as flushing, nausea, vomiting, sweating, and chest pain?
What is disulfram (Antabuse)
What client teaching will you provide for someone starting benzos or benzo-like medications?
What is to take immediately before bedtime, avoid alcohol, avoid hazardous activities, and notify provider if any sleep activities occur.
A patient is starting on an SSRI. What adverse effect do we need to be watching for with this patient?
What is Serotonin syndrome
What is the normal range for lithium? Toxic level?
What is 0.6-1.4. Toxic level is 2.
What are some medications that control manifestations of psychotic disorders, such as hallucinations, delusions, and bizarre behavior?
What are haloperidol (Haldol), fluphenazine (Permitil), chlorpromazine (Thorazine), and thiothixene (Navane).
What are bupropion and varenicline used for?
What is withdrawal from nicotine
Benzodiazepines enhance the inhibitory effects of _______ in the CNS
What is GABA (gamma-aminobutyric acid)
What side effects should we tell our client to watch for with SSRI's and SNRI's?
What are sexual dysfunction, suicidal ideations, neuroleptic malignant syndrome (fever, resp distress, and tachycardia), and withdrawal syndrome (H/A, nausea, agitation, dizziness).
What teaching would you give a client starting on lithium?
What is to take as directed, have lab levels drawn as ordered, avoid NSAIDS, maintain adequate fluid and sodium intake, and signs/symptoms when to contact provider.
These medications are used as first-line treatment of schizophrenia.
What are the second and third generation antipsychotics such as risperidone, olanzapine, quetiapine, clozapine.
What medications are used to support withdrawal from opioids?
What are methadone (replaced at receptors), clonidine (helps with autonomic hyperactivity- N,V,D), and buprenorphine (replaces opioids, prevents withdrawal, decreases cravings, safer than methadone)
This medication will help anxiety after 2-4 weeks. It is not for PRN use for this reason.
What is Buspirone
This medication increases the levels of TCA and lithium, and it suppresses platelet aggregation increasing the risk of bleeding?
What is fluoxetine (Prozac)
What evidence are you looking for that the medication therapy is effective in bipolar disorder?
What is relief of acute mania, depression, mood stability, ability to perform ADL's, improved sleeping and eating habits, and appropriate interaction with peers.
Concurrent use of MAOI's, St. John's wort, SNRI's and phenothiazines increase the risk for?
What is serotonin syndrome, agitation, confusion, and hallucinations.
What medications may you give a patient withdrawing from alcohol?
What are benzodiazepines, carbamazepine, clonidine (alpha 2 adrenergic agonists), and beta blockers, such as propranolol, and atenolol