Antidepressants
A patient starting this medication is taught that improvement in sleep and appetite may occur before mood improves.
A patient becomes overly sedated and has respiratory depression after combining this medication class with alcohol.
benzodiazepines
A commonly used scale used with patients prescribed antipsychotics.
Abnormal Involuntary Movement Scale (AIMS)
This anticonvulsant mood stabilizer is a strong inducer of liver enzymes and can reduce the effectiveness of oral contraceptives
carbamazepine (Tegretol, tegretol xl)
This stimulant medication used to treat ADHD in children requires parent teaching about appetite suppression, weight loss, and insomnia
-amphetamines (Adderall, Dexedrine, etc)
methylphendiate (Ritalin)
A patient reports "brain zaps" after abruptly stopping this medication class.
SSRI/SNRIs
*serotonin discontinuation syndrome.
Which medication is safe for long-term anxiety management due to lack of dependence risk?
buspirone (Buspar)
A movement disorder that is irreversible and associated with long-term antipsychotic use.
Tardive Dyskinesia
This lab abnormality increases lithium toxicity risk the MOST.
Hyponatremia
This anticholinergic medication is commonly used to treat drug-induced pseudoparkinsonism and dystonia.
benztropine (cogentin)
A patient on this antidepressant develops hypertension after eating aged cheese.
MAOIs
A patient taking this sleep medication gets out of bed and drives with no memory of it.
zolpidem (Ambien)
Typical antipsychotics (haloperidol, fluphenazine, etc) are said to decrease dopamine along this pathway.
mesolimbic
Prenatal exposure to this mood stabilizer is strongly associated with neural tube defects such as spina bifida.
Valproic Acid (Depakote)
This intranasal medication rapidly reverses opioid overdose by displacing opioids from receptors.
naloxone (narcan)
A patient becomes restless, diaphoretic, and tachycardic after combining an SSRI with dextromethorphan (Robitussin OTC medication)- priority concern?
serotonin syndrome
A patient in alcohol withdrawal is treated with this medication class due to cross-tolerance at GABA receptors.
benzodiazepines
The antipsychotic that requires regular WBC monitoring to evaluate agranulocytosis risk?
Clozapine
A patient on this mood stablizer develops a rash that may progress to Stevens-Johnson syndrome.
lamotrigine (lamictal)
This medication does not cure dementia but improves memory by increasing acetylcholine availability.
donepezil (Aricept)
(others include rivastigmine and galantamine)
This antidepressant is most associated with sedation and is often prescribed off-label for insomnia in psychiatric patients.
trazodone
What is the MOST important nursing assessment before giving a benzodiazepine?
respiratory status/sedation level.
This is a complication where a patient gains significant weight and develops hyperglycemia on 2nd generation antipsychotic.
Metabolic syndrome
A patient on this anticonvulsant mood stabilizer develops jaundice and elevated liver enzymes, requiring immediate drug discontinuation.
Valproic Acid (Depakote)
This anticonvulsant is associated with weight loss and is sometimes used off-label in binge eating disorder.
topiramate (Topamax)