Medication Classes
What use does SSRIs and SNRIs have?
What is depression (also- OCD GAD, PTSD)
What is 1 side effect of benzodiazepines?
What is sedation (agitation)
What is polypharmacy?
What is use of multiple drugs to treat a single condition
What should medications be chosen based on?
What is symptoms
What diagnosis does both Alpha Agonists and Psychostimulants treat?
What is ADHD
What are 2 side effects of anti-epileptics?
What is dulling, weight gain (rashes, liver tox, behavioral health problems, blood cell line issues)
How can you as a START coordinator intervene in the concern of polypharmacy?
what is
know side effects
know what monitoring is needed and ask
look for red-flags
Finish this sentence: Start low and go _____
what is slow
Name 2 examples of 2nd generation anti-psychotics.
What is Risperdal and Abilify (risperidone, aripiprazole)
Which is 1 type of medication that can cause side effects of agitation?
What is 2nd generation anti-psychotics, benzodiazepines, anti-epileptics, alpha agonists, SSRIs, SNRIs, Psychostimulants
What is 1 prescribing red flag?
what is
total number of concurrent medications greater or equal to 4
intra class psychiatric polypharmacy
What is 1 medication class that is often used off label to treat challenging behavioral heath symptoms?
what is
antipsychotics
SSRIs
Mood stabilizers
Name 2 examples of anti-epileptics.
What is depakote and Tegretol
What are 2 side effects should you be aware of for Lithium?
What are lithium toxicity, delirium, thyroid or kidney issues
What is 1 monitoring need we should be considering?
what is
metabolic fasting, BG, lipids, HgbA1C, BMI
movement exams
When evaluating challenging behavior, what are 3 things you want to first evaluator for?
What is
physical pain
dental pain
medication side effects
sleep disorders
new stressors
What use in people with IDD does naltrexone have?
What is decreasing severe self-injury
What are 3 of the 4 categories of extrapyramidal side effects
what is:
psuedoparkinsonism
acute dystonia
akathisia
tardive dyskinesia
What are the 3 categories that drives polypharmacy
What is patient level, prescriber level and caregiver level
What are 4 comorbid medical conditions that people with IDD are at greater risk for?
what is
dementia
seizures
chronic pulmonary disease
congestive heart failure
diabetes
transient ischemic attacks
obesity
osteoporosis
thyroid disorders
oral dental issues
GERD
constipation