Antidepressants
What are antidepressants used to treat? Name at least 2!
Depression, anxiety disorders, obsessive compulsive disorder, PTSD and bulimia.
What are the 2 types of antipsychotics?
Typical and atypical
Name the 5 rights of administering medication.
Right patient, drug, dose, time and route
When patient refuses medication, the nurse should restrain them and force the patient to take it so that they get better. True or false?
False! While one may struggle with mental health, we should still never force them to take their medication if they refuse. Unless the patients are deemed to not have the capacity to decide, then the hospital has to get an order from court before we can make the decision to let them take it.
What are the 2 types of antidepressants?
Reuptake Inhibitors and Monoamine oxidase inhibitors (MAOIs)
What's the mechanism of action of antipsychotics?
Dopamine (DA) antagonists.
How do you verify a patient's identity when administering medication?
Check that the name and IC on their wrist tag matches those on both the EHR and EMR
What are the reasons of medication non-compliance?
Fear, cost, misunderstanding and too many medication
Name reuptake inhibitors drug classes
Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs), Tricyclic antidepressants (TCAs) and Norepinephrine and Serotonin Specific Antidepressant (NaSSA)
Name one e.g of typical and atypical medication.
typical: Chlorpromazine, Haloperidol, Sulpiride, Trifluoperazine.
atypical: Risperidone, olanzapine, Quetiapine, Aripiprazole
How do you promote medication compliance as a nurse?
Explain side-effect, identify cheaper alternative medication, clarify any misunderstanding and help them find ways to reduce complexity.
Name the 3 'A's of Serotonin syndrome
Altered mental status
Autonomic hyperactivity
Neuromuscular Abnormalities
Name at least 2 extrapyramidal side effects.
Akathisia
Acute dystonia
Parkinsonism
Tardive dyskinesia
Neuroleptic malignant syndrome (NMS)
MAOIs are rarely used now due to fear of interaction of drug with food high in thiamine. Is this true?
It's not true! It's interaction with food high in TYRAMINE