Antidepressants
Antidepressants block the reuptake of these three (3) neurotransmitters in the brain.
Norepinephrine, Serotonin, Dopamine
This is the therapeutic range for patients on Lithium carbonate.
0.6 to 1.5 mEq/L
This is group of antipsychotics has less potential for extrapyramidal symptoms (EPS).
Atypical or 2nd-generation antipsychotics
These are the three (3) most common side effects of antianxiety medications.
Drowsiness, confusion, lethargy
Assessment - A patient taking an antipsychotic is exhibiting anticholinergic side effects. Name two.
Flushing, dry mouth, mydriasis, altered mental status, tachycardia, urinary retention, tremulousness, hypertension
Two classification of antidepressants that are first-line treatment.
Selective Norepinephrine Reuptake Inhibitors (SNRIs)
and
Selective Serotonin Reuptake Inhibitors (SSRIs)
This classification of drugs has also been FDA approved as a mood stabilizer other than Lithium.
Anticonvulsants
The off-going nurse reports the patient is experiencing extrapyramidal symptoms. Name two.
Pseudoparkinsonism, akinesia, akathisia, acute dystonia, oculogyric crisis, tardive dyskinesia
This medication is prescribed for anxiety but does not have addictive properties.
Buspirone (BuSpar)
Diagnosis - All psychotropic medications carry this risk related to their side effects, adverse reactions, or safety issues.
Risk for injury
The nurse educates the patient to avoid eating salami, provolone, and drinking red wine as they are taking this classification of medication.
Monoamine Oxidase Inhibitors (MAOIs)
This natural-occuring salt in the body has similar effects to sodium.
Lithium
This neurotransmitter is responsible for the potential development of extrapyramidal symptoms in patients taking antipsychotics.
Dopamine
Antianxieties are prescribed for short-term use due to this reason.
Physical dependence/tolerance
Implementation - This class of medications is prescribed for patients experiencing withdrawals from alcohol.
Benzodiazepines
The nurse advises the patient to try taking the antidepressant before bedtime due to this common side effect.
Sedation
This class of drugs is usually given as an adjunct within the first few weeks of Lithium for a patient with Bipolar mania.
Antipsychotics
The nurses performs an ECG for a patient prior to administering the first dose of antipsychotics to assess this specific, potential contraindication.
QT Prolongation
The nurse should prioritize this assessment related to aggravated symptoms of depression.
Suicide risk
Implementation - The nurse administers this medication through this route for a patient experiencing dystonia.
Benztropine (Cogentin)
IM or IV
The nurse observes fluctuating vital signs, diarrhea, agitation, and restlessness of their assigned patient associated with this adverse effect.
Serotonin syndrome
Your patient approaches you with a rash over their torso. They are taking Lamictal (lamotrigine). You suspect this potentially life-threatening side effect.
Stevens-Johnson Syndrome (SJS)
Your patient is on an antipsychotic. They have a recent sore throat and lab draws show neutropenia. Name the med and cause of symptoms.
Clozaril (clozapine)
Agranulocytosis
The nurse assesses their patient for symptoms of blood dyscrasia. Name one.
Sore throat, fever, bruising, unusual or spontaneous bleeding
Evaluation - After a month of taking antipsychotics, your patient exhibits excessive blinking, tongue protruding or moving uncontrollably, and tapping fingers and feet. Name this side effect and tool used to evaluate its severity.
Tardive Dyskinesia
Abnormal Involuntary Movement Scale (AIMS)