Anxiolytic Drugs
What are the classification and the other use of propranolol (Inderal)
Beta-blocker; hypertension, cardiac arrhythmias
What is the adverse effect of fluoxetine (Prozac) (SSRI) if taken with St. John’s wort?
Serotonin syndrome (high body temperature, agitation, increased reflexes, tremor, sweating, dilated pupils, and diarrhea).
What is the drug classification of St. John Wart?
St. John Wart is herbal to treat depression, anxiety, sleep disorders, and nervousness.
What is the main reason quetiapine (Seroquel) is prescribed for patients with mental illness?
Schizophrenia, bipolar mania
The category and schedule of methadone (Dolophine)
Synthetic opiate, schedule II
What is the route and usual dose of Temazepam (Restoril)?
PO
15-30 mg at bedtime
What are the main contraindication of Vilazodone (Viibrya)
MAO inhibitors or any MAO-like drugs
What are the potential drug interactions of St. John Wart?
MAOI, SSRIs, TCAs, Benzodiazepines, phenytoin, valproic acid, phenobarbital, tyramine-containing foods.
What is the rout of administration of asenapine (Saphris)?
Sublingual
What is the effect of marijuana (Cannabis) on CNS?
CNS depressant
What are the main side effect of Temazepam (Restoril)?
day time drowsiness/ dizziness, feeling of HANGOVER
Aside from depression, what is another reasons Bupropion may be prescribed?
Smoking cessation
What is the drug classification of Amitriptyline?
It is Tricyclic antidepressants (TCAs), the original first generation antidepressants.
What is the drug classification of Paliperidone?
It is atypical antipsychotic drug class. They still have adverse effects, but they are usually not as severe as seen with the conventional antipsychotic drugs.
What is the therapeutic use of anabolic steroids?
treatment of hormone problems in men, delayed puberty, and muscle loss from some diseases.
What are the drug classifications of Buspirone and Chlordiazepoxide?
Both are anxiolytic drugs. Chlordiazepoxide is Benzodiazepines drug class while Buspirone is Non-Benzodiazepines drug class.
What are the main adverse effects on Phenelzine (Nardil)?
Suicidal ideation, insomnia, dry mouth, decreased urine output, constipation, weight gain
What is the indication of Amitriptyline?
Its original indication was depression, but it is now more commonly used to treat insomnia and neuropathic pain.
What are the main medication/food interactions with Haloperidol (Haldol)?
CNS depressant, alcohol, opioids, sedatives/ hypnotics
What should the nurse monitor and teach the patient to report when taking lamotrigine (Lamictal)? Could be life-threatening.
Skin rashes.
What are the advantages of Non-Benzodiazepines drug class (Buspirone) ?
-Non-Benzodiazepine (Buspirone) has fewer adverse effects, such as decreased sedation and lack of dependence potential.
What the nurse should teach his/her patient who is taking Mirtazapine (Rameron)?
Avoid driving , causes drowsiness
Caution pt and family for any changes in mood/behavior
Caution patient to change position slowly to avoid orthostatic hypotension \
Discourage pt on taking CNS depressant drug and alcohol
Encourage good oral hygiene for dry mouth
Encourage patient to monitor dietary intake for weight control
Discourage use of OTC drug/supplement/herbs /etc
Notify Dr. if pregnancy occur
What are the common adverse effects of TCAs?
Anticholinergic effects: dry mouth, blurred vision, constipation, and urinary retention
Cardiovascular effects: tachycardia, orthostatic hypotension
What are the nursing consideration of Haloperidol (Haldol)?
Assess mental status (ex: hallucination, suicidal ideation, symptoms of schizophrenia, etc)
Assess pt for S/S of dehydration, monitor I&Os
Monitor for development of (ex: fever, tachycardia, and respiratory distress, HTN, etc)
Monitor CBC periodically for liver function
Admin IM injections slow, using 21 gage needle in well-developed muscle
Keep patient lying down to avoid to avoid hypotensive effect
IV push used for rapid psychosis/delirium
What is the patient teaching of Oxycodone?
-Narcotic analgesics may cause drowsiness or dizziness. Advise patient to make position changes slowly to minimize orthostatic hypotension.
-Advise patient to avoid concurrent use of alcohol or other CNS depressants with this medication.