Neurotransmitters
This neurotransmitter is increased in schizophrenia
What is dopamine or norepinephrine?
The disorder benzodiazepines are used for
What is anxiety, insomnia, bipolar disorder, or alcohol withdrawal?
This class of med blocks the reuptake of serotonin
Selective Serotonin Reuptake Inhibitors (SSRI)
These antipsychotics work on the positive symptoms of schizophrenia
First-Generation Antipsychotics
Name the med class- Diazepam (Valium)
Antianxiety
This neurotransmitter is decreased in depression
What is serotonin, norepinephrine, or dopamine ?
This neurotransmitter is potentiated with the use of benzodiazepines
What is GABA?
Fluoxetine (Prozac), Citalopram (Celexa), Sertraline (Zoloft), Fluvoxamine (Luvox), Escitalopram (Lexapro), Paroxetine (Paxil)
Name one nursing intervention for antipsychotics
Assess mental status
Assess for occurance of positive and negative symptoms
Monitor BP
Trihexyphenidyl or benzotropine for extrapyramidal side effects
Monitor for neuroleptic malignant syndrome
Monitor liver function, CBC
Name the med class- Valporate (Depakote)
Anticonvulsants
This neurotransmitter stimulates the sympathetic nervous system
What is norepinephrine?
Name some therapeutic effects of benzodiazepines
Calming and sedation. Reduce insomnia, aggression and panic.
The use of monoamine oxidase inhibitors can increase which vital sign?
BP- watch for hypertensive crisis
Since MAOIs inhibit monoamine oxidase, they decrease the breakdown of tyramine from ingested food, thus increasing the level of tyramine in the body. Excessive tyramine can elevate blood pressure and cause a hypertensive crisis
The therapeutic level for lithium
0.6-1.2 mmol/L
This is an inhibitory neurotransmitter
What is GABA?
The body system at risk when using benzodiazepines
Respiratory system
Name one nursing intervention for MAOI's
Monitor BP
Monitor hepatic function
Assess for peripheral edema and urinary retention
Assess for mood changes and suicidal thoughts
Avoid alcohol, CNS depressants, excessive caffeine, tyramine foods/drinks
fever, respiratory distress, tachycardia, seizures, diaphoresis, hypertension or hypotension, pallor, tiredness, severe muscle stiffness, loss of bladder control
Donepzil (Aricept) is the treatment for which disorder?
Alzheimers
This neurotransmitter is the chief neurotransmitter of the parasympathetic nervous system
The antidote for overdose of benzodiazepines
Flumazenil (Romazicon)
Name one type of food that should be avoided when taking MAOIs
aged cheese, cured meats, processed meats, pickled foods
Name one second generation antipsychotic med
Clozapine (Clozaril), Risperidone (Risperdal), Quetiapine (Seroquel), Olanzapine (Zyprexa), Ziprasidone (Geodon), Aripiprazole (Abilify), Paliperidone (Invega), Iloperidone (Fanapt), Lurasidone (Latuda), Asenapine (Saphris)
What is the name of the anticonvulsant drug that may cause teratogenic effects?
Depakote