Antipsychotics
What is another name for Antipsychotic Drugs?
Major Tranquilizers or Neuroleptics
Enumerate the 4 groups of antidepressants.
1. Tricyclic Antidepressants (TCA)
2. Selective Serotonin Reuptake Inhibitor (SSRI)
3. Monoamine Oxidase Inhibitor (MAOIs)
4. Others/Novel Antidepressants
It is the most established mood stabilizer.
Lithium
Does Buspirone cause physical dependence?
No
Give at least one primary use of stimulants.
- ADHD in children and adults
- Residual attention-deficit disorder in adults
- Narcolepsy
Clients taking which type of psychotropic medications needs close monitoring of their cardiac status?
Antipsychotics
Give the two neurotransmitters Antidepressants interact with.
Norepinephrine and Serotonin
What level of lithium is dialysis indicated?
more than 3 mEq/mL
What should you not take while taking benzodiazepines?
Alcohol
What herbal medication is used to treat depression?
St. John’s Wort
This is a potentially fatal idiosyncratic reaction to an antipsychotic or neuroleptic drug.
Neuroleptic Malignant Syndrome
What happens if MAOIs are taken with foods containing tyramine?
Hypertensive Crisis
The nursing consideration for Lithium to help with nausea and vomiting.
Take lithium with food.
The client fears the return of anxiety symptoms or believe they are incapable of handline anxiety without the drug. What side effect is this called?
Physical Dependence
Sometimes prescribed for persons in recovery from alcohol abuse or dependence.
Acamprosate (Campral)
The nurse is caring for a client with schizophrenia who is taking Haloperidol (Haldol). The px complains of restlessness, cannot sit still, and has muscle stiffness. Of the following PRN medications, which would the nurse administer?
a. Haloperidol (Haldol), 5mg PO
b. Benztropine (Cogentin), 2mg PO
c. Trazodone, 50mg PO
B. Benztropine (Cogentin), 2mg PO
Rationale:
- Client is experiencing EPS from haloperidol, specifically acute dystonia or pseudoparkinsonism, which include symptoms like muscle stiffness, rigidity, and restlessness.
Why is SSRI the preferred drug for clients at high risk for suicide?
They carry no risk of lethal overdose
A nurse is reviewing the serum lithium level and notes a result of 1.6 mEq/L. Client reports mild nausea and diarrhea. Which action should the nurse take first?
a. Document the finding as within therapeutic range.
b. Hold next dose and notify healthcare provider.
c. Encourage the client to take the medication with food.
d. Give the medication with 240mL of water.
Patient is taking Valium. What is an important nursing consideration for Benzodiazepines?
a. Valium can be stopped abruptly.
b. Slowly taper the drug before stopping.
c. Never stop abruptly, wait for healthcare provider instructions
C. Never stop abruptly, wait for healthcare provider instructions
Benzodiazepines withdrawal can be fatal, never stop drug abruptly.
What enzyme does Disulfiram (Antabuse) inhibit?
Aldehyde Dehydrogenase
What is the standardized assessment tool to check for initial signs of Tardive Dyskinesia (TD)?
Abnormal Involuntary Movement Scale
Give the order of antidepressants.
1. SSRI
2. TCA
3. MAOI
4. ECT
When should the lithium levels be monitored?
every 2-3 days
A non-benzodiazepine that is often used for the relief anxiety.
Buspirone
3 Medications considered the first-line treatment for ADHD.
Methylphenidate (Ritalin)
Amphetamine (Adderall)
Dextroamphetamine (Dexedrine)