DRUG CLASSES
some examples are paroxetine (Prozac); citalopram (Celexa); sertraline (Zoloft)
What is a SSRI?
Motor inner driven restless (tapping foot incessantly, rocking in chair; inability to sit still)
What is akathisia?
life threatening condition. occurs d/t interaction between ssri and serotonergic agent. s/s include altered mental status, autonomic dysfunction, neuromuscular abnormalities.
What is serotonin syndrome?
Repeating what nurse believes is the main point patient said.
What is restating?
xanax, valium, ativan, buspar. help people experiencing moderate to severe anxiety.
What is an anti anxiety medication?
What is cental nervous system (CNS) depression
Venlafaxine (effexor) duloxetine (cymbalta)
What is an SNRI?
General comments allowing patient to direct interaction; usually not answered with a "yes" or "no"
What is Open-ended questioning?
Elavil, Sinequin, Pamelor. first generation meds, have been largely replaced.
What is Tricyclic antidepressants?
Class of drugs used to manage schizophrenia, bioplar disorder (manic phase), and psychosis
What are anti-psychotics?
Characterized by a lack of trust in others; very suspicious and hypersensitive. Cluster A personality disorder
What is Paranoid Personality Disorder?
Helps patient develop or expand an idea. Allows nurse to collect specific information. Directs conversation towards topics of importance.
What is Focusing?
Ineffectively coping with stress; Oriented to surroundings but see it mildly distorted; may seek outpatient treatment.
What is Neurosis?
Drugs which are used to treat bipolar illness. Poor fluid intake and salt restrictions increase toxicity.
What are mood stabilizers? (Lithium)
Characterized by disregard for violation of the rights of others; lacks remorse; dishonest and manipulative. Cluster B personality disorder
What is Antisocial Personality Disorder?
Direction back to the patient; Allows patient to think about their personal thoughts and feelings.
What is Reflecting?
Individual loses touch with reality and may hallucinate. Required inpatient hospital treatment.
What is Psychosis?
May develop Extrapyramidal Side Effects when taking these medications.
What are anti-psychotics?
A rare but potentially fatal syndrome of anti-psychotic medications involving fever, severe muscle rigidity, and autonomic disturbance.
What is Neuroleptic Malignant Syndrome?
Depakote, tegretol, lamictal. can be used in treating seizures or bipolar disorder
What is anticonvulsant medications?
Form of nonverbal communication that conveys interest and caring.
What is Active Listening?
These two items are commone to all Personality Disorders.
What is Inflexibility and Maladaptive Behaviors?