5206 Exam 1 PART 3

Depression

100

This SSRI is known to have a black warning box of Suicidality 

Fluoxetine 

200

This medication is known to be extremely hard to come off of! Known to cause discontinuation syndrome! You should never stop this medication abruptly. (HINT: Also causes HTN so monitor BP/HR) 

Venlafaxine (Effexor) 

300

This medication is known to have weird food interactions which can lead to a hypertensive crisis due to tyramine 

Phenelzine 

400

This medication is used off label for sleep! Also known to be veryyyyy cardiotoxic

Amitriptyline 

500

Known to be contraindicated in patients with eating disorders, cardiac disease, or seizure disorders and causes strange dreams 

Bupropion 

Mood stabilizers

100

GOLD standard for BPD! 

Lithium 

200

What is the therapeutic range for Lithium?

0.6 to 1.2 mEq/L 

300

This anticonvulsant is also used for BPD and it is known to have SE such as SJS, hyperammonemia, hepatotoxicity, PCOS, stomach upset, etc. 

Valproic Acid 

400

SE of Lithium Toxicity (HINT: LITHIUM)

Leukocytosis, increased tremors, hypothyroidism, increased urine, and fetal abnormalities such as Ebstein's anomaly (Do not give this drug to Moms) 

500

What nursing interventions are done for Valproic Acid? HINT: What labs do we want to review and which organ do we worry about 

VPA levels, LFT, CBC, and assess for s/s of liver dysfunction 

Anxiety

100

Alprazolam's drug class 

Benzodiazepine 

200

Which Neurotransmitter does Xanax work on??

Binds to specific receptor sites in GABA complex and enhances and amplify action of GABA 

300

Buspirone cannot be mixed with this medication if it has been used in the last 2 weeks 

MAOI 

400

Since Xanax is a Benzodiazepine give at least 3 SE

CNS depression, respiratory depression, anterograde amnesia, tolerance, dependence, toxicity, abuse, etc. 

500

Name three SE of Buspirone 

Paradoxical reactions (insomnia, anxiety, restlessness), dizziness, nausea 

ANY DRUG BABYYYY

100

What is the dosage range for Amitriptyline? What is considered toxic?

120-250 mg/mL is normal 

>500 is toxic! 

200

This medication is used off label for Bulimia and cannot be taken with chocolate or caffeine 

Phenelzine 

300

SE of this medication include EPS, SJS, increased bleeding risks, serotonin syndrome, sexual disfunction, potential weight loss or gain, etc. 

Fluoxetine (Prozac) 

400

Interventions if patient Overdoses on Amitriptyline 

Use gastric lavage, activate charcoal, and use sodium bicarb NAHCO3 (for arrhythmia) 

500

Name the SSRI, SNRI, TCA, and MAOI drugs 

Fluoxetine 

Venlafaxine

Amitriptyline 

Phenelzine 

MORE drugs from PART 3

100

Which electrolyte is known to be replaced by Lithium 

Sodium (Na+) 

200

Grapefruit juice is known to interact with with anti-anxiety medication 

Buspirone 

300

This NDRI is known to have increase BP/HR, N/V, SI, weight loss, etc. 

Bupropion 

400

Which three drugs interact with Lithium (HINT: I Am Tired) 

Ibuprofen, ACE inhibitors, and Thiazide diuretics 

500

If a patient undergoes a hypertensive crises taking Phenelzine what intervention must be done?

IV Phentolamine or SL Nifedipine- rapidly drops BP