Anxiety
Excessive and unrealistic worry about 2 or more life circumstances for 6 months or more
Generalized anxiety disorder
A patient comes to your clinic reporting depression. What is the priority nursing intervention?
Lithium is the drug of choice for which of the following disorders?
Bipolar disorders
Treatment of acute dystonic (EPS) reactions
Injection of diphenhydramine
The general formula to evaluate almost every drug calculation question
D/H * Q
Drug class of Vistaril
antihistamines
Avoid eating these foods when taking an MAOI
Tyramine
Therapeutic level of Lithium
Normal serum level is 0.4-1.2 mEq/L
Most common cause of non adherence to antipsychotic therapy
EPS
The calming neurotransmitter
GABA
Most common drug class used for anxiety
Benzodiazepines
Antidepressants take how long before they start to work
1 week
Delusion that one has great talents or special powers
Grandiose delusions
A person taking an antipsychotic develops tongue protrusion, jaw spasms & neck torsions. What are these EPS symptoms referred to as?
Dystonias
Delusions-- abnormal thoughts
Hallucination-- abnormal sensory input (auditory or visual)
Drug of choice for obsessive-compulsive disorder
Fluvoxamine (Luvox)
This type of insomnia results in difficulty staying asleep
terminal insomnia
Bipolar disorder was formally known as
manic depression
Patient taking an antipsychotic exhibits rigidity, hyperthermia, tachycardia, hypertension & altered LOC. Probable diagnosis?
neuroleptic malignant syndrome
Common scale used to assess suicidal ideation/ risk
Columbia Suicide Severity Rating Scale
Provide 3 symptoms of benzodiazepine withdrawal
restlessness, worsening anxiety/ insomnia, tremors, muscle tension, increased heart rate, auditory hypersensitivity, delirium, tonic-clonic seizures
When a patient switches from an MAOI to another antidepressant, the nurse must wait ____ days after discontinuing the MAOI to start other drugs
14
It is recommended that you wait 14 days after discontinuing MAOIs before starting SSRIs/SNRIs, etc.
The patient with bipolar disorder presents with: persistent vomiting/ diarrhea, hyperreflexia, excessive thirst, & tremors. Possible diagnosis?
Lithium toxicity
What type of EPS:
tremor, muscular rigidity, mask-like expression, shuffling gait, loss of motor function
Pseudoparkinsonism
The neurotransmitter commonly referred to as the "learning" neurotransmitter. Involved in thought, learning, muscle action & awakening.
Acetylcholine