SSRI
This class of meds takes weeks, not days, to improve mood.
What are SSRIs?
First-line medication for ADHD.
What is methylphenidate (Ritalin)?
This drug class increases heart rate and blood pressure.
What are stimulants?
These meds cause dry mouth, urinary retention, and dilated pupils
What are anticholinergics?
Medication of choice for anaphylaxis.
What is epinephrine?
A serious, life-threatening reaction caused by excess serotonin.
What is serotonin syndrome?
The effect where stimulants calm hyperactive children.
What is a paradoxical effect?
Street drug classified as a stimulant.
What is cocaine or methamphetamine?
Mnemonic describing anticholinergic effects.
What is “dry as a bone, blind as a bat”?
Means the patient has NO secretions:
Dry mouth (can’t spit)
Dry skin
Decreased sweating
Constipation
Urinary retention
➡️ Acetylcholine normally makes you wet (saliva, sweat, GI movement).
Blocking it = dry everything.
Blind as a bat”
Means vision changes:
Dilated pupils (mydriasis)
Blurry vision
Sensitivity to light
➡️ Dilated pupils = trouble focusing, especially up close.
Primary side effect the nurse monitors after epinephrine.
What is tachycardia?
SSRI considered safest in pregnancy and breastfeeding.
What is sertraline (Zoloft)?
Why ADHD meds should not be given at bedtime.
What is they cause insomnia?
Body system most affected by stimulant abuse.
What is the cardiovascular system?
Anticholinergic used to treat extrapyramidal symptoms.
What is benztropine (Cogentin)?
Routes epinephrine can be administered.
What are IM, SQ, or IV?
Herbal supplement that must NOT be taken with SSRIs.
What is St. John’s wort?
Common side effect that may affect a child’s growth.
What is appetite suppression / weight loss?
Medication used to slow the heart during stimulant toxicity.
What is propranolol?
Condition that anticholinergics can worsen due to pupil dilation.
What is glaucoma?
Epinephrine works by stimulating these receptors.
What are alpha and beta receptors?
A patient on SSRIs develops fever, tachycardia, confusion, and diarrhea. What is the priority nursing action?
What is stop the medication and notify the provider?
Important teaching regarding caffeine and ADHD meds.
What is avoid caffeine?
Two meds commonly used to treat severe stimulant intoxication.
What are propranolol and diazepam?
Why anticholinergics are dangerous in older adults.
What is risk for urinary retention, confusion, and falls?
Priority assessment after epinephrine administration in a child.
What is heart rate?