SSRIs
SSRI's treat what?
Anxiety and DPN
What is the antidote to benzos?
Flumazenil
One of the continued safety nsg interventions include what for TCA's?
Falls related to orthostatic hypotension
amitriptyline, nortriptyline, imipramine
What foods should be avoided with TCA's?
Foods with tyramine- chocolate, avocados, bananas, aged cheese, caffeine, wine, beer, charcoaled meats, yogurt, cottage cheese, preserved meats, fermented foods.
Antipsychs block what in the brain?
Dopamine
SSRI's inhibit what neurotransmitters?
Norepinephrine and serotonin
This drug class ends in "Pam" and "Lam"
Benzodiazepines- diazepam, lorazepam
TCA's block what neurotransmitters?
Norepinephrine and serotonin
MAOI's treat what type of depression?
Atypical DPN, DPN that has failed other treatments.
Antipsycs are broken down into what 2 categories?
Typical which treat + schizo s/s (physical) and Atypical which tx Atypical schizo s/s (personality).
Name the adverse effects of SSRI's
Insomnia, dry mouth, decreased libido, weight gain/loss
What is the antidote for a hypertensive crisis?
BONUS ADD AN ADDITIONAL 500 POINTS IF ANSWERED CORRECTLY
Phentolamine
TCA's are indicated for what?
OTHER TEAM MAY STEAL, HURRY!
DPN, Bipolar, OCD
How much time should be allowed for switching from an SNRI to an MAOI?
14 days referred to as the "wash out period"
Dementia/Alzheimer's do very well on Haldol a type of antipsychotic medication. True or False?
False, dementia/Alzheimer's pt's should not be on antipsych meds. It can cause further dementia/death
Fever, sweating, increased BP and pulse, muscle spasms, abdominal pain
What are the symptoms of a hypertensive crisis?
HTN, HA, Stiff neck, Fever/chills, dilated pupils
MAOI's can cause HTN Crisis
A side effect from TCA's cause everything to dry out what is this known as?
Anticholinergic effects
A MAOI comes with a black box warning of what precaution?
IF YOU ANSWER CORRECTLY THE OTHER TEAM LOSES 100 POINTS
Suicide
EPS and NMS
Name some meds that interact with SSRI's
MAOI's, warfarin, digoxin, St. Johns Wort, ibuprofen (GI bleed)
A mood stabilizer commonly used to treat Bipolar is what med? What is the toxic range?
Lithium therapeutic range 0.6-1.2, toxic range >2.0
Other mood stabilizers include- valproic acid, carbamazepine, lamotrigine
Toxicity with TCAs can lead to a description that has 4 categories of symptoms. What are all 4 symptoms called?
EPS- Extrapyramidal effects
Why are MAOI's not the 1st choice for DPN?
They have many food restrictions (tyramine) due to the possibility of HTN crisis
Atypical antipsych meds can cause what to the blood system?
Decrease in WBC's (agranulocytosis), pt's should be monitored weekly. They should also be monitored for metabolic syndrome.
risperidone, olanzapine, quetiapine, clozapine
Which labs must be assessed with SSRI's?
BONUS QUESTION- TEAM DOUBLES THEIR TOTAL POINTS IF THEY ANSWER CORRECTLY
WBC's
Barbiturates (phenobarbital, butabarbital) most commonly treat what disorders?
Short term treatment for anxiety, and insomnia
Name the TACS of TCA's
Tachycardia, Cardiac Effects, Anticholinergic Effects, Sedation/Sexual Dysfunction
Can you name at least 4 meds that fall under the MAOI class.
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Tranycypromine, Phenelzine, Isocarboxaid, Selegiline
An extreme high fever after starting a psych med can mean what side effect is happening?
THE OTHER TEAM LOSES A TURN IF YOU ANSWER CORRECTLY, SORRY NOT SORRY
NMS