What is the primary nursing intervention when caring for a client taking clozapine?
What is monitoring WBC?
What is monitoring s/s of infection?
Anti-anxiety medications can be used as a crisis intervention.
True
What is the first line mood stabilizer for bipolar?
What is lithium?
What are the Three types of Antidepressant drugs?
What are TCA's, SSRI's, SNRI's?
tricyclic antidepressants, selective serotonin reuptake inhibitors, serotonin norepinephrine reuptake inhibitors
What are 3 side effects of stimulants
what is Anorexia, Anxiety, weight loss, nausea, irritability
Name 3 Extrapyramidal symptoms
what is Akathisia?
Dystonia?
Akinesia?
Tardive dyskinesia?
Pseudoparkinsonism?
Oculogyric crisis?
Name one Non-Benzodiazepine med prescribed for anxiety.
Buspirone (buspar), Propanolol, clonidine, hydroxyzine,
What are 3 Toxic effects of lithium?
What is severe diarrhea?
Vomiting, drowsiness, muscle weakness, lack of coordination
Name one of the most common symptoms of serotonin syndrome?
Delirium, agitation, tachycardia, diaphoresis, diarrhea, muscle rigidity, hyperreflexia
Name one of the three primary drugs used to treat ADHD:
Methylphenidate (Ritalin)
Amphetamine (Adderall)
Dextroamphetamine (Dexedrine)
Is Risperidone a typical or atypical antipsychotic?
What is atypical?
Most common side effects of anxiolytics are those related to the depression of ____
Central nervous system, CNS
This may be used to treat acute mania.
What is Klonopin (clonazepam)
True or False
It only takes a few days for antidepressants to take effect.
False, These drugs can take mutliple weeks to become effective. Suicide evaluations and mental health assessments should be done routinely after treatment to ensure effectiveness.
Name of one food item to avoid while taking stimulants due to it worsening SE:
sugar, caffeine, chocolate,
Name one First Gen. Antipsychotic drug
What is haloperidol?
What is Phenothiazine?
Name 4 diagnoses that anxiolytics may be prescribed for:
anxiety disorders, insomnia, Obsessive Compulsive Disorder (OCD), depression, posttraumatic stress disorder (PTSD), and alcohol withdrawal
What lithium blood level may indicate need for dialysis?
What is 3 mEq/L?
When SSRIs or SNRIs and taken with psychotropics, patients are at increased risk for...
seizures
Most common long-term effect of stimulants in children is...
Decreased growth and weight suppression
Describe a difference of atypical and typical antipsychotic drugs.
Atypical vs. Typical
Atypical are first to be used
Atypical cause less EPS
Typical mainly controls positive symptoms
Atypical are more likely to cause metabolic syndromes
What is one priority point of patient education for individuals taking benzodiazepines?
Benzo withdrawal can be fatal, Sedative effects and use of vehicles, avoid use of alcohol
Name 4 most common side effects of Lithium:
mild nausea/diarrhea, anorexia, fine hand tremor, polydipsia, polyuria, metal taste in mouth, and fatigue or lethargy.
What is the priority nursing intervention when caring for a patient who is developing signs of serotonin syndrome?
Stop offending drug.
What is the highest priority education for parents whose child has been prescribed stimulants?
Keep medications stored safely and away from where children can reach them, as little as 10 day supply can be fatal to a child