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Depression Drugs
Pnsych Nursing Drugs for Final Exam
23
Psychology
Undergraduate 3
05/02/2006

Additional Psychology Flashcards

 


 

Cards

Term
How long it takes for TCAs to work
Definition
4-6 wks
Term
Complications of TCAs
Definition
Cardiac and cerebral toxicity (don't take if heart problems); fatality if overdose; arrhythmias, HTN; seizures, tremors, ataxia
Term
Side effects of TCAs
Definition
AC side effects (dry mouth, urinary retention, constipation, blurred vision, worsening of glaucoma, tachycardia, heat intolerance); Alpha adrenergic effects (orthostatic hypotension, dizziness, reflex tachycardia)
Term
Symptoms of OD with TCAs
Definition
agitation, delirium, coma, death, seizures
Term
Sexual side effects of TCAs
Definition
erectile and ejaculatory dysfunction
Term
What happens if you combine a TCA with a MAOI?
Definition
Hypertensive crisis
Term
Side effects of SSRIs
Definition
N/V - usually decreases after the first few days of treatment; Give with food;
sweating, anxiety, dizziness, tremors, fatigue, and dry mouthDecreased appetite
Insomnia-
Give in the morning
HA-occurs usually upon initiation
Sexual dysfunction; GI side effects especially Zoloft and Paxil
Restlessness- decrease the dose; possible EPS
Term
Seratonin rebound
Definition
After D/Cing; Dizziness
N/V
H/A
Diaphoresis
Insomnia
Malaise
Some worsening of mood and increased anxiety
(Very similar to flu-like symptoms)
Term
Seratonin toxicity
Definition
N/V, Confusion, Hyperthermia, Autonomic nervous system instability, Rigidity, Seizures, Coma, Death
Term
Action of Wellbutrin
Definition
increases DA and NE
Term
What are the benefits of Wellbutrin XL?
Definition
Less sexual side effects, less weight gain, once daily dosing
Term
Use caution with Wellbutrin with whom?
Definition
at risk for seizures or when stopping alcohol
Term
What is the action of effexor?
Definition
Seratonin and NE reuptake inhibitor
Term
Risk of Effexor?
Definition
high BP
Term
What is Remeron?
Definition
A tetracyclic
Term
What are side effects of Remeron?
Definition
Seizures, increased appetite, weight gain
Term
What are the benefits of Remeron?
Definition
Good for nursing homes and treatment resistant depression
Term
What is the action of MAOI?
Definition
increases 5HT, NE, and DA by blocking the action of the enzyme MAO which normally inactivates these neurotransmitters.
Term
What are the contraindications for MAOIs?
Definition
BP meds, alcoholism, liver or kidney disease
Term
Foods to avoid when taking MAOIs
Definition
Alcohol, cheese, aged, smoked, pickled or preserved meats, very ripe bananas, yeast extracts, coffee, chocolate
Term
Meds to avoid with MAOIs
Definition
Cold or allergy, decongestant, inhalers, cough, stimulants, diet pills, pain meds (but you can take ASA, ibuprofen, and acetaminaphen)
Term
Sx of hypertensive crisis
Definition
Sudden extreme elevation in BP, excruciating H/A, sweaty clammy skin, N/V; tx: antihypertensives
Term
Herb used for depression
Definition
St. John's Wort
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