Term
|
Definition
| therapeutic effect on a person's mental processes, emotions, or behavior |
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Term
| Psychotropic classification |
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Definition
CNS stimulants
Antidepressants
anxiolytics
antipsychotics |
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Term
|
Definition
promoting CNS functioning
caffeine citrate
amphetamines
methylphenidate/Ritalin |
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Term
| CNS stimulant side effects |
|
Definition
nervousness, insomnia, irritability, seizures, psychosis - od
Tachycardia, palptations, arrhythmias, hypertension
GI, anorex, n, v, abd pain, dry mouth
habituation, dependence |
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Term
| CNS stimulant contraindications |
|
Definition
obesity, not more than 6 weeks
anxiety, agitation
hx of dependence
hyperthyr
cv disorders
closed angle glaucoma
pregnant, nursing
abrupt withdrawl causes depression
MAOI |
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Term
| CNS stimulation children's contraindications |
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Definition
| growth, weight, tics, tourettes |
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Term
|
Definition
psychostimulant\
narcolepsy, sleep apnea, shift-work sleep disorder |
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Term
|
Definition
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|
Term
amphetamines/Adderall
Adderall XR |
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Definition
| ADD, ADHD, narcolepsy, older than 3 |
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Term
| methylphenidate/Ritalins, Metadates (ER & CD) Concerta |
|
Definition
narcolepsy
ADD, ADHD older than 6
senile apathy, major depression |
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Term
|
Definition
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|
Term
| Selective Norepinephrine Reuptake Inhibitor SNRI |
|
Definition
atomoetine/Strattera
non stimulant, noncontrolled ADHD
over 6 years old |
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Term
|
Definition
| prevent early absorption of neurotransmitters serotonin, norepinephrine, and dopamine |
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Term
| Antidepressant classification |
|
Definition
Tricyclic
MAIO
SSRI
Heterocyclic |
|
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Term
|
Definition
block reuptake presynaptically and potentiates serotonin and norepinephrine
fewer side effects than MAOI's
more effective than SSRI's in severe depression
adjunct in neurogenic pain control
slightly sedative, slow onset 2-4 weeks |
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Term
|
Definition
Dryness of mouth
drowsiness, dizziness
constipation, urinary retention esp BPH
postural hypotension
confusion older adults |
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Term
| Tricyclic contraindications |
|
Definition
Cardiac, renal, hepatic
older adults
glaucoma
obesity
preg/lac
MAOI
SSRI increase tricyclic blood levels |
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Term
|
Definition
Clonidine - hypertensive crisis
CNS drugs and alcohol |
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|
Term
| Monoamine Oxidase Inhibitors |
|
Definition
increase concentrations of serotonin, norephinephrine, dopamine in neuronal synapse by inhibitin MAO enzyme
Used in refractory or atypical depression
Panic disorder, phobias |
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Term
|
Definition
nervousness, agitation, insomnia
headache
hypertension/crisis
tachycardia, palpitation, chest pain |
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|
Term
|
Definition
Cerebrovascular, heart, liver, renal
under 16 yo
preg/lac
abrupt discon. |
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Term
|
Definition
adrenergic drugs, diuretics, insulin
Levodopa, antidepressants
CNS depressants
Food: tryamine, tryptamine, tryptophan
gogurt sc, cheese, chicken liver, pickled herring bananas pineapple avocados, figs, pea pods, tenderizers, alcohol, fermented/aged |
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|
Term
|
Definition
isocarboxazid/Marplan
phenelzine/Nardil
tranylcypromine/Parnate
selegilene/Eldepryl - selective MAOI, parkinson's |
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|
Term
| Selective Serotonin Reuptake Inhibitors |
|
Definition
1st line, fewer side effects
block reabsorption of serontonin
one to four weeks |
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Term
|
Definition
nausea, anorexia
insomnia, anxiety, nervousness, tremor, drowsiness, fatigue, dizziness, headache |
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|
Term
|
Definition
liver, renal
suicide prone
diabetwes
bipolar, can precipitate manic attacks
underweight, eating disorders
preg/lac |
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Term
|
Definition
CNS drugs
MAOI's
Antiarrhythmics, anticoagulants, beta blockers, calcium channel blockers |
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|
Term
| Heterocyclic antidepressants |
|
Definition
2nd generation
buproprion: activating antidepressant
mirtazapine/Remeron: calming antindepressant (fibromyalgia), weight gain
Trazadone/Desyrel: highly sedating, agitation secondary to dementia |
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Term
| Heterocyclic side effects |
|
Definition
Drowsiness,(not buproprion) insomnia, restlessness, agitation, anxiety (with buproprion)
dry mouth, nausea, dizziness confusion
weight gain (Trazodone, Mirtazapine) |
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Term
| Heterocyclic cautions/interactions |
|
Definition
suicide, seizure, cardiac, liver
CNS drugs, antidiabetic agents, MAOI's |
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Term
|
Definition
Lithium
Mood stabilizers: anticonvulsants, valproate(Depakote, Depakene, and carbamazepine (Tegretol)
Symbax
atypical antipsychotics: olanzaprine, quetiapine, risperidone |
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Term
|
Definition
| long term treatment bi polar 0.8-1.5 meq. therapeutic range |
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Term
|
Definition
GI distress
cardiac arrhythmias, hypotension
tremors |
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Term
|
Definition
seizure, parkinson
cardiovas, kidney
older/debilitated
thyroid disease |
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Term
|
Definition
tricyclic, interact with CNS, give hs
po |
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Term
|
Definition
tricyclic
anticholinergic SE, orthostatic hypotention, less sedation |
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|
Term
|
Definition
also used topically for eczema
tricyclic
po |
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|
Term
|
Definition
|
|
Term
| nortriptyline/AVentyl, Pamelor |
|
Definition
lower dose adolescents and older adults
tricyclic |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
SSRI
am or pm without food |
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Term
|
Definition
SSRI
better tolerated than Celexa
po |
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Term
|
Definition
SSRI
better tolerated than Celexa
po |
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Term
|
Definition
delayed response, long half life
am
po
SSRI |
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Term
|
Definition
older 1/2 dose, am, no antacids
SSRI |
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Term
|
Definition
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Term
|
Definition
SSRI
pc to lessen nausea
don't crush |
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Term
|
Definition
Heterocyclic
early in day, increase grad/seizures |
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Term
|
Definition
Heterocyclic
bedtime, sedation is common |
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Term
|
Definition
Heterocyclic
pc to decrease nausea, bedtime if drowsiness |
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Term
| lithium/Lithobid, Eskalith |
|
Definition
antimanic agent
ther: 0.8-1.5 meq |
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Term
|
Definition
|
|
Term
| valproate/Depakote, Depakene, |
|
Definition
antimanic
migraine prophylaxis |
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|
Term
| olanzapine/fluoxetine/ Symbax |
|
Definition
|
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Term
|
Definition
antianxiety, minor tranquilizers
benzodiazepines
treat: anxiety d/o
neurosis
psychosomatic, insomnia
n, v |
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Term
|
Definition
depression, hallucination, confusion, agitation, bizarre behavior, amnesia
drowsiness, lethargy, headache
ataxia, tremor, extrapyramidal reactions
sensitivity to sunlight |
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Term
| Anxiolytic contraindications |
|
Definition
mental depression
suicidal tendencies
depressed vital signs
preg/lac/children
liver and kidnehy
older and debilitated (paradoxical reactions) |
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Term
|
Definition
CNS depressants
digitalis, phenytoin
grapefruit juice - valium |
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Term
|
Definition
| potent, used preoperatively anxiety, sedation, light anesthesia, amnesia, conscious sedation |
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|
Term
| midazolam/Versed side effects |
|
Definition
depressed respiration large doses and copd
paraoxical reactions
n and v |
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|
Term
| midazolam/Versed cautions |
|
Definition
apnea, hypoxia, cardiac arrest
respiratory equipment available
Electrolyte imbalance, renal impairment, CHF, children
NO: pregnancy, comatose, narrow-angle glaucoma |
|
|
Term
| midazolam/Versed interactions |
|
Definition
CNS depressants potentiate respiratory probs
Cimetidine/Tagamet and ranitidine/Zantac potentiate respiratory
Erythromycin, ketoconazole, itraconazole, diltiazem, verapramil potentiate respira |
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Term
|
Definition
antianxiety, not benzodiazepine
cognitive and interpersonal problems
slower onset, two to four weeks |
|
|
Term
| buspirone/BuSpar side effects |
|
Definition
dissiness, drowsiness, ha
GI |
|
|
Term
| hydroxyzine/Vistaril, Atarax |
|
Definition
antianxiety
short term, not benzodiazepine |
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Term
|
Definition
XR panic disorder, no abrupt wdrawal
benzodiazepine |
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Term
|
Definition
benzodiazeprine
alcohol withdrawal, severe anxiety IV/IM |
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Term
|
Definition
older adults no more than 15mg
benzodiazepine |
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Term
|
Definition
benzodiazepine
muscle relaxant, IV status epilepticus
don't mix in syringe |
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Term
|
Definition
benzodiazeprine
older agitated adults |
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Term
|
Definition
benzodiazepine
older agitated adults |
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Term
|
Definition
anxiolytics
slow onset
long term |
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Term
|
Definition
antiemetic, antipruritic, preoperative
anxiolytic |
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|
Term
|
Definition
|
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Term
|
Definition
major tranquilizers
phenothiazines (typical) |
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Term
|
Definition
relieving symptoms of psychoses, severe neuroses
relieving N & V
potentiation of analgesics |
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Term
|
Definition
phenothiazines
chlorpromazine/Thorazine
block dopamine receptors, unbalance cholinergic activity that can cause extrapyramidal side effects and tardive dyskinesia |
|
|
Term
|
Definition
risperdone
block serotonin and dopamine receptors
less EPS and TD
behavioral and psychological symptoms of dementia |
|
|
Term
| antipsychotic side effects |
|
Definition
insomnia, agitation, depression, HA,
seizures
dry mouth blurred vision, fever
constipationk urinary retention, anorexia
Parkinsonian symptoms more common in older |
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|
Term
| antipsychotic contraindicaqtion |
|
Definition
| do not treat EPS and TD with Artane or Congentin (Park) will make worse, regular assessment for TD, AIMS scale and DISCUS |
|
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Term
|
Definition
Abnormal Involuntary Movement Scale
Dyskinesia Identification System: Condensed User Scale. |
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|
Term
| antipsychotic contraindications |
|
Definition
seizure disorders
Parkinsonian syndrome
cerebral vascular diseaswe
severe depression
pregnancy
blood dyscrasias
cautions: older, children, hepatic, cvk, renal prostatic hypertrophy, diabetes |
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|
Term
| antipsychotic interactions |
|
Definition
potentiation CNS depressants, anticholinergics, antihypertensives
antagonism with anticonvulsants |
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Term
|
Definition
typical antipsychotic
agitation, N & V, severe behav problems |
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Term
|
Definition
typical antipsychotic
agitation schizophrenia and delusions in older adults |
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|
Term
| prochlorperazine/Compazine |
|
Definition
typical antipsychotic
agitation, primarily N & V |
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Term
|
Definition
typical antipsychotic
psychoneurosis, agitation, combativeness |
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|
Term
| trifluoperazine/Stelazine |
|
Definition
typical antipsychotic
tranq for psychotic disorder |
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Term
|
Definition
chronic schizophrenic or behavioral management of withdrawn patients
typical antipsychotic |
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|
Term
|
Definition
reduce dose for older
typical antipsychotic |
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Term
|
Definition
typical antipsychotic
psychosis, N & V in adults |
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Term
|
Definition
atypical antipsychotic
schizophrenia |
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Term
|
Definition
atypical antipsychotic
monitor wbc risk of agranulocytosis |
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Term
|
Definition
atypical antipsychotic
reduce dose for older
acute agitation |
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Term
|
Definition
atypical antipsychotic
watch for orthostatic hypotension |
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Term
|
Definition
atypical antipsychotic
reduce by half for older
schizophrenia |
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Term
|
Definition
atypical antipsychotic
acute psychosis/agitation
risk of cardiac |
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