Shared Flashcard Set

Details

3015
Exam 2
87
Nursing
Undergraduate 3
10/27/2011

Additional Nursing Flashcards

 


 

Cards

Term
Paranoid schizo onset
Definition
30's
Term
4 types of Schizo
Definition
Paranoid, disorganized, catatonia, undifferentiated.
Term
Problems of the neurotransmitters in Schizo
Definition
increased norepi, and dope. Decrease gaba, seritonine
Term
leading cause of death in schizo
Definition
suicide.
Term
Positive symptoms
Definition
add to the norm, hallucinations, delusions, bizarre behavior and dress.
Term
Derailment/loose association
Definition
ideas slip off the topic track to another. ideas may or may be even close to making sense.
Term
tangential
Definition
replying to questions but go off topic.
Term
Flight of ideas
Definition
sequence of loose association/tangential, fast.
Term
circumstantially
Definition
speech that is highly detailed before getting to the goal.
Term
Negative
Definition
TAKING AWAY, poverty of thought/speach, avolition, ahedoneia, annersia
Term
avolition
Definition
lack of motivation
Term
anhedonia
Definition
no pleasure
Term
annersia
Definition
no energy
Term
Cognitive symptoms of Schizo
Definition
Difficulty with attention, memory, executive functions ( decision making, problem solving)
Disorganized speech & behavior & inappropriate affect stems from this
Term
Typical drugs
Definition
Thorazine, haldol, prolixin, navain and stelazine.
Term
Typicals S/S
Definition
EPS, anticholenergic, NEMS
Term
EPs symptoms
Definition
Parkinson, TD, Akesthesia, distonia
Term
Give what for the EPS symptoms?
Definition
Cogentin
Term
TD signs
Definition
Tongue flick, flicking motions
Term
akesthesia
Definition
Can't stop moving, feel like jumping outta skin, compulsion to move.
Term
Akesthia treament
Definition
Benzos
Term
Distonia treatment
Definition
benedryl.
Term
Atypical drugs
Definition
Clozaril, risperodol, zyprexa, seroquil, abilify, invega
Term
Clozaril big deal
Definition
Agranulocytosis, wbc need to be over 5000
Term
Geodon can cause
Definition
Dysrythmeas
Term
Atypical side effects
Definition
weight gain, anti cholenergic, hyperglycemia, htn, hyperlipidemea. NEMS
Term
Neuroepileptic malignent syndrome.
Definition
Super high fever, sever muscle spasm, tachy, htn, convulsions, confusion, sweating, muscle rigidity. Caused by typical AND atypical.
Term
Treat NEMS with
Definition
stop meds, take to icu, treat the symptoms and bromocryptine
Term
Schizoaffective
Definition
Comes and goes, better out come than straight up schizo, thought AND mood.
Term
Bipolar 1
Definition
More severe. Mania and depression.
More often men
Term
Bipolar 2
Definition
hypo mania and depression. more often women.
Term
Learned helplessness
Definition
Hopless people, predetermined, battered women.
Term
Major depression vs dysthymia,
Definition
Major, more acute sig decrease in functioning, can't get outta bed, pain suffering, delusional or psychosis potential, dysthymia not as bad as major depression, glass always half empty, felt like this forever, chronic and insidious (at least 2 years, hard to distiguish from usual pattern)
Term
Criteria for MDD
Definition
Change in previous function and 5 of following: Depressed mood most of the day
Anhedonia, anergia
Weight loss
Insomnia(more common(/hypersomnia(less common)
Feelings of worthlessness, guilt, helpless, hopeless, despair)
Decreased concentration
Recurrent thoughts of death or suicidal ideation
Term
Vegetative symptoms
Definition
Sleeping, sex, eating, pooping.
Term
ECT induces a
Definition
Grand mal seziure
Term
ECT drugs before surgery
Definition
anesthetic, muscle relaxer
Term
ECT treatment regime
Definition
2-3 treatments a week for up to 12 treatments.
Term
SSRIs
Definition
Prozac, zoloft, paxil, luvox lexapro, celexa
Term
SNRI'a
Definition
Effexor, cymbalta and pristique
Term
NDRI
Definition
Wellbutrin (increases sex, helps with smoking, don't give to anorexic/bulimic-WEIGHT GAIN)
Term
SSRI ADR
Definition
Agitation, anxiety, sleep disturbance sexual disjunction, weight gain, dry mouth.
Term
tricyclics.
Definition
Amitriptyline (Elavil), Desipramine (Norpramin), Doxepin (Sinequan), Imipramine (Tofranil), Nortryptiline (Pamelor)
Term
MAOI
Definition
Nardil, parnate
Term
MAOIs Problem
Definition
Tyramine contain foods BAD, interact with other drugs. eat tyramine foods get hypertensive crisis.
Term
Trycyclics problems
Definition
can cause anticolenergic, othostatic Hypotentsion, suscide, arrythmia (overdose kills)
Term
serotonin syndrome
Definition
abdominal pain, diarrhea, increased motor activity, increased bp muscle spasm, irritability.
Term
Cyclothymia
Definition
Not bipolor, hypo mania and minor depressive episodes.
Term
Bipolar onset
Definition
18-30
Term
delirious mania
Definition
requires physical or chemical restraints, no in touch with reality
Term
Bipolar drug of choice
Definition
Lithium
Term
Major issues with Lithium
Definition
HYDRATion, small therapudic range. Dehydration or over hydration affect. watch for kidney function and hypothyroid.
Term
Lithium therapeutic range.
Definition
.4-1.3
Term
therapeutic rang for lithium
Definition
poly uria, mild hand tremor, thirst, weight gain, nausea*, general discomfort*.
Term
1.3-1.5 over for lithium
Definition
n/v/d thirsty, peeing a lot, weak.
Term
more than 1.5 for lithium
Definition
N/V/D confusion, coarse hand tremor, sedation, uncoordinated, could get worse, seizures, coma, over 2.5 death.
Term
Lithium onset
Definition
7-14 days
Term
peak of dts
Definition
2-3 days
Term
onest of dts
Definition
1 day
Term
Antiepileptics for BIPOLAR
Definition
tegretol, depacote, lamictal
Term
Treatment for DTs
Definition
Ativan
Term
4 signs your an alchy
Definition
Dependence, craving, loss of control, tolerance.
Term
drug abusers neuro transmitter that is increased?
Definition
Dopamine, serotonin and Gaba
Term
treatment for opiod OD
Definition
Narcan
Term
Treatment for CNS depressants
Definition
Charcoal lavage.
Term
clang association
Definition
Say words because of the way they sound Rhyming, sound the same
Term
Abuse vs addiction
Definition
abuse- no withdrawls. participationg in dangerous activities, problems fulfilling rolls, dependent, want to stop but unsuccesful tollerenace, substance used despite problems.
Term
treatments stimulant
Definition
Antipsychotics, antipyretics, diazapam for seizures.
Term
LSD treatment
Definition
talk down.
Term
PCP treatment
Definition
valium, haldol, ammonium chloride.
Term
DT's S/S early symptoms and late symptoms
Definition
increase in pulse and bp at the start, irritability restlessness vascular collaps, emboli, MI, sweating.
Term
How long do DT's last
Definition
7 days.
Term
synesthesia
Definition
feeling things on your body that aren't there.
Term
DT's treatment
Definition
BEnzos, anticonvulants, folic acid, mag sulfate, multi vitamin's.
Term
Revia
Definition
blocks opiate receptors reducing alcohol preference.
Term
Adabuse
Definition
makes you feel awful when you drink
Term
Methadone
Definition
highly addicting, can also produce withdrawl, for heroine.
Term
Clonopine
Definition
Nonopiod suppressor of opioid withdrawl.
Term
Suboxone
Definition
Black physical symptoms of opioid withdrawl.
Term
Def of personality disorder
Definition
inflexible, maladaptive, pervasive pattern of abnormality, functional impairment, problems with relationships.
Term
Boarder-line personality disorder characteristics
Definition
inflexible, disability in working or loving, evoke conflict, gets under your skin.
Term
cluster A
Definition
odd excentric
Term
cluster b
Definition
manipulative, emotional, erratic, dramatic
Term
Cluster C
Definition
anxious and fearful.
Term
antisocial characteristics`
Definition
don't care about feelings of other, laws, lies, no remorse, reckless, have to be 18 or older.
Term
What receptor is is mutated in alcohol addiction
Definition
Mu, dopamine goes to limbic system, 1/3 of alcoholics have this, causes euphoria beyond what is normally felt.
Term
Alogia
Definition
Povery of though or ideas
Supporting users have an ad free experience!