Shared Flashcard Set

Details

Exam 2
Lecture 4
98
Aerospace Engineering
3rd Grade
09/17/2013

Additional Aerospace Engineering Flashcards

 


 

Cards

Term
Risperdal
Definition
risperidone
Term
Invega
Definition
paliperidone
Term
Zyprexa
Definition
olanzapine
Term
Seroquel
Definition
quetiapine
Term
Geodon
Definition
ziprasidone
Term
Abilify
Definition
aripiprazole
Term
Fanapt
Definition
iloperidone
Term
Saphris
Definition
asenapine
Term
Latuda
Definition
lurasidone
Term
some clinical presentations of schiz-4
Definition
cant live depedntly
cant miantain emplyment
substance abuse
imparied functioning btwn episodes
Term
late in life schiz ppl feel -
this mean acute are _ but residual symtpoms_
Definition
bruned out
rare
persist
Term
most social deterioration for schiz occurs duing how many years?
Definition
first 5 years
Term
for a schiz pt, when the acute psychotic episodes remits, what happens to the residual features?
Definition
still present
Term
what is the most common ADEs of 1st generation antipsychotics-2
Definition
EPS
increased prolactin
Term
1st generation anipsychotics treat what schiz symtpoms?
Definition
positive
Term
How mnay symtpoms must you ahve to diagnose as schiz?
for how long
Definition
2
a month
Term
what are the 5 symtpoms of schiz, and which ones do you at least have to ahve one of to be diagnosed with schiz?
Definition
delusions
halluciniations
disorganized speech
disorganized ot catatonic
negative symtpoms
1,2,3
Term
what 2 disorders must be exlcuded before cna diagnose as schiz
Definition
mood disorder
schizoaffective
Term
if a devolpement disorder is present in the pt what symtpom must be present and for how long to be diagnosed as schiz
Definition
hallucinations/delusions
1 months`
Term
The schiz disorder can't be diagnosed if thought the symtpms are due to? -2
Definition
medicla disorder
drugs`
Term
what are the frst gneeration antipsychotics-3
Definition
perphenazine
fluphenazine
haloperidol
Term
what receptors are affected by the first generation antipsychotics
Definition
D2
5HT - 2A
H1
M1
alpha`
Term
what are the 4 side effects of the 1st geneeration antipsychoitcs-4
Definition
anti cholinergic
sedation/wt gain
Low BP
EP/increase prolactin
Term
whcih 1st generation antipsychotics have the highest EPS/prolacitn
Definition
haloperidol
fluphenazine
Term
which 1st genreaiton has the lowest BP effect
Definition
haloperridol
Term
which 1st generration antipsychoitc has the most wt gain/sedation
Definition
none, all cause same amt
Term
which 1st generation antipsychotic causes the lest anti-cholinergic
Definition
haloperidol
Term
what are the half life of:
haloperidol
fluphenaizine
perrphenazine
Definition
12-36
14-24
8-12
Term
what is the P450 metab for:
haloperidol
fluphenazine
perphenazine
Definition
3A4, 1A2
2D6
2D6
Term
what are the 4 phases of EPS
Definition
parkinsonism
dystonia
akathesia
tardive dyskenisa
Term
symtpoms for parkinsonism-2
how long afterr antipsychotic treatment does this occur?
Definition
bradykinesia
tremor
1-2 weeks
Term
what emdicaiotn works well for parkinsonism
Definition
anticholenrgics
Term
what is the symtpoms fo dystonia
how long afte treatment do they occur?
Definition
tonic contractions
1-4 days
Term
what med is good for dystonia
Definition
anticholerrgnic
Term
symtpoms of akathisia-2
how do you treat-2
Definition
inner restless, pacing
change med/dose or use propanolol
Term
when does tardive dyskneisa appea after antipsychotic treatment?
it usually affects what muscles
Definition
months to years`
facial
Term
what are some risk factors for tardive dyskensia-4
Definition
older age, acute EPS, diabetes, female
Term
how do you treat tardive dyskneis?
when do you see resolvement of symptoms if everr?
Definition
decrease dose and the disct
months to years
Term
how can you assess tardive dyskenisa
how often do you do this test?
Definition
AIMS
base line then quarterly
Term
2nd gen antipsychotics are good for what symtpoms
Definition
negative nad postive
Term
can secodn gen antipsychotcs cause tardive dyskenesia
Definition
no
Term
look on pg 6 for all the 2nd gen antipsychotics
Definition
Term
clozapine is the 2nd gen that causes the most-4
Definition
BP, metabolic, sedation, anticholinergic
Term
what med causes the least of all 5 2nd gen side affects-2
Definition
ziprasidone
aripiprazole
Term
what med comes closest to clonzapine for potent in a lot of side effects
Definition
olanzapine
Term
what 2nd gen antipsychotics do the most EPS/prolactin affects
Definition
risperidone
lurasidone
Term
what 2nd gen is only as a capsule
Definition
paliperridone
Term
which 2nd generrations cna be avaialbe as injection too-3
Definition
olanzipine
ziprasidone
aripirprazole
Term
what 2nd gen have oral disentegraitng available
Definition
clozapine
olanzipine
risperridone
Term
which 2nd gen has no P450 interactions
Definition
paliperidone
Term
which 3 2nd gen have a smoking interaction
Definition
clozapine
olanzipine
asenapine
Term
go look quickly at the P450s for the 2nd gen antipsychotics before test
Definition
Term
if the patient has severe suicide intentions or history of violence/abuse what med shoudl be given?
Definition
clozapine
Term
due to risk of _ clozapine is given a t low dose and titrated
Definition
othostasis
Term
what is the stating dose of clozapine, then evry 3 days cna increase by-
Definition
25mg/day
25-50 mg
Term
need to obtain clozapine concentrations if using dose >
Definition
600 mg
Term
how is the tapering of WBC monitoring done for clozapine
Definition
every wk x 6 months
normal: every 2 wks for 6 motnhs
normal- everyr 4 weeks
Term
when do you hold clozapine (WBC and ANC)
when do you dsict
Definition
WBC btwn 2000-3000; ANC btwn 1000-1500
WBC<2000 or ANC <1000
Term
which 2nd generation drugs have more effect on 5 HT 2C and H1?-2
what does this mean?
Definition
olanzapine
clozapine
-higher metabolic effects
Term
which 2nd gen gen antipsychotics have more effect on D2 and 5HT 1A?-3
what does this mean?
Definition
ziprasidone
aipirazole
lurasidone
-less metabolic effects
Term
what 2nd gen are not either more or less for cetain receptors
Definition
quetapine
risperiodne
ilopeiodone
asenapine
Term
Monitoring for :
Weight (3)
Definition
baseline
Q month x 3 mo
q 3 months
Term
Monitoring for :
waist circumference (2)
Definition
baseline
annually
Term
Monitoring for :
BP (3)
Definition
baseline-> 12 weeks-> annually
Term
Monitoring for :
fasting glucose
Definition
base line->12 mo-> annual
Term
Monitoring for :
fasting lipids
(3)
Definition
baseline-> 12 wks-> annually -5 yrs
Term
what med has a lot of agranulocytosis
Definition
clozapine
Term
what meds have a lot fo seizures-2
Definition
clozapine
phenothiazines
Term
what meds have a lof of neuronal maliganncy?
Definition
highpotency> low pot>2nd gen
Term
what meds cause QT elongations
Definition
phenothiazines
Term
meds that increase what cause most sexual dysfunction
Definition
prolactin increase
Term
risk factros for neuoleptic malgnancy-3
Definition
1st gen antipsych
dehydraiton
catatonia
Term
when does neuronal malignancy appear after antipsychoptic treaemtn
Definition
weeks-months
Term
depot formulations (long acting) are given how often for:
haloperidal
Definition
monthly
Term
depot formulations (long acting) are given how often for:
fluphenazine
Definition
q 3-6 weeks
Term
depot formulations (long acting) are given how often for:
risperidone
Definition
twice monthly
Term
depot formulations (long acting) are given how often for:
paliperidone
Definition
once monthly
Term
depot formulations (long acting) are given how often for:
olanzapine
Definition
once/twice monthly
Term
either stabilize pt on oral meds or use for _ days to see if they toelrate it
Definition
3-7
Term
oral drug/depot overalp for risperidone reccomended for
Definition
3 weeks
Term
what drugs do you adminster depot form into gluteus?-4
Definition
risperidone
aripiprazole
paliperidol
olanzipine
Term
what drugs do you admin depot form into Z tract IM method-2
Definition
fluphenazine (prloxin D)
Haloperidol (Haldol D)
Term
IM dose of fluphenazine is _ x the oral?
Definition
1.2 times
Term
titration for depot dose of fluphenazine
Definition
weekly dose for 4 weeks then every 2 weeks
Term
overalp haloperridol depot for how long with oral?
Definition
1 month
Term
how much increase is the IM dose of haloperidol
Definition
10-15 x oral
Term
which depot does not need overalp with oral med
Definition
paliperidone
Term
which depot drug has a restrcited distribution?
why?
Definition
olanzipine
coma and deliium is common
Term
look at the assessments prio to teatment on pg 12
Definition
Term
write treatment sheet like the one at bottom of pg 12
Definition
Term
in frist 7 days of trearment should see reduced-3
Definition
aggression, anxiety, agitation
Term
when should sleep and appetite imrpove after treatment?
Definition
7 days
Term
if you suspect pt to be cheeking (not actally taking tablet) what do you do
Definition
dispence liquid solutoin
Term
ativan should not be combined wiht what IM?
why?-2
Definition
zyprexa
respiratory depresison/CNS deresison
Term
to become stable, treatment needed for at least
Definition
6 weeks
Term
in first 2-3 weeks of stable treatment, what is improved
Definition
formal thought disorder
Term
if no imrpovement is seen within _ weeks fo the therrapeutic dose, then need to change alogrothim
Definition
3-4 weeks
Term
when is lifetime antipsychotic treatment used?
Definition
chronically ill
Supporting users have an ad free experience!