Term
Amino Acids
GABA (gamma-aminobutryic acid) |
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Definition
| Benzodiapines (for anxiety) increase GABA which calms the patient |
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Term
Anxiolytics
benzodiapines) |
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Definition
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Term
Mood Stabilizers
(lithium - salts; anti-seizure meds) |
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Definition
-Diminish ability of neurons to release neurotransmitters (reduces mania)
-Increase norepinephrine, serotonin, acetylcholine (reduces depression) |
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Term
Anti-psychotics
(neuroleptics; typical and atypical types) |
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Definition
-Lower dopamine
-Lower serotonin |
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Term
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Definition
-Diminish re-uptake of serotonin (SSRI's)
-Diminish re-uptake of norepineohrine |
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Term
| Anxiolytics - Side Effects |
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Definition
| Drowsiness, confusion, sedation (orthostatic hypotension), tolerance (physical & psychological), increases effects of other CNS depressants, paradoxical excitement, nausea, vomiting, constipation |
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Term
| Anxiolytics - Nursing Implications |
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Definition
| Risk for falls (esp. elderly), BP, increase fluid, increase fiber - bran, exercise, before giving meds assess level of anxiety, after - reassess anxiety and document |
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Term
| Antipsychotics - Side Effects |
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Definition
| Photosensitivity, weight gain, sedation/dizziness (orthostatic hypotension), hormonal changes |
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Term
| Antipsychotics - Nursing Implications |
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Definition
Monitor signs and symptoms of psychosis, anti-cholinergic side effects
-can't pee
-can't see (blurry vision but will go away if they continue the meds)
-can't spit (higher risk for dental issues, tell patient to brush teeth before bed
-can't sh*t |
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Term
Antipsychotics - Extrapyramidal Symptoms (EPS)
SEVERE Side Effect |
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Definition
*Parkinsonism
T - Tremors
R - Rigidity
A - Akinesia (difficulty moving forward), Bradykinesia (slow movement)
P - Posture (stooped)
Take too much anti-dopamine meds
Meds given too close together |
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Term
Antipsychotics - Neuroleptic Malignant Syndrome (NMS)
SEVERE Side Effects |
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Definition
F - Fever
A - Autonomic Instability
L - Leukocytosis
T - Tremor
E - Elevated CPK (r/t rigidty)
R - Rigidity (extreme in muscles)
*Nursing assessment |
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Term
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Definition
*Seritonin Syndrome
H - Hyperthermia
A - Autonomic Instability
R - Rigidity (muscles)
S - Seizures |
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Term
Antidepressants - MAOI's
Monoamine Oxidase Inhibitors |
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Definition
Hypertensive Crisis
NO TYRAMINE DIET
(No aged foods, processsed meats, unpasturized beers) |
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Term
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Definition
Lithium's Theraputic (Blood) Level - 0.6-1.2 mEq/L
L - Leukocytosis (Low WBC)
I - Insipidus (Diabetic)
T - Tremors
H - Hypothyroidism
I - Increased Weight Gain
U - Urination (Increased)
M - Miscellaneous - Muscle weakness, slurred speech, acne
G - GI disturbances (N&V, diarrhea, metallic taste, dry mouth, pain) |
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