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Psychiatric Mental Health Review
PN Summer Frederick Community College
36
Nursing
Undergraduate 3
06/23/2009

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Cards

Term

efficacy

Definition
maximum therapeutic effect a drug can achieve
Term
potency
Definition
amount of drug needed to achieve the maximum effect
Term
low vs high potency drugs
Definition
low potency drugs require high doses to achieve therapeutic effects while high potency drugs achieve efficacy at lower doses
Term
half life
Definition
the time it takes for half of a drug to be removed from the blood stream
Term
time it takes a drug to leave the body after d/c
Definition
5x drugs half life
Term
antipsychotics
Definition

aka neuroleptics

used to treat the symptoms of psychosis like dellussions hallucinations seen in schizophrenia, schizoaffective disorder and mania of bipolar

off label uses include treatment of anxiety insomnia, agressive behavior ect associated with alzheimers

work by blocking the neurotransmitter dopamine

Term
antipsychotics available by depo injection
Definition

prolixin 7-28 days

haldol 4 weeks

risperidone 25mg every 2 weeks

 

Term
elderly patieny concerns with antipsychotics
Definition
increased incidence of death from cardiovascular or infection when using atypical anti psychotics for patiets with dementia related psychosis
Term
prolixin
Definition

fluhenazine

conventional antipsychotic

phenothiazine

Term
Prozac
Definition

Fluxontine Hydrochloride

selective seratonin reuptake inhibitor

antidepressant

Term
Zoloft
Definition

sertraline

selective seratonin reuptake inhibitor

Term
MAOI Side effects
Definition

Moanamine Oxidase Inhibitor- block

 

Tyramine Foods interaction (aged cheese, aged meats, beers) cause severe hypertension, hyperpyrexia, tachycardia, diaporesis, tremulousness, cardiac dysrhythmias

SSRI- potential death

common Sfx- sedation , insomnia, weight gain, dry mouth, orthostatic hypotension, sexual dysfunction

Term
Lithium
Definition

mood stabilizing drug used to treat bipolar dissorder

therapeutic level 1 mEq/L

more than 1.5 is TOXIC

Term
Haldol
Definition

typical antipsychotic

butyrophenone class

Term
risperadal
Definition

atypical antipsychotic

used to treat bipolar, schizophrenia

Term
typical antipsychotics
Definition
block dopamine receptors D2, D3, and D4 but also produce many extrapyramidal side Fx
Term
atypical antipsychotics
Definition

block D2 receptors weakly while blocking D3 and D4 which is associated with fewer extrapyramidal side Fx

also inhibit reuptake of seratonin (antidepressant effect)

Term
Zyprexia
Definition
atypical antipsychotic
Term
Geodone
Definition

atypical antipsychotic

contraindicated in patients with with a known history of prolonged QT, MI, or uncompensated HF

Term
Abilify
Definition

new generation atypical antipsychotic

stabilizes dopamine, fewer side effects

Term
Clonazapine/Clozaril
Definition
atypical antipsychotic
Term
Wellbutrin/bupropion
Definition

antidepressant

4x siezure risk

not for eating dissorders

Term
seroquel
Definition

atypical antipsychotic

avoid grapefruit

Term
lamictal
Definition
anticonvulsant drug used for mood stabilization
Term
mellaril
Definition

conventional antipsychotic

thenothiazine

Term
Klonopin
Definition

siezures, anxiety, mania

benzodiazapiene

used to manage alcohol withdrawl and anxiety

Term
ativan/lorazepam
Definition
benodiazapiene
Term
valium
Definition

benzodiazepine

used to manage alcohol withdrawl and anxiety

Term
centrax/prazapam
Definition

gaba-benzodiazipine agonist

antianxiety agent

depresses CNS through colinergic action on limbic area of brain

Term
benzodiazepines
Definition

mediates the actions of the amino acid gaba

anxiety, insomnia, ocd, depression, ptsd, alcohol withdrawl

do not d/c abruptly

 

Term
cogentin
Definition

Benztropine - is an antiparkinsonian

drug class: antidyskinetics

 treatment of Parkinson's Disease

control movement extrapyramidalside effects of antipsychotic drugs prescribed for bipolar disorder.

anticholinergic

 

Term
inderall (propranalol)
Definition
Term
treatment of dystonia
Definition
IM  of Cogentin or Benadryl
Term
akathsia
Definition

intense need to move about

treated by change in med

adding beta-blockers, anticholinergic, benzodiazapine

Term
clozapine
Definition

may cause agranulocytosis

baseline WBC and q4weeks

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