Psychiatric Meds Psychiatric Medications Review - Psych Mental Health Nursing Question 1st Generation Antipsychotics Atypical antipsychotics

Mood Stabilizers Antieplectics Tricyclic Antidepressants SSRIs MAOIs Atypical/Novel Antidepressants Antianxiety/Anxiolytics Antidote for Antianxiety OD Blocks Dopamine in Basal Ganglia Answer Thorazine Clozaril (clozapine), Risperidal (risperidone), Seroquel (quetiapine), Zyprexa (olanzapine) Lithium (eskalith) Tegretol (carbamzepine), Depakote (valproic acid), Lamictal (lamotrigine), Klonopin (clonazepam) Elavil, Tofranil, Pamelor, Sinequain, Norpramin Prozac (fluoxetine), Paxil (paroxetine), Celexa (citalopram), Zoloft (sertraline), Luvox (fluvoxamine), Lexapro (escitalopram) Marplan, Parnate, Nardil Desyel (trazadone), Wellbutrin (bupropion), Effexor (venalfaxine), Remeron (mirtazapine), Cymbalta (duloxetine) Benzodiazepines Romazicon Typical antipsychotics

Common side effects of Typical antipsychotics EPS, anticholinergic effects, sedation, weight gain Antipsychotic that causes agranulocytosis Seroquel side effects Zyprexa side effects Lithium patient education Lithium therapeutic level (per Ms. Wallace) Lithium toxicity - early signs Expected side effects of Lithium Antiepileptics are used for what? carbamazepine (Tegretol) monitor for Depakote (valproic acid) monitor for How long does it take for full effect of antidepressants Side effects of TCA's Do not take MAOI's with? SSRIs and St. Johns Wort taken together can cause what? Serotonin Reactin Syndrome s/s What meds are given for Serotonin Syndrome? What class of drugs if 1st line treatment for depression? SSRI benefits MAOI client teaching Clozaril weight gain, sedation weight gain normal salt intake, 2-3L of luid daily, no caffiene 0.4 - 1.0mg/L n/v/d, thirst, polyuria, slurred speech, muscle weakness Fine hand tremors, mild thirst, polyuria, weight gain used to help stabilize mood disorders drug levels & bleeding drug levels and hepatoxicity up to 3 weeks for full effect anticholinergic sie effects (blurred vision, urinary retention, dry moth, constipation) sedation, orthostatic hypotension, sexual dysfunction TCAs (2 weeks between these meds) and SSRIs Serotonin Reaction Syndrome abdominal pain, diarrhea, fever (100 - 103), diaphoresis, tachycardia, increased BP, delirium, myoclonus, irritability, hostility, mood changes Dantrium for myoclonus, cyproheptadine or propanolol to increase re-uptake of serotonin, anti-convulsants for seizures SSRIs no anticholinergic side effects, faster onset than TCAs no foods containing tyramine, no OTC cold meds, no antihypertensive meds (lots of drug-drug) interactions aged cheese and meats, pickled foods, sausage, beer, wine, chocolate, over-ripr fruits, bananas, avocados, soy sauce, dried fruits, caffiene cottage cheese and cream cheese Orthostatic hypotension, weight gain, edema, cardiac rate/rhythm, sex dysfunction, sedation, weakness/fatigue, muscle cramps MAOIs Electro-convulsive therapy - 2-3 x's a week for 6-12 treatments elderly sexual dysfunction side effects CNS depressants, ETOH, TCAs, opiates - can cause life threatening respiratory depression Pregnant, nursing women, those with substance abuse history, use in the elderly can cause falls and broken bones ok for ETOH, no addictive, no immediate action so not used PRN

Tyramine foods Some cheeses that are ok with MAOIs Side effects of MAOIs 3rd line treatment of depression Alternative treatment for depression trazadone is safely used in what clients Wellbutrin has low incidence of this side efect compared to other antidepresants? Benzodiazepines are contraindicated with what drugs? Benzodiazepines are contraindicated for what clients? BuSpar (buspirone)