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"TOM"
- Short-acting BDZs
- Triazolam
- Onazelam
- Midazolam
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Butyrophenone
Haloperidol & Droperidol
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Atypical D4
Clozapine - Thioridazine - Olanzepine - Risperidone = do not cause EPS
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Flumazenil
BDZ antidote for OD
-
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Phenytoin
Causes aplastic anemia / gingival hyperplasia / cleft lip & platelet
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Thiopental
Short acting Barb
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Carbamazepine
- DOC thrgeminal neuralgia
- Tx lennox gestaut seizures in kids
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Atypical D4-r
Thioridazine; Olamzapine; Clozapine
-
Pimozide
Tx for Tourette's
-
Risperidone
Good for negative symptoms
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Thioridazide
Most anti-cholinergic neuroleptic
-
Haloperidol
Neuroleptic malignant hyperthermia due to chronic D2 block. Give Dantrolene and Bromocriptine
-
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Clomirpramine
- Tx OCD
- See aggressive behavior with use
-
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Bupropion
Helps quit smoking
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SSRI's
Primarily used for OCD
-
Fluoxetine
Good for negative symptoms
-
Phenelzine
Irreversible MAOI
-
Lithium
- Tx manic phase of Bipolar Disorder Causes goiter by (-) conversion of T4 to T3
- Nephrogenic diabetes insipidus
- Low Salt diet will lead to Li toxicity
-
Alprazolam
DOC for stage fright
-
Propranolol
Social phobia
-
kapaa-r
- Spinal analgesia, Euphoria
- ++ euphoria, ++ sedation
- Constipation
-
mu-r
- Supraspinal analgesia, Dysphoria
- +respiratory depress, + sedation
-
Morphine & O2
Admin is contraindicated to pts on morphine sedation = decreased CO2 sensitivity and O2 administration can stop breathing
-
Morphine
Increase ICP = do not give to pt with head trauma
-
Morphine OD
- Pinpoint pupil
- Decreased respiration
- Coma
-
Meperidine
Anesthetic used during labor
-
Hydromorphane
mu (+) used in renal failure
-
Tramadol
Ambulatory tx for mod to severe pain
-
Naloxone
- Tx for opioid ODReverse respiratory depression
-
Pentazocine
Part kappa(+) & part mu(-)
-
Butorphenol
Part kappa(+) & part mu(-)
-
Nalbuphene
Part kappa(+) & part mu(-)
-
Decreased GABA
Decreased seizure focus = Barbs and BDZs
-
Fast Na Ch
Decreased electrical activity spread = Phenytoin & Carbomazepine
-
Methoxyflurane
can be nephrotoxic, needs low MAC for anesthetic induction
-
Enflurane
can cause tonic /clonic seizures
-
Isoflurane
can cause bronchospasm
-
Halothane
Can cause ventricular extrasystoles & malignant hyperthermia & hepatitis
-
Nitric Oxide
No effect on HR, Needs high MAC for anesthetic induction
-
Thiopental
Short acting barb
-
Kentamine
Dissociative anesthetic
-
Droperidol
- Can be used in combo w/ Fentanyl for neuroeptoanalgesic effect
- Neruoeptic tranquilizer, has mild alpha block
-
Fentanyl
- Can be used in combo w/ Droperidol for neuroeptoanalgesic effect
- Used transdermally for chronic pain
-
Midazolam
Pre anesthetic, Induces anmesia
-
Primidone
Biotransformed to Phenobarb
-
C and A Delta Fibers
First fibers to be blocked with anesthesia
-
Esters
- Procaine, Tetracaine, Benzocaine
- Broken down and make PABA (allergen)
-
Amides
- Lidocaine, Mepivacine, Bupivacine, Etidocaine = "i" before "caine" always amide
- Metabolized in liver
-
Amphetamine
DA reuptake (-)r. MAOI. Parkinson's tx
-
Bromocriptine
D2(+), used with L-Dopa for "on-off" phenomenon for Parkinson's
-
Benztropine
Ant M w/ some DA reuptake (-). Parkinson's tx
-
Amantidine
- Decreases DA reuptake
- can cause livido reticularis = skin mottling
-
Diphenhydramine
Tx early Parkinson's Stages
-
Pergolide
> effective & longer acting than Bromocriptine
-
Ethosuzimide
DOC for absence seizures
-
Tranylcypromine
MAOI - antidepressant
-
SSRI & MAOI
Fatal combo, especially seen with the used of Paroxetine or Fluoxetine (SSRI) adn Tranylcypromine (MAOI)
-
Labor Opioids
Meperidine & Nalbuphine
-
Desipramine Causes
Sudden cardiac in children
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