-
Amitriptyline (Elavil)
TCAs for depression
-
Imipramine (Tofranil)
TCA antidepressant.
-
how do TCA's work?
Block the reuptake of NE and serotonin in the synaptic space.
-
What the the 3 main side effects of TCAs
Orthostatic hypotension, Anticholinergic side effects, sedation
-
Phenelzine (Nardil)
MAOI (monoamine oxidase inhibitor for depression) use for Depression. Block MAO in brain increasing NE, dopamine and serotonin.
-
What type of foods should a person taking MAOIs avoid?
Tyramine- rich foods because they can lead to a HTN crisis.
-
MAOIs are contraindicated in who?
Clients taking SSRIs and those in those with pheochromocytoma.
-
Why are MAOI's such as Phenelzine (nardil) contraindicated in a person taking an SSRI?
because it can cause serotonin syndrome.
-
What type of foods should be avoided when taking a MAOI such as Phenelzine (nardil)?
Tyramine-Rich foods because together can cause a HTN crisis.
-
Bupropion HCL (Wellbutrin)
Atypical Antidepressant. Inhibits dopamine uptake.
-
What are the theraputic uses of buproprion HCL (wellbutrin) a atypical antidepressant?
tx of depression, aid to quit smoking, and prevention of SAD (seasonal affective disorder)
i <3 u
-
Floxetine (Prozac)
SSRI. Block reuptake of serotonin. Used for major depression.
-
Effexor
SSRI- Major depressive disorder.
-
What adverse effect can happen within 2-72 hours of taking an SSRI such as Prozac?
Serotonin syndrome. Symptoms: confusion, Fever, anxiety, agitation, tremors
-
What is a adverse effect of SSRI's
serotonin syndrome, suicidal thoughts
-
alprazolam (xanax)
Benzodiazepine used for anxiety.
-
In order to avoid Lithium toxicity, what drugs should the client avoid while taking lithium?
NSAIDS. Concurent use w/ NSAIDS will increase renal reabsorption of lithium. leading to toxicity
-
Risperidone (Risperdal)
Atypical Antipsychotics. Used for the tx of Schizophrenia
-
What is a side effect of Risperidone (Risperdal)?
New onset of diabetes mellitus. Monitor for polyuria
-
What is important to monitor patients for when taking lithium and a diuretic?
Signs and symptoms of Lithium toxicity because na is lost with diuretics.
-
The nurse would avoid administering Bupropion (Wellbutrin) to a client who is @ risk what?
Seizures. If a client has suffered a head injury, would avoid because client is also @ risk for seizures
-
Buspirone (BuSpar)
anxiolytic (nonbarbituate)
-
What is important to inform the client about BuSpar?
the effects do not occur immediately.
-
Paroxetine (Paxil)
SSRI antidepressant.
-
What is the antidote for Benzodiazepine toxicity?
Flumazenil (Romazicon)
-
What is a side effect that any SSRI can cause?
Bruxism
-
Concurrent use of what drug can help tx Bruxism (Teeth grinding)?
Low-dose Buspirone
-
A pt taking Phenelzine (Nardil) for depression should be monitored for what?
Orthostatic hypotension.
-
Which type of antidepressant can cause sexual dysfunction side effects?
SSRIs
-
What 3 major conditions can valporic acid cause?
Thrombocytopenia, pancreatitis or liver disease.
-
Chlorpromazine (Thorazine)
Antipsychotic- Conventional (causes EPS symptoms)
-
immediately during and after administration, pt's are @ risk for what when receiving Chlorpromazine (thorazine)?
hypotension
-
Haloperidol (haldol)
Antipsychotic- High potency
-
What is the advantage of taking atypical antipsychotic vs conventional psychotics?
There is less EPS symptoms with atypical antipsychotics
-
Clozapine (Clozaril)
Atypical antipsychotic
-
What is important to monitor for patients taking Clozapine (clozaril)
WBC count
-
Atomextine (Strattera)
NSRI for ADHD.
|
|
