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Psychopharmacology & Mental health/psych nursing
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Psychopharmacology & Mental health/psych nursing
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NURS 6438 Pschopharmacology comprehensive oa guidequestions and answers 2024
Antianxiety drugs increase the effects of - anything that depresses the CNS
(alc, barbiturate's, narcotics, antipsychotics, antihistamines)
Antianxiety drugs decease the effects of - Cigs, caffeine
Monitor patients taking antianxiety for - drowsiness, confusion/lethargy, tolerance or
dependence
Antidepressents (SSRIs) interact with - MAOIs, ALC, ANTICOAGULANTS, ST JOHNS
WART, TCAS, LITHIUM
Serotonin syndrome - can occur with high dosage or combining drugs that increase
serotonin
S/S of serotonin syndrome - -abd pain
-Diarrhea
-tachycardia
-increase BP
-delirium
-myoclonus
-mood changes
-CV shock
-irritability
-increase in muscle activity
Duloxetine (Cymbalta) - chronic pains/chronic issues, used as antidepressant and for
nerve pain
SSRIS - Fluoxetine, paroxetine, sertraline, citalopram
SNRIS - Venlafaxine (Effexor)
Duloxetine (Cymbalta)
TCAS side effects and adverse effects (think heart) - SE:
-anticholinergic effects
-confusion
-weight gain
-orthostatic hypotension
, -rash/hives
AE:
-tachycardia
-arrhythmias
-MI
TCAs examples - amitriptyline, nortriptyline
Trazodone (Oleptro) - Serotonin Reuptake Inhibitor/Antagonist
take at bedtime, makes you tired, smaller doses help with sleep
Mirtazapine (Remeron) - NaSSA
makes patients sleepy and hungry
Given to patients with ED's, dementia, etc
psychiatric mental health nursing - promoting mental health through the assessment,
diagnosis, and treatment of human responses to mental health problems and
psychiatric disorders
Use nursing, psychosocial, neurobiological theories and research
Side effects unique to Wellbutrin - *skin rash, sweating, ringing in the ears, shakiness,
stomach pain, muscle pain*
Zyban- Helps you stop smoking at low doses
Keeps sex drive
Helps with ADHD
Caution if hx of seizures
Risks of combining different types of antidepressants - Can cause *serotonin syndrome*
or hypertensive crisis
Patient education about lithium - Adequate dietary sodium and fluid
Hyponatremia→↑Lithium toxicity
Tight therapeutic range
Lithium processed in Kidneys, if taking meds that are also processed in kidneys can
make you go toxic, if dehydrated can go toxic
MAOI antidepressants and patient education - Do not take with OTC cold meds, SSRIs,
TCAs, narcotics, antihypertensives, sedatives, or stimulants
Avoid food high in tyramine- aged wine, fermented cheese, pickled foods, sausage
Hypertensive crisis s/s- stiff neck, N/V, headache, palpitations, incr temp, incr/decr HR
Seizure meds used in psych - Valproate (Depakote)- check levels
Lamotrigine (Lamictal)- Stevens Johnson rash
Carbamazepine (Equetro, Tegretol)
Gabapentin (Neurontin)
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