Pharm Exam 2: Questions & Accurate Solutions (Galen)
Psychotic symptoms: Positive Right Ans - Agitation
Hyperactivity
Hallucinations
Paranoia
Incoherent speech
Psychotic symptoms: Negative Right Ans - Poor self-care
Poverty of speech
Social withdrawal
Catatonia
Flat affect
Typical antipsychotics Right Ans - Phenothiazine ( Fluphenazine (Prolixin))
Non-phenothiazine (Haloperidol (Haldol))
Adverse reactions of typical antipsychotics Right Ans - Sedation
Extra-Pyramidal symptoms
-Dystonia
-Akathisia
-Pseudoparkinsonism
-Tardive dyskinesia
Orthostatic hypotension
Dry mouth
Blurred vision
Urinary retention, constipation
Decreased libido
Amenorrhea
Edema
Headache
-long term use
Blood dyscrasias - Agranulocytosis
Neuroleptic malignant syndrome
Neuroleptic malignant syndrome symptoms Right Ans - Altered mental
status
,Sudden high fever
Muscle rigidity
Rhabdomyolysis
Renal and respiratory failure
Severe blood pressure fluctuations
Neuroleptic malignant syndrome Right Ans - Discontinue antipsychotics
Administer muscle relaxers and antipyretics
Typical antipsychotics caution Right Ans - Narrow angle Glaucoma
Blood dyscrasias
Renal-liver damage
cardiovascular disease
Parkinson's disease
CNS depression
Bone Marrow Depression
Typical antipsychotics decreased effect Right Ans - Caffine
Phenobarbitol
Carbamazepine
Typical antipsychotics toxic effects Right Ans - CNS depressants
Alcohol
Anticholinergics
Lithium
Atypical antipsychotics Right Ans - treat both positive and negative
symptoms
Used with
-Psychosis
-Bipolar Disorder
-Refractive Depression
Drug
-Risperidone (Risperdal)
Atypical antipsychotics adverse reactions Right Ans - Weight gain
mild tremors, rigidity
, Headache
Insomnia
Sexual dysfunction
Agranulocytosis
Atypical antipsychotics caution Right Ans - Dysrhthmias
Blood dyscrasias
Hepatic dysfunction
Women who are lactating
Atypical antipsychotics interactions Right Ans - Increased AST, ALT, Blood
glucose
increased effects of antihypertensives
decreased levels with seizure medications
Depression symtoms Right Ans - Sadness
Despair
Loss of interest
Fatigue
Change in sleeping, eating
Suicidal thoughts
Indication of use for Antidepressants Right Ans - Depression
Bipolar disorder
Panic Attacks
Phobias
Migraine prophylaxis
Antidepressants drug types: SSRI Right Ans - Fluoxetine (Prozac)
Action
-Serotonin reuptake inhibitor
Antidepressants drug types: MAOI Right Ans - Phenalzine (Nardil)
Action
-Blocks enzyme that degrades
--Dopamine
--Norepinephrine
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