Exam (elaborations)
NUR 5334 EXAM 2 NOTES
- Course
- Institution
NUR 5334 EXAM 2 NOTES/NUR 5334 EXAM 2 NOTES/NUR 5334 EXAM 2 NOTES
[Show more]
Seller
Follow
Ultimatenurse
Reviews received
Content preview
NUR 5334EXAM 2
NOTES
NUR 5334
EXAM 2
NOTES
• Psychiatric Drugs
• Two Groups:
o First Generation
▪ Conventional Anti-psychotics
▪ Block the receptors for dopamine in central nervous system (CNS)
▪ Cause serious movement disorders (extra pyramidal symptoms, EPS)
▪ Classified by potency
• Low, Medium, High
▪ Low Potency
• Chlorpromazine
o Indications
▪ Schizophrenia
▪ Schizoaffective disorder in the manic phase of bipolar disorder
▪ Anti-nausea
▪ Relief of hiccups
▪ Control of severe behavioral problems in children
o Adverse effects:
▪ Sedation
▪ Orthostatic hypotension
▪ Anticholinergic effects
o Drug interactions
▪ Intensifies responses to CNS depressant
• Antihistamines
• Benzodiazepines
• Barbiturates
▪ Anticholinergic drugs
• Antihistamines
• Tricyclic antidepressants
• Atropine-like drugs
• Thioridazine
o Adverse effects:
▪ Prolonged QT interval
▪ Cause fatal cardiac dysrhythmias
▪ Sedation
1
, NUR 5334
EXAM 2
NOTES
▪ Orthostatic hypotension
▪ Anticholinergic effects
▪ Weight gain
o Black Box Warning:
▪ Dysrhythmias
o Treats Schizophrenia only when patients have not responded to
anything else
▪ High Potency
• Haloperidol
o Butyrophenone family
2
, NUR 5334
EXAM 2
NOTES
o Indications:
▪ Schizophrenia
▪ Acute psychosis
▪ Preferred agent for Tourette Syndrome
o Adverse effects:
▪ EPS
▪ Neuroendocrine effects
▪ Can prolong QT interval and cause dysrhythmias
• Fluphenazine
o Phenothiazines subclass
o Indications
▪ Schizophrenia
▪ Other psych disorders
o Adverse effects:
▪ EPS
▪ Acute dystonia
▪ Parkinsonism
▪ Akathisia
▪ Sedations
▪ Orthostatic hypotension
▪ Anticholinergic effects
▪ Gynecomastia
▪ Galactorrhea
▪ Menstrual irregularities
▪ Mechanism of Action (MOA)
• Block a variety of receptors within and outside the central nervous system
• Suppress symptoms of psychosis by blocking dopamine 2 receptors in the
mesolimbic area of the brain
▪ Adverse Effects
• Result of walking receptors for dopamine, acetylcholine, histamine, and
norepinephrine
• Acute dystonia
• Oculogyric crisis
• Opisthotonos
• Joint dislocation
• Impaired respiration
• Some anticholinergic meds can help
o Benztropine and diphenhydramine
• Some are irreversible, so crucial to monitor
• Can produce Parkinson-like symptoms
o Bradykinesia
o Mask-like faces
3
, NUR 5334
EXAM 2
NOTES
o Drooling
o Tremor
o Rigidity
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ultimatenurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now