Exam (elaborations)
Regis College - PSYCH 643 > Study Guides Psychopharmacology (Latest 2019) Rated A+
- Course
- Institution
Regis College - PSYCH 643 > Study Guides Psychopharmacology (Latest 2019) Rated A+
[Show more]
Content preview
Haloperidol [Haldol], Chlorpromazine [Thorazine], Prochlorperazine [Compazine],Typical Antipsychotic Rx
Fluphenazine [Prolixin]
Risperidone [Risperdal]
Olanzapine [Zyprexa]
Quetiapine [Seroquel]
Atypical Antipsychotic Rx
Clozapine [Clozaril]
Ziprasidone [Geodon]
Aripiprazole [Abilify]
1. Psychotic disorders
2. Acute agitation - haloperidol, ziprasidone
What are the indications for antipsychotic
3. Mood disorders - MDD, BP2 - adjunct to SSRI, esp. Aripiprazole
therapy?
4. Movement d/o involving excessive dopaminergic stimulation (i.e. Huntington's,
Tourette's)
Which antipsychotic is associated with Clozapine [Clozaril]
agranulocytosis?
Which antipsychotic is associated with Ziprasidone [Geodon]
prolongation of QT interval?
Which antipsychotic is the least sedating? Risperidone [Risperdal]
What are the AE associated with 1. Extrapyramidal sx - TD, NMS, akathisia (typicals!)
dopaminergic blockade in patients on 2. Galactorrhea, gynecomastia, amenorrhea 2' to elevated prolactin
antipsychotics?
1. Acute Dystonia - onset w/in hrs to days of tx; sx - torticollis, oculogyric crisis, muscle
spasms; tx - benztropine, benadryl
What are the extrapyramidal sx associated
2. Akathisia - comes on most after tx; sx - restlessness, tremor; tx - monitor dose,
with antipsychotic use and how are they
change to atypicals
managed?
3. TD - irreversible; sx - chorea, involuntary movements (face, jaw); tx - switch to
atypicals
Neuroleptic Malignant Syndrome (NMS)
Sx - hyperthermia, muscle rigidity, cramps, tremor, severe HTN or hypotenions,
What medical emergency is associated with
tachycardia, delirium, seizures, agitation
antipsychotic use?
Dx - high suspicion on any pt taking antipsychotics, elevated CPK and WBCs
Tx - d/c tx, start IV Dantrolene
Fluoxetine (Prozac), Escitalopram [Lexapro], Citalopram [Celexa], Fluvoxamine [Luvox],
SSRIs
Paroxetine [Paxil], Sertraline [Zoloft]
1. Depression (1st line)
What are the indications for SSRIs? 2. Long term management of anxiety disorders
3. Bulimia nervosa
1. Sexual dysfunction
2. GI effects - decrease appetite, diarrhea
What are the common AE of SSRIs?
3. Serotonin Syndrome (interactions w/ MAOIs, other SSRIs)
4. Withdrawal
What is the MOA of TCAs? Block NE and serotonin transporter site
TCAs Imipramine, amitryptiline, doxepin, clomipramine, nortriptyline
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 stuuviaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now