1 .Antipsychotics (neuroleptics)Resolve hallucina- tions 2 .Typical Antipsychotics (nonphenothiazines) Haloperidol (Hal-
dol): use in acute psychosis since it is immediate act-ing
Crisis can cause dystonia 3
.Nursing intervention: phenothiazines and nonphe-
nothiazines Psychotropic washout period: since many have long half-lives, avoid changing meds with overlapping treatment which could lead to toxicity 4 .Lorazepam (anxiolytics) useworks for immedi- ate relief but poor choice for longer term 5 .Major antidepressant groupsTricyclic antide- pressants (TCAs) Selective sero- tonin reuptake in-hibitors (SSRIs) Serotonin norepi- nephrine reuptake inhibitors (SNRIs)
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Rasmussen nur 2407 Pharm exam 1 1 / 3
Atypical antide- pressant Monoamine ox- idase inhibitors (MAOIs) 6 .SSRIs and SNRIs preventreuptake of sero- tonin, increasing its level in the brain 7 .SerotoninA neurotransmitter known as the "feel good" hormone 8 .Momoamine oxidase enzymesbreak down neu- rotransmitters like dopamine, nor-epinephrine, and serotonin in the brain leading to low levels.These low lev- els have been linked with depres-sion and anxiety.9 .Tricyclic antidepressants side effects Include dry mouth and eyes, GI dis-tress (anticholiner-gic effects) 10 .Monoamine oxidase inhibitorsMaintain levels of dopamine, nor-epinephrine, and serotonin in the brain 11 .Food interactions with MAOIs
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Food that con- tains tyramine can cause hyperten-sive crisis.includes some cheeses, yogurt, cream, coffee, chocolate, ba-nanas, raisins, Ital-ian green beans, liver, pickled foods, sausage, soy sauce, yeast, beer and red wine 12
.Mood stabilizer: Lithium toxicityCan cause ar-
rhythmia, slurred speech, unsteadi-ness, appetite suppression 13 .Side effects of aspirinSwelling of the eyes, face, lips, tongue, throat Ringing in the ears, loss of hear-ing Wheezing, diffi- culty breathing, hoarseness, fast breathing Fast heartbeat Cold, clammy skin
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