NUR 133 Exam 8
- antipsychotics
Answer
causes brain damage, so student nurses cannot give
-lowers dopamine, lowering excitatory effect in the frontal lobe -hallucinations come through the five senses caused by high levels of dopamine
- delusions (false beliefs) can be benign or harmful
- neurological side effects of antipsychotics
Answer
extrapyramidal sx
- acute dystonia = hours to day, spasm of tongue, neck, face, back
- Parkinsonism = 5-30 days, tremor, shuffling gait, drooling, stooped posture, instability
- akathisia= 5-60 days, compulsive, repetitive movements, agitation (restless)
- anticholinergics
Answer
diphenhydramine & benztropine; used with antipsychotics
inhibit acetylcholine to rebalance dopamine
- Neuroleptic Malignant Syndrome 1 / 3
Answer
Adverse reaction to antipsychotics with se- vere "lead pipe" rigidty, FEVER, and mental status changes
unstable bp, changes in LOC, increased temp, delirium, sweating, high creatine and leukocytes
- tardive dyskinesia
Answer
- irreversible - involuntary movements of the tongue, face and extremities,
may happen after prolonged use of antipsychotics think parkinsons
- anticholinergic effects
Answer
drys everything out dry mouth, constipation, urinary retention
- labs to memorize for antipsychotic drugs
Answer
metabolic syndroms (antipsychotics decreases metabolism and increases appetite --> weight gain, diabetes, cardiovas- cular problems (orthostatic hypertension, tired, lowers libido, gynecomastia
low WBC high cholesterol high blood glucose liver toxicity long qt interval 2 / 3
- antidepressants
Answer
-resistance due to negative stigma for depression medications
-decreased serotonin causes depressed, hippocampus dimmed (cannot make decisions, decreased memory, cannot function)
-longer you are stressed, the longer you may need serotonin to regain balance
- can make mania worse
- types of antidepressants
Answer
- SSRIs
anxiety, trouble, restlessness, nausea, diarrhea, appetite issues, small amounts of weight gain, decreased libido; side effects 5-7 days
- TCAs
sedation (tired, should take at night), weight gain, orthostatic hypotension, anticholinergic effects
- MAOIs
sedation (tired, should take at night), weight gain, orthostatic hypotension, anticholinergic effects
hypertensive crisis (foods with containing tyramine--> aged meats, beans, wine, cheese,
- / 3