Rasmussen nur 2407 Pharm exam 1 1.Antipsychotics (neuroleptics)Resolve hallucinations
2.Typical Antipsychotics (nonphenothiazines)Haloperidol (Haldol): use in
acute psychosis since it is immediate acting Crisis can cause dystonia
3.Nursing intervention: phenothiazines and nonphenothiazines
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 immediate relief but poor choice for longer term 5.Major antidepressant groupsTricyclic antidepressants (TCAs) Selective serotonin reuptake inhibitors (SSRIs) Serotonin norepinephrine reuptake inhibitors (SNRIs) Atypical antidepressant Monoamine oxidase inhibitors (MAOIs) 6.SSRIs and SNRIs preventreuptake of serotonin, increasing its level in the brain 7.SerotoninA neurotransmitter known as the "feel good" hormone 8.Momoamine oxidase enzymesbreak down neurotransmitters like dopamine, norepinephrine, and serotonin in the brain leading to low levels.These low levels have been linked with depression and anxiety.
9.Tricyclic antidepressants side effectsInclude dry mouth and eyes, GI distress (anticholinergic effects) 1 / 2
10.Monoamine oxidase inhibitorsMaintain levels of dopamine, norepinephrine, and serotonin in the brain 11.Food interactions with MAOIsFood that contains tyramine can cause hypertensive crisis.includes some cheeses, yogurt, cream, coffee, chocolate, bananas, raisins, Italian green beans, liver, pickled foods, sausage, soy sauce, yeast, beer and red wine
12.Mood stabilizer: Lithium toxicityCan cause arrhythmia, slurred
speech, unsteadiness, appetite suppression 13.Side effects of aspirinSwelling of the eyes, face, lips, tongue, throat Ringing in the ears, loss of hearing Wheezing, difficulty breathing, hoarseness, fast breathing Fast heartbeat Cold, clammy skin Hives, rash Bloody vomit, vomit resembling coffee grounds Bright red blood in stools, black or tarry stools
14.Pediatric pharmacokinetics: distributionNeonates and infants have less
body fat, therefore low protein binding capability making the available drug high
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