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Mark Klimek Lecture Notes

Lecture 9 Psych drugs Psychotropic drugs- big laundry list of psych drugs you need to know but they have a lot in common

*ALL psych drugs cause low blood pressure and weight changes (gain mostly)- mostly increase but Prozac and a couple others can make you lose weight

Phenothiazines -First generation antipsychotics/typical antipsychotics -All end in zine -Do not cure psych diseases just reduce the symptoms -In large doses they are antipsychotics -“We use zines for the zany” -In small doses they are antiemetics: reduce nausea but if you double the dose it will treat psychosis -Considered major tranquilizers – the big guns Aminoglycosides are to antibiotics like phenothiazines are to tranqulizers … pull these out when nothing else works

SIDE effects:

• anticholinergic- primarily dry mouth
• blurred vision- risk for injury
• constipation
• drowsiness- risk for injury
• EPS- extraparamydial syndrome (like parkinsons)- risk for injury
• photosensitivity

aG) agranulocytosis-low white count (immunosuprsessed)

*When a patient displays a side effect you teach the patient, inform the doctor and keep giving the pill

For EPS- you would give Parkinson drugs to treat that symptom however it will make dry mouth and constipation worse

Toxic Effects: hold the drug and call the doctor immediately

When a client is on a drug that it’s a tranquilizer their diagnosis is that they are at major risk for injury

*Decanoate: after the name of a drug it means that it is long acting- one shot for a 1 / 2

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month IM form given to noncompliant clients – if client does not go in for psychiatry or to community mental health center to get their shot, they can put out a warrant

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