*NCLEX-50* (#25-31) Pharm (Picmonic)

*NCLEX-50* (#25-31) Pharm (Picmonic) Leave the first rating Students also studied Terms in this set (21) Save Picmonic - Pharmacology 27 terms eshilait8296Preview AANP FNP certification 238 terms mack9911Preview Pharmacology exam 04 - from picm...72 terms jacobfrederickk Preview Chapte 40 terms Jina Practice questions for this set Learn1 / 7Study using Learn

TCA - MDD.

SE= Ser. Syn., Dont stop abruptly, Avoid CNS depressants, Choose an answer 1 D.I.N. = Tricyclic Antidepressants (I "Din't" want to be "in" a depressed state.2N- Nortriptylin*e 3 Haloperidol (Haldol) - Nursing

Considerations:

4Imipramine (Tofranil) Don't know?

D.I.N. = Tricyclic Antidepressants (I "Din't" want to be "in" a depressed state.D- Doxepin* I- Imipramin*e N- Nortriptylin*e Doxepin (Sinequan) (it breaks my "heart" to see you this depressed) Anti-cholinergic, Agranulocytosis, Sex. dys., Orthostatic hypo., Heart palpitations, Paralytic ileus, Hepatitis, Renal failure.*Can worsen depression IleusObstruction - Inability of the intestine (bowel) to contract normally and move waste out of the body.Agranulocytosis-A life-threatening drop in white blood cells. This condition is sometimes produced by the atypical antipsychotic drug clozapine.Imipramine (Tofranil)TCA- Depression, Enuresis in kids.SE= Urinary retention, Hyperglycemia, Hyper/Hypothyroid, Weight gain, Agranulocytosis.Dispense in SMALL AMOUNTS @ beginning d/t SUICIDE potential.

• Don't stop abruptly
• Don't operate heavy equip.

Urinary incontinence (enuresis) is --the loss of bladder control. In children younger than age 3, it's normal to not have full bladder control. As children get older, they become more able to control their bladder. Wetting is called enuresis when it happens in a child who is old enough to control his or her bladder N- Nortriptylin*eTCA - MDD.SE= Ser. Syn., Dont stop abruptly, Avoid CNS depressants,

Selegiline (Eldepryl)MAOI (Parkinson's) in conjunction with: Levodopa/Carbidopa

DONT USE WITH "TOM" *T= TCAs *O= Opioids *M= Meperidine Selegiline (Eldepryl) - ToxicityEye spasms, Twitching Don't STOP Abruptly.Foods to avoid w/Selegiline (Parkinsons)NO Tyramine (Cheese, Pickled Products, ETOH, Lots Caffeine) Aripriprazole (Abilify) - class/usesAntipsychotic (atypical): Schizophrenia, Bipolar, MDD.Atypical= lower r/f extrapyramidal & lower r/f weight gain.

Aripriprazole (Abilify) - facts:Weight gain, Hyperglycemia.

Dont STOP abruptly Monitor suicidality.

HaloperidolAntipsychotic:

• Tourette
• Szhizophrenia
• Emergency sedation agitated/delirious

Haloperidol (Haldol) - Nursing Considerations: * DC gradually

• Avoid CNS depressants
• Avoid changing positions rapidly
• Wear sunglasses (d/t photosensitivity)

NMS & SS Haloperidol (Haldol) - may causeExtrapyramidal symptoms

Extrapyramidal symptomsEARLY: acute dystonia, parkinsonism, akathisia

LATE: tardive dsykinesia (repetitive & involuntary movements)

Clozapine (Clozaril)antipsychotic anticholinergic Lithium (Lithobid)Manic phase of bi-polar & prevent bipolar manic-depressive psychosis

Lithium toxicityvomit, diarrhea, muscular weakness, ataxia, impaired vision, hand tremors, reversible leukocytosis, dry mouth, anorexia, hypotension, dysrhythmias, polyuria, proteinuria, hyponatremia, hypo/hyper thyroid

Lithium - fun facts:* Check serum levels 2x/week (q 2-3 weeks main.)

• 0.5-1.5 mEq/L (main.= 0.6-1.2)
• 1-2 weeks ther. onset
• Take w/food
• Reduce dose w/depressive phase

Diazepam (Valium)Antianxiety:

• ETOH withdrawal
• Seizure disorder
• Skeletal Muscle relaxation
• Preoperative sedation