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NCLEX: Mental Health Pharmacology
Leave the first rating Students also studied Terms in this set (28) Science MedicinePsychiatry Save ATI Psychopharmacology Questions...25 terms Brianna_McGlaston Preview Mental Health Medications NCLEX 58 terms Shirley_Hernandez Preview Psychiatric Medications NCLEX Prac...29 terms tiffany5484Preview Pharma 44 terms Fut
LorazepamClass: antianxiety agents/anticonvulsant, Benzo
Indication: anxiety, depression, seizures
Action: CNS depression
Nursing considerations:
Avoid alcohol Monitor for respiratory depression Antidote - flumazenil AntidepressantsSSRIs TCAs MAOIs What are some examples of SSRIs?Fluoxetine, sertraline, escitalopram What is the main indication for SSRIs?Depression, PTSD What is the action of SSRIs in the body?Prevent uptake of serotonin, increasing its availability What should be monitored for while a patient is on SSRIs?Serotonin syndrome (HTN, confusion, anxiety, tremors, ataxia, sweating) Sexual dysfunction Why is suicide precaution important when starting SSRIs? Mood improvement can lead to more energy to follow through with a suicide plan, increasing the risk for suicide Name some Tricyclic Antidepressants (TCAs)Amitriptyline, Nortriptyline, Protriptyline What is the primary indication for Tricyclic Antidepressants (TCAs)?Depression
How do Tricyclic Antidepressants (TCAs) work in the body?Prevent reuptake of norepinephrine and serotonin What are some nursing considerations for Tricyclic Antidepressants (TCAs)?Tachycardia, Cardiac effects (arrhythmias, QT prolongation), Anticholinergic effects, Sedation/Sexual dysfunction What are some examples of Monoamine Oxidase Inhibitors (MAOIs)?Isocarboxazid, phenelzine What is the primary indication for Monoamine Oxidase Inhibitors (MAOIs)?Depression What is the mechanism of action of Monoamine Oxidase Inhibitors (MAOIs)?Blocks monoamine oxidase enzyme to increase levels of all neurotransmitters (dopamine, NE, Epi, serotonin) What nursing consideration should be followed when taking MAOIs?Avoid food high in tyramine (aged cheese, wine, pickled meats) What is a serious side effect associated with MAOIs? Hypertensive Crisis ⚠️ What is Lithium commonly used for?Mood Stabilizer What is the primary indication for Lithium use? Mania How does Lithium work in the body?Inhibit excitatory neurotransmitters like dopamine and glutamate, and promote GABA What nursing considerations should be kept in mind when administering Lithium?Avoid NSAIDs, encourage fluid intake, monitor drug level (Therapeutic Level: 0.6- 1.2 mEq/L) What are some common side effects of Lithium? Seizures, arrhythmias, fatigue, confusion, nausea, anorexia, hypothyroidism, tremor first generation antipsychoticshaloperidol, chlorpromazine, Loxapine, fluphenazine Second generation antipsychoticsQuetiapine, Olanzapine, Clozapine What is the indication for Haloperidol?Schizophrenia, mania, aggressive behavior, agitation, Bipolar disorder How does Haloperidol act in the body?Inhibits the effects of dopamine What should be monitored when a patient is on Haloperidol?EPS effects, tardive dyskinesia, neuroleptic malignant syndrome, QT prolongation What is a contraindication for taking Haloperidol? Pregnancy AntihistaminesCNS depression (monitor for drowsiness and anticholinergic effects)
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