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60 Cards in this Set
- Front
- Back
Xanax
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Benzodiazepine anxiolytic
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Tofranil
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Tricyclic
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Nardil
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MAOI
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Wellbutrin
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Other Antidepressant
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Seroquel
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Atypical Antipsychotic
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Lithobid
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Mood Stabilizer
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Haldol
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Typical Antipsychotic
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Navane
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Typical Antipsychotic
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Depakene
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Anticonvulsant for Mood Disorder
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Clozaril
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Atypical Antipsychotic
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Antabuse
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Alcohol deterrant (Chronic alcoholism)
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Lexapro
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SSRI
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Ativan
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Benzodiazepine
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Prozac
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SSRI
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Suboxone
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Opiod Analgesic
(Opiate addiction) |
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Ambien
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Hypnotic
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Deseryl
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Other Antidepressant
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Klonopin
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Benzodiazepine
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Vistaril
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Hypnotic
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Pamelor
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Tricyclic
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Pamelor
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Tricyclic
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Neurontin
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Anticonvulsant for Mood Disorder
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Cymbalta
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SSRI
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Valium
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Benzodiazepine
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Parnate
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MAOI
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Inderal
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Nonbenzodiazepine anxiolytic
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Paxil
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SSRI
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Catapres
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Nonbenzodiazepine anxiolytic
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Lamictal
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Anticonvulsant for Mood Disorder
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Zoloft
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SSRI
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Buspar
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Nonbenzodiazepine anxiolytic
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Blocks dopamine from receptor sites. Calms excited behavior. Reduces psychotic symptoms. Targets positive symptoms of schizophrenia.
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1st Generation / "Typical" Antipsychotics
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Blocks reuptake of norepinephrine & serotonin, increasing their concentration in the body. Treats anxiety & depression.
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Tricylclics
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Theoretically corrects ion exchange abnormality in the neuron, normalizes neurotransmission of norepinephrine, serotonin, dopamine, & acetylcholine. Regulates second messenger systems during neurotransmission. Treats bipolar & unipolar depression, aggressive behaviors, conduct disorder, and schizoaffective disorder.
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Mood-Stabilizer Lithium
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Inhibit reception of dopamine & serotonin at post-synaptic sites. May have mild antidepressant properties. Treats mood symptoms, hostility, and cognitive effects. Targets positive & negative symptoms of schizophrenia.
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2nd Generation / "Atypical" Antipsychotics
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Inhibits reuptake of serotonin, increasing serotonin at post-synaptic receptors, promotes serotonin neurotransmission. Treats depression & anxiety.
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SSRI
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Thought to decrease “kindling” and to potentiate GABA. Treats mood disorders.
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Anticonvulsants for Mood Disorders
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Depresses CNS. Treats anxiety & insomnia.
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Hypnotics
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Potentiates GABA. Depresses CNS reticular activating system. Mutes incoming stimuli. Reduces anxiety. Muscles relax. Targets physical and psychological symptoms of anxiety.
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Benzodiazepines
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Prevents destruction of monoamines, increasing level of neurotransmitters. Treats anxiety & depression.
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MAOI
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Low overdose potential. Observe patient for suicidal ideation, especially teenagers. May cause bipolar patient to become manic. 2-6 week lag time. Serotonin syndrome is serious possible side effect.
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SSRI
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Excreted by kidneys & adversely affects thyroid. Lag time 7-10 days/ 1-2 weeks. Seesaw effect/inverse relationship with sodium. Narrow therapeutic range—toxicity is a medical emergency. No antidote is available.
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Mood Stabilzer - Lithium
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Numerous anticholinergic side effects. Important to observe for EPS, agranulocytosis, and Neuroleptic Malignant Syndrome---all serious complications.
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1st Generation
"Typical" Antipsychotics |
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Use cautiously in elderly—can cause nightmares & confusion. Some reports of memory loss/night eating/sleep walking on new medications.
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Hypnotics
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Life-threatening rash may occur (increases in children). Stevens-Johnson Syndrome. Overdose can be serious. Contraindicated in pregnancy.
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Anticonvulsant Lamictal
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Very expensive medication. Some EPS and agranulocytosis may occur. Schedule WBC counts and stress compliance. Can cause weight gain—metabolic disturbances. May cause sedation.
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2nd Generation
"Atypical" Antipsychotic |
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High abuse/dependence/tolerance potential. Must be gradually withdrawn—abrupt withdrawal causes serious side effects. Should be used short-term only. Overdose treated with Romazicon/Mazicon. Most commonly prescribed psychotropic drugs.
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Benzodiazepines
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Baseline liver tests performed: May be lethal in overdose. Contraindicated for pregnancy or breastfeeding. Important side effect is thrombocytopenia—decrease dose.
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Anticonvulsant
Valproic Acid / Depakene / Depakote |
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Typically last choice. Serious side effect is Hypertensive Crisis. Important dietary precautions (foods containing tyramine). Important drug precautions (SSRIs, TCAs, other MAOIs, stimulants, OTC cough & cold, hypoglycemics, narcotic analgesics).
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MAOI
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Typically last choice. Serious side effect is Hypertensive Crisis. Important dietary precautions (foods containing tyramine). Important drug precautions (SSRIs, TCAs, other MAOIs, stimulants, OTC cough & cold, hypoglycemics, narcotic analgesics).
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MAOI
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Teach slow posture changes; rinse mouth; drink more; sugarless gum/candy; don’t drive; high fiber diet; avoid direct sunlight; wear sunglasses; compliance; check BP frequently; observe for fever, sore throat (agranulocytosis); observe for EPS & report immediately; use antidepressants and benzodiazepines cautiously.
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1st Generation
"Typical" Antipsychotics |
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Teach to avoid foods and medication containing tyramine. Cannot be taken with TCAs, narcotics, anti-HTNs, sedatives, general anesthetics, stimulants. Must follow dietary and medication restrictions for 14 days after d/c MAOI. Patient should go to ER if experiences severe headache, increased BP, and palpitations.
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MAOI
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Teach to recognize and report signs of toxicity. Increase fluid to 2 to 3L/day. Do not restrict salt intake. Take with food to avoid GI upset. Profuse sweating or diarrhea increases risk of toxicity.
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Mood Stablizer - Lithium
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Do not discontinue abruptly. Alcohol and CNS depressants can potentiate effects. Teach alternative methods of reducing anxiety. Avoid driving until tolerance develops. Do not operate hazardous machinery.
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Benzodiazepines
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May be lethal in overdose. Do not use in pregnancy or while breastfeeding.
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Anticonvulsant
Valproic Acid / Depakene / Depakote |
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Do not discontinue abruptly—may cause Withdrawal Syndrome. Teach S & S of Serotonin syndrome. Teach anticholinergic effects.
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Tricylclic
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Teach S & S of Stevens-Johnsons Syndrome.
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Anticonvulsant - Lamictal
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Teach S & S of Serotonin Syndrome. Do not take with St. John’s Wort or MAOIs. May take 2-6 weeks to effect change.
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SSRI
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Teach client about nutrition, exercise, and symptoms of diabetes mellitus—can cause weight gain & metabolic disturbances. May cause sedation.
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2nd Generation
"Atypical" Antipsychotics |
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Use caution when driving and using machinery—causes sedation. Can cause nightmares and confusion in elderly.
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Hypnotics
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