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Tuesday, August 21, 2007

Nclex Pharmacology Review Notes: Psychiatric Drugs

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ANTI PARKINSON'S

C- cogentin
A- artane
P- parlodel
A- akineton
B- benadryl
L- larodopa
E- Eldepryl
S- symmetril

Increase protein and give B6
Akathisia
Dystonia
Tardive Dysinesia
Neuroleptic Malignant Syndrome


ANTI-ANXIETY

V-valium
L-librium
A-ativan
S-serax
T-tranxene

M-miltown
E- equanil
V-vistaril
A-taxene
I-Inderal
B-buspar

Tolerance develop until seven days

A- void abrupt discontinuation after prolonged use
N- Not give if BP is up, hepatic/renal dysfunction or history of drug abuse
X-xanax, ativan, serax is also an anti-anxiety meds
I-increase in 3D's- drowsiness, dizziness, decreased BP
Enhances action of GABA
T-teach client to rise slowly from supine position
Y-es alcohol should also be avoided.


MAOI Drugs

M-marplan
N-nardil
P-parnate

Hypertensive crisis within several hours of ingestion of tyramine containing foods
Tyramine foods:
aged cheese, beer, ale, red wine, pickled foods, smoked or pickled fish, beef or chopped liver, avocado of figs.


ANTI-DEPRSSION

A- asendin
N-norpramin
T- tofranil

S-sinequan
A-anafranil
- aventyl
V-vivactil
E-Elavil
P-paxil
Z-zoloft

D-riving is contraindicated
E-ffect has a delayed onset of 7-21 days
P-regnancy consult with your physician
R-elieves symptoms but never cure
E- valuate vital sign
S-toppind drug abruptly is Out!
S-afety measures
I-nstruct to report undesirable side effect
O-bserve for suicidal tendencies
N-o alcohol or CNS depressants

ANTI-MANIC DRUGS

Lithium- Eskalith

Increase risk of toxicity when given with: thiazide diuretics, methyldopa, and NSAIDs
Decrease lithium levels with excess sodium and antacids.
Increase CNS toxicity with Haloperidol

0.6-1.2 -meq/l Therapeutic Effect
> 1.5 meq/l Toxic
2.0 meq/l lethal

L- evel - therapeutic 0.6-1.2 meq/l
I-ncreased Urination
T-hirst Increased
H-eadaches and Tremors
I-ncreased fluids
U-nsteady
M-orton's Salt -adequate intake



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