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Psych- Agents
Question | Answer |
---|---|
Psychotherapeutic Agents | Neurotransmitter dysfunction involved |
Neurotransmitters | Dopamine, Serotonin, Norephinephrine, GABA, Acetylcholine |
Psychosis | more than one symptom |
Symptoms of psychosis | Delusions, hallucinations, incoherence, catatonia, aggressive/violent behavior, loss contact w/reality |
Thought Disorders | Schizophrenia, Delirium, Dementia(moved to psychological), Antipsychotics |
Antipsychotic Agents | dopamine |
Drug Interactions: Antipsychotic | Antacids block absorption, CNS depressants |
Adverse side effects: Antipsychotic | Orthostatic hypotension, |
Extrapyramidal Syndrome (EPS) | Parkinson like symptoms |
Neuroleptic Malignant Syndrome | high fever |
Affective(emotional) | Depression, Bipolar, Antidepressants, mood stabilizers |
Antidepressants | different classifications aren’t related; but can influence |
Selective Serotonin Reuptake Inhibitors | Culture, Don’t stop abruptly, wash out periods |
Coumadin | blood thinner; SSRI |
Drug Interactions: Antidepressants | St. John’s wort + SSRI = Serotonin Syndrome |
Different Antidepressants | Novel (Other), Tricyclic (TCA), (MAOIs) |
Antimanic Agents | Bipolar |
Contraindications: Antimanic | Take with food, good hydration, monitor therapeutic level |
Drug Interactions; Antimanic | many (NSAIDS, diuretics, anticonvulsants) |
Adverse Effects | S/S toxic: fine tremors, anorexia, nausea, Vomiting, diarrhea |
Anxiety | Antianxiety agents; Benzodiazepines |
Benzodiazepines (BZDs) | Diazapam |
Routes: (BZDs) | PO, IM, IV |
Contraindications/Precautions: (BZDs) | Children/Elderly, unpredictable, paradoxical reactions |
Indications: (BZDs) | Treatment acute alcohol withdrawl to other classifications |
Drug Interactions: (BZDs) | Cimetidine (Tagament |
BZD Antagonist | antidote |
Hypnotic drugs | Zolpidem (Ambien); Eszopiclone (Lunesta) |