psychosis
out of touch with reality
atypical antipsychotics treat what?
both positive and negative symptoms
biggest thing with suicide ?
ARE THEY SAFE!?
phenothiazines and nonphwnothiazines
block action of dopamine and serotonin in the brain depending which generation is prescribed
psychotic show usually around teen age (male)
true or false
true
if patient comes in paranoid, first think what?
psychosis (schizophrenia)
typical antipsychotis
(postive symptoms)
block action of dopamine in the Brian
atypical antiphschotis (negative symptoms)
block serotonin receptors in addition to dopamine receptors
clozapine
decrease WBC
antipsychotic drug adverse effects- black box warning
use in older adults with dementia, increase risk in death
haloperidol
long term treatment of psychosis.
-can cause extrapyramidal symptoms and tar dive dyskinesia
-the med can can also be for nausea
decrease therapeutic effects
grapefruit juice
st john warts
used for depression, anxiety, sleep disorders, nervousness
-may cause photosensitivity
MAOIS and cheese together
severe interaction, hypertensive crisis
ginseng can interact with what?
immunosuprresions
selecting therapy two factors:
- patient history of response to previously prescribed antidepressants
- potential for adverse effects associated with different antidepressants
monoamine oxidase inhibitors (MAOIS)
most effective in atypical depression, panic disorders, obsessive compulsive disorder, and some phobias
dont eat a food high in tyramine when taking what?
MAOIS
EX: cheese
normal serum level
0.4-1.2 meq
buspur
non sedating
TCA'S (Tricyclic)
watch for cardiac patients because they can cause cardiac dysrhythmias
buspar
non sedating and non habit forming
- do not administer with MAOIS
GABA
relaxing neuro transmitter in the brain (helps calm down patient)
flumazenil (romazican)
may be used to reverse benzodiazepines effects
(flew in my Benz)
status epilepticus
when a seizure won't break
lorazepam
comes in multiple forms.
-used to treat or prevent alcohol withdrawal
what to monitor for haldol
monitor electrolytes because of metabolic
which drug class/ type of medication can also be used as antiypetics
antipsychotics
normal lithium level
0.6-1.2
Wellbutrin - what else can it be used for aside from depression?
smoking sensation
normal sodium level
135-145
TCA AND MAOIS
not good together
-due to cardiac side effects and hypertensions
SSRI'S
better for depression because it doesn't have many side effects
if patient is having hallucinations is safe what will help?
therapy and meds
tardedisnesia
abnormal facial movements