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