Antipsychotics and Their Use
24 Questions
8 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary use of Haloperidol?

  • To induce sedation during surgery
  • To control positive symptoms of schizophrenia (correct)
  • To treat anxiety disorders
  • To manage depression
  • What is a significant side effect of Olanzapine?

  • Weight gain (correct)
  • Excessive sweating
  • Severe sedation
  • Increased energy
  • Which medication requires careful monitoring for agranulocytosis?

  • Diphenhydramine
  • Clonazepam
  • Propranolol
  • Clozapine (correct)
  • What is a common side effect of benzodiazepines such as Lorazepam?

    <p>Sedation</p> Signup and view all the answers

    What type of medication is Fluoxetine classified as?

    <p>SSRI</p> Signup and view all the answers

    What is the mechanism of action for Atypical antipsychotics like Ziprasidone?

    <p>Increase serotonin and decrease dopamine</p> Signup and view all the answers

    What symptom should prompt immediate action when using neuroleptic medications?

    <p>High fever and tremors</p> Signup and view all the answers

    Which of the following is a side effect of Diphenhydramine?

    <p>Dry mouth</p> Signup and view all the answers

    What should be monitored with the use of Ziprasidone?

    <p>QT interval on EKG</p> Signup and view all the answers

    What is an important consideration with the use of Midazolam?

    <p>It has a high potential for addiction.</p> Signup and view all the answers

    What are the potential side effects of Amitriptyline?

    <p>Decreased blood pressure and sedation</p> Signup and view all the answers

    What must be monitored in patients taking Lithium?

    <p>Kidney function and thyroid function</p> Signup and view all the answers

    Which medication is a known contraindication for patients undergoing alcohol withdrawal?

    <p>Bupropion</p> Signup and view all the answers

    Which medication can cause hypertensive crisis if taken with tyramine-rich foods?

    <p>Selegiline</p> Signup and view all the answers

    What is the therapeutic range for Divalproex Sodium?

    <p>50-125 mcg/mL</p> Signup and view all the answers

    Which of the following is a potential risk associated with CNS stimulants?

    <p>Growth suppression and hallucinations</p> Signup and view all the answers

    What management is necessary for a patient taking MAOIs?

    <p>Following a low-tyramine diet</p> Signup and view all the answers

    What class of drugs does Venlafaxine belong to?

    <p>SNRI</p> Signup and view all the answers

    Which medication is specifically indicated for performance anxiety?

    <p>Propranolol</p> Signup and view all the answers

    Which side effect is commonly associated with SSRIs?

    <p>Dry mouth</p> Signup and view all the answers

    Which antipsychotic is associated with agranulocytosis?

    <p>Clozapine</p> Signup and view all the answers

    What is a common side effect experienced with Bupropion?

    <p>Anxiety</p> Signup and view all the answers

    Which pharmacological treatment is primarily used for opioid overdose?

    <p>Naloxone</p> Signup and view all the answers

    How should Lamotrigine be administered to minimize the risk of serious side effects?

    <p>Starting low and increasing dose slowly</p> Signup and view all the answers

    Study Notes

    Haloperidol

    • First-generation typical antipsychotic, controls positive symptoms
    • Used for hallucinations, schizophrenia, Tourette's
    • Often given with benzodiazepines like Lorazepam to manage aggressive behavior
    • Side effects include extrapyramidal symptoms (EPS), tardive dyskinesia, sedation
    • Risk of neuroleptic malignant syndrome (high fever, tremors)
    • Use benztropine to reduce EPS

    Diphenhydramine

    • Antihistamine, first-generation
    • Side effects include sedation, urinary retention
    • Used to prevent dystonic reactions
    • Sedating effect

    Midazolam

    • Acts quickly (within minutes)
    • High addiction potential, not for long-term use
    • Side effects include sedation and suppression of vital functions
    • Avoid skipping doses and dangerous tasks

    Olanzapine

    • Second-generation atypical antipsychotic
    • Treats both positive and negative symptoms of schizophrenia
    • Side effects include weight gain, decreased libido, neutropenia
    • Monitor blood sugar and infection symptoms

    Ziprasidone

    • Atypical antipsychotic
    • Balances dopamine levels in the brain
    • Treat schizophrenia

    Anti-Anxiety Medications

    Hydroxyzine (Atarax, Vistaril)

    • Antihistamine, PRN
    • Takes 15-30 minutes to work
    • Side effects include dry mouth and drowsiness
    • Dose: 25-50 mg (max 100 mg) four times daily

    Lorazepam (Ativan)

    • Benzodiazepine (short-intermediate acting), PRN
    • Takes 20-40 minutes to work, lasts 4–6 hours
    • Side effects include drowsiness and sedation
    • Dose: 0.5-2 mg, 2-3 times daily (max 10 mg/day)

    Clonazepam (Klonopin)

    • Benzodiazepine (intermediate-long acting), PRN
    • Takes 20-40 minutes to work and lasts 6-12 hours
    • Side effects include ataxia, dizziness, drowsiness
    • Dose: 0.25-1 mg, 1-2 times daily (maximum 4 mg per day)

    Fluoxetine (Prozac)

    • Selective serotonin reuptake inhibitor (SSRI)
    • May take 2-12 weeks to see full effect
    • Side effects include decreased libido, sexual dysfunction, dry mouth, insomnia
    • Dose: 10-20 mg once daily (maximum 60 mg per day)

    Propranolol (Inderal)

    • Beta-blocker, PRN
    • Takes 30-60 minutes to work, lasts 6-12 hours
    • Side effect includes hypotension
    • Dose: 10-20 mg every 30-60 minutes before stressful events (maximum 4 mg daily)

    Antipsychotics (First Generation/Typical)

    • Haloperidol, Fluphenazine
    • Decrease dopamine in the brain

    Antipsychotics (Second Generation/Atypical)

    • Aripiprazole, Clozapine, Olanzapine, Risperidone, Quetiapine, Ziprasidone
    • Decrease dopamine and increase serotonin
    • Side effects include EPS, metabolic syndrome, neuroleptic malignant syndrome (NMS), potentially agranulocytosis

    Other Medications

    • Amitriptyline: Tricyclic antidepressant (TCA)- Used for sleep or other situations where other medications didn't work
    • Lithium: Mood stabilizer. Therapeutic range is 0.6 - 1.2 mEq/L Toxicity is above 1.5 mEq/L.
    • Methylphenidate: CNS stimulant, short & intermediate acting.
    • Dextroamphetamine/amphetamine: CNS stimulant, immediate release medication
    • Atomoxetine: Non-stimulant, works in cases where stimulants aren't tolerated or are causing too many side effects

    Withdrawal from Nicotine

    • Nicotine gum, lozenge, patch. Follow instructions for proper use.

    Withdrawal from Alcohol

    • Use medications like Naltrexone to reduce craving and prevent relapse.
    • Use other medications to manage symptoms of withdrawal. Follow instructions for proper use.
    • Avoid Bupropion, given the increased risk of seizures in combination with alcohol withdrawal.

    Other Important Notes

    • Many medications have serious side effects. It is crucial to monitor patients closely and follow instructions carefully to manage and treat side effects.
    • Always consult with a doctor for diagnosis and treatment plans.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Psych Meds Final PDF

    Description

    This quiz covers the key aspects of various antipsychotic medications, including first-generation and second-generation drugs like Haloperidol and Olanzapine. It addresses their indications, mechanisms, side effects, and the management of related symptoms. Test your knowledge on the pharmacology and clinical applications of these essential psychiatric medications.

    More Like This

    Paliperidone (Invega) Flashcards
    8 questions
    Lurasidone (Latuda) Flashcards
    8 questions
    Use Quizgecko on...
    Browser
    Browser