Recent

  • Show all results for ""

🎧 New: AI-Generated Podcasts Turn your study notes into engaging audio conversations. Learn more

Psychiatric Treatment Considerations Quiz
56 Questions
0 Views

Psychiatric Treatment Considerations Quiz

Created by
@EminentSchorl

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which class of antidepressants is preferred over others due to less adverse effects?

  • SNRIs
  • Tricyclic antidepressants
  • MAOIs
  • SSRIs (correct)

    • Which adverse effect is characteristic of tricyclic antidepressants?

  • Orthostatic hypotension (correct)
  • Hyperhidrosis
  • Nervousness
  • Tachycardia

    • Which condition is a contraindication for the use of MAOIs?

  • Major depressive disorder
  • Unresponsive to other anti-depressive therapy
  • Hypertension (correct)
  • Tyramine-induced hypertensive crisis

    • Which adverse effect is associated with atypical antipsychotic drugs?

    <p>Extrapyramidal effects</p> Signup and view all the answers

    Which neurotransmitters are affected by SNRIs?

    <p>Serotonin and norepinephrine</p> Signup and view all the answers

    Which condition is treated with tricyclic antidepressant Amitriptyline?

    <p>Major depression and neuropathy</p> Signup and view all the answers

    What is the therapeutic level range for lithium?

    <p>0.6 to 1.5</p> Signup and view all the answers

    What are the signs of lithium toxicity?

    <p>Tremor, Vomiting/Diarrhea, Blurred vision and speech</p> Signup and view all the answers

    How do CNS stimulants help in ADHD?

    <p>Increase stimulation of an immature RAS for more selective response to stimuli</p> Signup and view all the answers

    What are the modifiable risk factors for CAD?

    <p>Tobacco use, Sedentary lifestyle, Diabetes mellitus</p> Signup and view all the answers

    What is the action of nitroglycerin?

    <p>Causes relaxation and vasodilation</p> Signup and view all the answers

    What is the recommended route for administering nitroglycerin in acute angina?

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

    What is the mechanism of action of dobutamine?

    <p>Increases cardiac output and myocardial contractility without much change in heart rate</p> Signup and view all the answers

    What are the common adverse effects of dopamine?

    <p>Watch for extravasation of IV site causing necrosis</p> Signup and view all the answers

    What is the main goal of pharmacologic therapy for hypovolemic shock?

    <p>Decrease ineffective tissue perfusion</p> Signup and view all the answers

    What are the adverse effects of norepinephrine (Levophed)?

    <p>Watch for arrhythmias</p> Signup and view all the answers

    What is the mechanism of action of calcium channel blockers?

    <p>Inhibit calcium from moving across cell membranes, decrease contraction and contractility</p> Signup and view all the answers

    What is the indication for low dose dopamine?

    <p>Increases blood flow to the kidneys, preventing diminished renal blood supply</p> Signup and view all the answers

    What are the adverse effects of PDE-5 inhibitors?

    <p>CV: Hypotension, tachycardia</p> Signup and view all the answers

    What is the mechanism of action of norepinephrine (Levophed)?

    <p>Increases contractility and heart rate, causes vasoconstriction</p> Signup and view all the answers

    Match the following medication with its mechanism of action:

    <p>Calcium channel blockers = Inhibit calcium from moving across cell membranes Norepinephrine (Levophed) = Increases contractility and heart rate; causes vasoconstriction Dopamine = Stimulate receptors of the SNS causing vasoconstriction and increased heart rate Dobutamine = Increases cardiac output and myocardial contractility without much change in heart rate</p> Signup and view all the answers

    Match the following medication with its adverse effects:

    <p>Norepinephrine (Levophed) = Watch for arrhythmias; watch blood pressure Dopamine = Watch for extravasation of IV site causing necrosis Calcium channel blockers = Hepatotoxicity; hypotension; bradycardia; peripheral edema; heart block; dizziness; headache; fatigue Dobutamine = Caution: don’t give with beta blockers</p> Signup and view all the answers

    Match the following medication with its patient monitoring considerations:

    <p>Norepinephrine (Levophed) = All given as a titrated drip via IV pump; constantly monitor to prevent hypertensive state Dopamine = All given as a titrated drip via IV pump in an ICU; watch for extravasation of IV site; given as a titrated drip via IV pump Calcium channel blockers = Monitor blood pressure; take apical pulse before and after; monitor headache and give Tylenol; assist with gradual changes in position Dobutamine = Nurse needs to watch blood pressure and turn med down; constant monitoring and dosage adjustment needed; start at low dose</p> Signup and view all the answers

    Match the following medication with its indications for use:

    <p>Norepinephrine (Levophed) = Used to treat hypotension and shock Dopamine = Generally used to treat hypotension and shock; decreased or ineffective tissue perfusion Calcium channel blockers = Used to treat angina, unstable angina, and acute MI Dobutamine = Used to treat heart failure</p> Signup and view all the answers

    Match the medication with its primary action:

    <p>Lithium = Inhibit release of norepinephrine and dopamine, but not serotonin from stimulated neurons Methylphenidate (Ritalin) = CNS stimulants act at the cortex and RAS, increasing stimulation of an immature RAS which leads to more selective response to incoming stimuli Nitroglycerin = Act directly on vessel smooth muscle causing relaxation and depress muscle tone Dopamine = Not serotonin from stimulated neurons</p> Signup and view all the answers

    Match the medication with its primary use:

    <p>Lithium = Bipolar disorder Methylphenidate (Ritalin) = ADHD Nitroglycerin = Acute and chronic angina Dopamine = Hypovolemic shock</p> Signup and view all the answers

    Match the medication with its route of administration:

    <p>Nitroglycerin = Sublingual: Acute angina Must dissolve completely (Don’t chew) Can give every 5 mins up to a max of 3 Will burn/tingle under tongue Methylphenidate (Ritalin) = Oral tablet: ADHD or Narcolepsy Lithium = Oral tablet: Bipolar disorder Dopamine = IV: Hypovolemic shock</p> Signup and view all the answers

    Match the medication with its contraindication:

    <p>Nitroglycerin = NO VIAGRA. Methylphenidate (Ritalin) = Marked anxiety, tension, and agitation Lithium = Sodium depletion, sweating, diarrhea, diuretic use, metabolic disorders Dopamine = Pheochromocytoma</p> Signup and view all the answers

    Match the medication with its adverse effects:

    <p>Nitroglycerin = Hypotension Methylphenidate (Ritalin) = Nervousness, insomnia, dizziness Lithium = Tremor, V/D, blurred vision and speech Dopamine = Tachycardia, dysrhythmias</p> Signup and view all the answers

    Match the medication with its patient monitoring requirement:

    <p>Nitroglycerin = Watch BP hypotension Special IV tubing design Infusion pump Methylphenidate (Ritalin) = Monitor weight especially in children Daily weights Lithium = Blood levels should be checked by nurses Sodium Monitor Dopamine = Continuous ECG monitoring</p> Signup and view all the answers

    Match the following antidepressants with their primary use:

    <p>SSRIs = Depression, Bulimia, Panic disorder, OCD SNRIs = Treatment for major depressive disorder Tricyclic antidepressants = Predominately for major depression and occasionally for milder situational depression, Neuropathy, Fibromyalgia MAOIs = Unresponsive to other anti-depressive therapy or in whom other anti-depressive therapy is contraindicated</p> Signup and view all the answers

    Match the following antidepressants with their adverse effects:

    <p>SSRIs = Headache, Sexual dysfunction, Nervousness, N/V/D, Dry mouth, Anorexia, sweating, Serotonin Syndrome SNRIs = N/V, constipation, Hyperhidrosis, erectile dysfunction, Tachycardia, abnormal bleeding, Angle closure glaucoma Tricyclic antidepressants = Orthostatic hypotension, Dysrhythmias, Sedation, Weight gain, Anticholinergic effects Dry mouth, dry eyes, blurred vision, constipation MAOIs = Hypertensive crisis Caused by: Tyramine Antidote (calcium channel blocker) Caused by release of NE causing acute hypertension Symptoms: Headache, hypertension, sweating, dilated pupils, tachycardia, chest pain</p> Signup and view all the answers

    Match the following antidepressants with their patient teaching:

    <p>SSRIs = Will take 3-4 weeks to achieve full therapeutic effect, Should be weaned off slowly over 2-4 weeks, SSRIs are preferred over other classes due to less adverse effects SNRIs = Assess for worsening depression, suicidality, bipolar disorder, Impaired liver or renal function, Should only be taken when benefits outweigh the risks, Will take 3-4 weeks to achieve full therapeutic effect Tricyclic antidepressants = Monitor patient for suicide risk, Slow position changes, Watch for cardiac problems for up to 5 days, Overdose: Heart block, dysrhythmias, tachycardia, hypotension, seizure, coma, Use activated charcoal, Na bicarb, gastric lavage MAOIs = Do not take with OTC medication without consulting with provider, Monitor blood pressure, Low tyramine diet, Monitor CBC</p> Signup and view all the answers

    Match the following typical vs atypical antipsychotic drugs with their use:

    <p>Typical antipsychotic (e.g., haloperidol) = IV kicks in fast, lots of AE, Block dopamine receptors, preventing the stimulation of postsynaptic neurons by dopamine Atypical antipsychotic (e.g., olanzapine) = PO, Given regularly, Both block dopamine and serotonin receptors</p> Signup and view all the answers

    Match the following typical vs atypical antipsychotic drugs with their adverse effects:

    <p>Typical antipsychotic (e.g., haloperidol) = IV kicks in fast, lots of AE, Block dopamine receptors, preventing the stimulation of postsynaptic neurons by dopamine Atypical antipsychotic (e.g., olanzapine) = PO, Given regularly, Relieve hallucinations, Both block dopamine and serotonin receptors</p> Signup and view all the answers

    Match the following typical vs atypical antipsychotic drugs with their patient teaching and monitoring:

    <p>Typical antipsychotic (e.g., haloperidol) = IV kicks in fast, lots of AE, Block dopamine receptors, preventing the stimulation of postsynaptic neurons by dopamine Atypical antipsychotic (e.g., olanzapine) = PO, Given regularly, Both block dopamine and serotonin receptors</p> Signup and view all the answers

    Tricyclic antidepressants block the reuptake of __________ and __________

    <p>serotonin, norepinephrine</p> Signup and view all the answers

    MAOIs are contraindicated with certain OTC medications that contain __________

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

    Typical antipsychotic drugs like haloperidol may cause extrapyramidal effects, which include involuntary facial movements, restlessness, tremor, and __________

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

    Atypical antipsychotic drugs like olanzapine may lead to sedation and __________ hypotension

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

    SSRIs inhibit the reuptake of __________ to increase the amount that circulates in the brain

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

    SNRIs decrease neuronal reuptake of both __________ and __________

    <p>serotonin, norepinephrine</p> Signup and view all the answers

    Low dose dopamine is indicated to increase blood flow to the ______

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

    Calcium channel blockers inhibit calcium from moving across cell membranes, leading to a decrease in ______

    <p>contraction and contractility</p> Signup and view all the answers

    The main goal of pharmacologic therapy for hypovolemic shock is to address decreased or ineffective tissue ______

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

    Norepinephrine (Levophed) causes vasoconstriction and is used to treat hypotension and ______

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

    Dobutamine increases cardiac output and myocardial contractility without much change in heart ______

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

    Phentolamine is an agent for ______

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

    Dopamine stimulates receptors of the SNS, causing vasoconstriction and increasing heart ______

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

    Vasopressors are used to treat hypotension and ______

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

    Stimulants, how they work to help ADHD o CNS stimulants act at the cortex and RAS, increasing stimulation of an immature RAS which leads to more selective response to incoming stimuli â–ª Helps them focus on specific stimuli

    <p>Reticular Activating System</p> Signup and view all the answers

    Age related considerations for medication administration o Children, adolescents, and young adults (ages 18 to 24) are at greater risk for suicidal ideation o Increases risk of suicide

    <p>Suicidal Ideation</p> Signup and view all the answers

    CAD/MI Modifiable and nonmodifiable risk factors for CAD o Modifiable: â–ª Tobacco use Vasoconstrictor â–ª Sedentary lifestyle â–ª Obesity â–ª Diabetes mellitus Causes inflammation + increased risk for atherosclerosis â–ª HTN â–ª High cholesterol o Non-Modifiable: â–ª Age â–ª Race â–ª Gender

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

    What is ADHD o Characterized by developmentally inappropriate behaviors involving difficulty in paying attention or focusing on tasks â–ª Characterized by poor attention span, behavior, control issues, and hyperactivity

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

    What is the main goal of pharmacologic therapy for hypovolemic shock?

    <p>Restore Blood Volume</p> Signup and view all the answers

    Teaching: â–ª Importance of taking med as directed â–ª Do not stop abruptly o Pt. Monitoring: â–ª Monitor for involuntary movement â–ª Monitor for orthostatic hypotension Lithium: Use, Action, Therapeutic Levels, Pt. Teaching, Pt. Monitoring, signs of lithium toxicity o Use: o Action: â–ª Bipolar disorder â–ª Inhibit release of norepinephrine and dopamine, but not serotonin from stimulated neurons o Therapeutic Level: â–ª 0.6 to 1.5 Desired â–ª 1.5 to 2 Mild to Mod toxicity â–ª 2 to 2.5 Mod to Severe toxicity â–ª > 2.5 Life threatening o Pt. Teaching: â–ª Excreted from the kidneys (95%), sweat, and feces The kidneys treat lithium and sodium similarly, which is the reason sodium depletion can significantly elevate lithium â–ª Avoid: Dehydration Sodium depletion Sweating Diarrhea Diuretic Metabolic disorders o Pt. Monitoring: â–ª Lithium Levels Blood levels should be checked by nurses â–ª Sodium â–ª Monitor o Signs of toxicity: â–ª Early: Tremor, V/D, blurred vision and speech â–ª Late: Seizure, coma, arrythmia o Over 1.5 â–ª Lethargy, slurred speech, muscle weakness, N/V complex multiorgan toxicity = death

    <p>Multiorgan Toxicity</p> Signup and view all the answers

    More Quizzes Like This

    Psychiatric Treatment Approaches and Disorders Quiz
    28 questions

    Psychiatric Treatment Approaches and Disorders Quiz

    DetachableCarnelian9021 avatar
    DetachableCarnelian9021
    Benefits of Long-Acting Injectables and Treatment for Acute Agitation
    46 questions

    Benefits of Long-Acting Injectables and Treatment for Acute Agitation

    HardierJubilation avatar
    HardierJubilation
    Psychiatric Treatment for Children with Their Families
    34 questions

    Psychiatric Treatment for Children with Their Families

    SensitivePascal avatar
    SensitivePascal
    Psychiatric treatment
    47 questions

    Psychiatric treatment

    SensitivePascal avatar
    SensitivePascal
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser