Psychopharmacology Overview
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Questions and Answers

What is the name of the theory that explains schizophrenia?

Dopaminergic theory of Schizophrenia

What is the name of the theory that explains mood disorders?

Monoaminergic theory of Mood Disorders

What are psychotropic medications?

Medications that affects psychic function, behavior or experience

What is a neurotransmitter?

<p>A chemical that is stored in the axon terminals of the presynaptic neuron</p> Signup and view all the answers

What is a receptor?

<p>Molecules situated on the cell membrane that are binding sites for neurotransmitters</p> Signup and view all the answers

Which of these types of psychotropic drugs are divided into typicals and atypicals?

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

What are the two main types of antipsychotics?

<p>Typical and Atypical</p> Signup and view all the answers

Antipsychotics are effective in treating psychotic symptoms immediately after starting the medications.

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

What are antipsychotic drugs also called?

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

Antipsychotics are only used to treat schizophrenia.

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

What is the name of the antipsychotic drug that is known for its potentially fatal side effects?

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

What is the name of the long-acting form of risperidone?

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

Which of these antipsychotics is associated with weight gain?

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

Which drug is contraindicated for a patient with pre-existing heart disease?

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

What are extrapyramidal symptoms (EPS)?

<p>Pseudoparkinsonism, Akinesia, Akathisia, Dystonia, Oculogyric Crisis</p> Signup and view all the answers

Tardive dyskinesia is reversible.

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

What type of medicine is used to treat EPS?

<p>Antiparkinson medication</p> Signup and view all the answers

Which of these are typical antipsychotics? (Select all that apply)

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

What is the primary action of typical antipsychotics?

<p>Block dopamine in both the limbic and basal ganglia</p> Signup and view all the answers

Newer drugs are more likely to cause EPS.

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

Traditional antipsychotics are helpful with the negative symptoms of schizophrenia.

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

What is the name of the scale used to assess for tardive dyskinesia?

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

What is the main neurotransmitter on which atypical antipsychotics preferentially act?

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

Atypical antipsychotics can only treat positive symptoms of Schizophrenia.

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

What is the name of the classification of drugs that help prevent and treat manic episodes?

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

Which of the following are potential side effects of Lithium? (Select all that apply)

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

Which of the following medications is an anticonvulsant? (Select all that apply)

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

What type of drugs help alleviate symptoms associated with depression?

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

MAOIs are known to have fewer interactions with other medications compared to other antidepressants.

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

Antidepressants have immediate effects on mood.

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

Which of these are potential side effects of antidepressants? (Select all that apply)

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

All antidepressants have the same side effects.

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

What drugs elevate mood and alleviate depression symptoms?

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

People on antipsychotics should have their WBCs measured monthly.

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

What are the 3 main categories of mood stabilizing agents?

<p>Antimanic, Anticonvulsants, and Calcium Channel Blockers</p> Signup and view all the answers

What is the name of the classification of drugs used to treat anxiety disorders and anxiety symptoms?

<p>Antianxiety Agents</p> Signup and view all the answers

Benzodiazepines are safe to use long-term.

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

Antianxiety agents are only used for anxiety disorders.

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

What is the name of the classification of drugs used to treat insomnia?

<p>Sedative Hypnotics</p> Signup and view all the answers

Which of the following are examples of sedative hypnotics? (Select all that apply)

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

What is the name of the drugs used to treat ADHD?

<p>Agents for ADHD</p> Signup and view all the answers

Agents for ADHD are only used for children.

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

Agents for ADHD only have positive side effects?

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

Which of the following are examples of agents for ADHD? (Select all that apply)

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

What are examples of nursing responsibilities when treating patients with psychotropic medications? (Select all that apply)

<p>Know safety profile of medications</p> Signup and view all the answers

Study Notes

Psychopharmacology

  • The presentation focused on psychopharmacology, specifically psychotropic medications.
  • Objectives included classifying psychotropic medications, understanding their mechanisms of action, selecting medications rationally, recognizing adverse effects, and managing treatment failures.
  • Principles of prescribing psychotropic medications: Focus is on target symptoms, not every drug affects every symptom, all drugs have side effects, and black box warnings need careful attention.
  • Psychopharmacologic drugs work across a spectrum, encompassing antipsychotics, antidepressants, mood stabilizers, anxiolytics/sedatives, and other types.
  • Theoretical underpinnings include dopaminergic theory of schizophrenia and monoaminergic theory of mood disorders.
  • Psychotropic medications: Affect psychic function, behavior, or experience.
  • Neurotransmitters: Chemicals stored in axon terminals influencing neural function.
  • Receptors: Molecules on cell membranes that bind neurotransmitters.
  • Various antipsychotic drugs were listed, including types and their average daily dosages, some with longer acting versions. Different forms and names of the same drug were mentioned.
  • Indications and effectiveness for antipsychotics were described, their use in schizophrenia and bipolar disorder, and the reoccurrence of symptoms.
  • Antipsychotic classifications included typical and atypical classifications, based on mechanisms and impact on positive/negative symptoms.
  • Antipsychotic side effects include extrapyramidal symptoms (EPS) such as pseudoparkinsonism, akathisia, dystonia, oculogyric crisis and tardive dyskinesia along with others like neuroleptic malignant syndrome, hyperglycemia and diabetes, as well as other side effects like anticholinergic effects, and more.
  • Specific examples of side effects, such as the potential for weight gain and conditions like agranulocytosis, were noted.
  • Specific aspects of treatment response were raised (e.g., duration for significant effect), as well as possible management of weight gain.
  • Detailed descriptions of various mood stabilizing agents, their indications and side effects were covered.
  • Important information related to drugs and their side effects were reviewed, including adverse effects related to receptor occupancy, and drug classes like anti-anxiety agents and sedative hypnotics.
  • Newer trends in treatments for ADHD were noted.
  • Also, essential nursing responsibilities concerning psychotropic drugs were listed, including assessing for expected/unexpected effects, assessing for co-morbidities, and monitoring therapeutic drug levels.

Specific Drug Classes and Examples

  • Antipsychotics: Wide range of classifications, dosages.
    • Examples: Haldol, Prolixin Deconate, Thorazine, Risperidone, Olanzapine, Quetiapine, Clozapine, Ziprasidone, Aripiprazole.
  • Mood Stabilizing Agents: Various classifications and examples cited in relation to bipolar, depression and other targets.
    • Examples: Lithium carbonate, Carbamazepine, Valproic Acid, Verapamil.
  • Antidepressants: Tricyclic, SSRI's, MAOI's, and others
    • Examples: Amitriptyline, Clomipramine, Fluoxetine, Sertraline, Isocarboxazid, Bupropion.
  • Sedative Hypnotics:
    • Examples: Amobarbital, Lorazepam, Zolpidem, Estazolam.
  • ADHD Agents:
    • Examples: Amphetamines, Methylphenidate, Pemoline.

Additional Notes

  • Several slides provide details on adverse effects and potential interactions with other medications or conditions.
  • Some slides summarize specific considerations for drug selection, especially for clients with pre-existing medical conditions.

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Description

This quiz delves into the essential aspects of psychopharmacology, focusing on psychotropic medications and their classifications. Understand the mechanisms of action, adverse effects, and principles of prescribing these medications. Gain insights into important theoretical frameworks and the role of neurotransmitters in mental health treatment.

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