Unit 2 Medications PDF

UNIT 2 MEDICATIONS NAME CLASS USED FOR S/E’S Chlorpromazine Typical /1st generation Schizophrenia Anticholinergic Sx-dry mouth, cons pa on, blurred Haloperidol Antipsychotic Schizoaffec ve D/O...

UNIT 2 MEDICATIONS NAME CLASS USED FOR S/E’S Chlorpromazine Typical /1st generation Schizophrenia Anticholinergic Sx-dry mouth, cons pa on, blurred Haloperidol Antipsychotic Schizoaffec ve D/O vision, urinary reten on, cogni ve problems Bipolar w/Mania Extra Pyramidal Symptoms-Parkinson’s like sx’s, and psychosis akathisia, tardive dyskinesia, shuffling, tremors Used for pos Orthostatic hypotension, seizures, sedation symptoms Malignant Neuroleptic Syndrome- High fever, labile BP, High HR, muscle rigidity, confusion Aripiprazole Atypical/2nd Schizophrenia Metabolic syndrome-Wt gain, +cholesterol, diabetes Risperidone generation Schizoaffec ve D/O Anticholinergic Sx-dry mouth, cons pa on, blurred Clozapine Antipsychotic Bipolar w/Mania vision, urinary reten on, cogni ve problems and psychosis Clozapine-Agranulocytosis OCD Less EPS-than typical/1st generation antipsychotics Used for pos and neg sx’s of schizophrenia Lithium Carbonate Mood Stabilizer Bipolar disorder Common S/E’s-hand tremors, increased thirst and urina on, wt gain, dizziness, fa gue Toxicity- slurred speech, muscle weakness, nausea and vomi ng, confusion Long term can cause hypothyroid and kidney problems. Harmful in pregnancy and breastfeeding Diazepam Benzodiazepine Anxiety Seda on, decreased RR, HR, BP Lorazepam Major tranquilizer Alcohol withdrawal Addic ve Buspirone Anxiolytics Anxiety Dizziness, headache, nausea Minor tranquilizer Non-seda ng Non-addic ng No withdrawal takes 2-4 weeks to work Amitriptyline Tricyclic Major Depressive Orthosta c hypotension, seda on, an cholinergic antidepressant D/O sx’s, urinary reten on, suicide Insomnia Chronic Pain Escitalopram Selective serotonin Major Depressive Wt gain, insomnia, sexual dysfunc on Fluoxetine reuptake inhibitors D/O Risk-Serotonin Syndrome- Agitation, hallucinations, (SSRI’s) fever, tremors, diaphoresis Phenelzine Monoamine oxidase Major Depressive Suicide, hypotension, wt gain, inhibitors (MAOIs) D/O DO NOT MIX WITH OTHER ANTIDEPRESSANTS Panic D/O AVOID TRYAMINE RICH FOODS- hard cheese, cured aged smoked meats, deli meats, hot dogs, chocolate, fjj.mg wine to prevent HYPERTENSIVE CRISIS gyggggpfyyygygyaf a man  UNIT 2 MEDICATIONS Donepezil Anti-Alzheimer’s Early to mid- Given at bed me Alzheimer’s Vivid dreams Methadone Full Agonist opioid Opioid use Seda ng, cons pa on, tooth decay disorder-long term Dispensed daily maintenance Dilute with water Chronic Pain Naloxone Opioid antagonist Overdose of LOW risk- when in doubt – give it! opioids Buprenorphine Opioid partial agonist- Opioid use disorder Cons pa on, seda on, dizziness, headache, muscle antagonist cramps Overdose more likely with polysubstance abuse