Mental Health Medication Classes Part 3
Mental Health Medication Classes Part 3 NBSN3030C
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This 7 page Bundle was uploaded by Trisha Riley on Sunday October 4, 2015. The Bundle belongs to NBSN3030C at University of Cincinnati taught by Fenton in Spring 2015. Since its upload, it has received 25 views. For similar materials see Mental Health Nursing in Nursing and Health Sciences at University of Cincinnati.
Reviews for Mental Health Medication Classes Part 3
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Date Created: 10/04/15
Medication Classes Antipsychotics KAtypical Antipsychotics 1 Target symptoms not diagnosis this class of medication is used for Negative symptoms associated with common psychiatric disorders 0 Alogia o Anergia 0 Asocial behavior 0 Attention deficits o Avolition o Blunted affect 0 Communication difficulties 0 Difficulty with abstractions 0 Passive social withdrawal 0 Poor grooming and hygiene 0 Poor rapport 0 Poverty of speech 2 Potential side effectsadverse effects of this class of medication 0 Sedation orthostatic hypotension appetite stimulation Seroquel 0 Sedation weight gain orthostasis Olanzapine o Myocarditis dyspnea fever chest pain palpitations tachycardia should be reported immediately and agranulocytosis Clozapine 0 Orthostatic hypotension sedation appetite stimulation insomnia agitation headache anxiety rhinitis Risperidone and Paliperidone 0 Nausea dyspepsia abdominal pain constipation somnolence insomnia coryzal symptoms potential cardiac symptoms lengthening of QTC interval Ziprasidone 0 Sedation weight gain orthostasis Iloperidone o Dizziness orthostatic hypotension cognitive problems sedation weight gain Lurasidone 0 Metabolic Syndrome obesity diabetes hyperlipidemia hypertension 0 Sexual dysfunction 3 Tests needed when taking this class of medication 0 Vital signs 0 Liver enzymes bilirubin 0 CBC o Intake and output 0 Mental status exam baseline to evaluate progress 0 WBC and granulocytes Clozapine With risk for agranulocytosis 0 ECG monitoring 4 Important information to include in patient education regarding this class of drug 0 Avoid CNS depressants 0 Use sunscreen to prevent sunburn and use a maximum strength sunscreen When sunbathing 0 Dress appropriately in hot weather and drink plenty of water to avoid heat stroke 0 Avoid abrupt Withdrawal of medication 0 Take the drug as prescribed 0 Do not take during first trimester of pregnancy or breast feeding 0 Rise from a sitting or lying position to avoid lightheadedness and dizziness associated With orthostatic hypotension 0 Report signs of dyspnea fever chest pain palpitations and tachycardia immediately While taking Clozapine as this is an indicator of myocarditis 5 List of medications in this class of medications 0 Aripiprazole Abilify o Asenapine Saphris 0 Clozapine Clozaril o Iloperidone Fanapt o Lurasidone Latuda 0 Olanzapine Zyprexa o Paliperidone Invega 0 Quetiapine Seroquel o Risperidone Risperdal o Ziprasidone Geodon References Keltner N L Bostrom C E and McGuinness T M 2011 Psychiatric Nursing 7th ed St Louis MO ElsevierMosby Medication Classes PAntiparkinsonMovement Disorders 1 Target symptoms not diagnosis this class of medication is used for Parkinsonism tremors rigidity bradykinesia postural instability Extrapyramidal side effects caused by antipsychotic drugs akathisia akinesia bradykinesia dystonia druginduced parkinsonism tardive dyskinesia neuroleptic malignant syndrome and pisa syndrome Potential side effectsadverse effects of this class of medication Confusion cognitive impoverishment agitation dizziness drowsiness and disturbances in behavior Dry mouth Nasal congestion Urinary hesitation Urinary retention Blurred vision photophobia Constipation Mydriasis Decreased sweating Fever Nervousness Erectile impotence Paralytic ileus Tachycardia palpations hypotension orthostatic hypotension Tests needed when taking this class of medication Vital signs especially BP HR and temperature Mental status exam to evaluate progress Eye examinations Intake and output Important information to include in patient education regarding this class of drug Overdoses can result in CNS hyperstimulation confusion excitement hyperpyrexia agitation disorientation delirium or hallucinations or CNS depression drowsiness sedation or coma 0 Used cautiously during pregnancy 0 Cognitive cardiovascular and gastrointestinal effects are more pronounced in older patients 0 Nondrug alternatives are available for some of the annoying side effects 0 Avoid discontinuing these drugs abruptly tapering off over a 1 week period is advised 0 Avoid driving or other hazardous activities until tolerance develops and drowsiness and blurred vision diminish 0 Avoid overthecounter medication that have anticholinergic or antihistamine properties alcohol and antacids 5 List of medications in this class of medications o Benzotropine Cogentin 0 Diphenhydramine Benadryl o Trihexyphenidyl Artane References Keltner N L Bostrom C E and McGuinness T M 2011 Psychiatric Nursing 7th ed St Louis MO ElsevierMosby Medication Classes Antipsychotics J Typical Antipsychotics 1 Target symptoms not diagnosis this class of medication is used for Positive symptoms associated with common psychotic disorders Abnormal thoughts Agitation Bizarre behavior Delusions Excitement Feelings of persecution Grandiosity Hallucinations Hostility Illusions Insomnia Suspiciousness Potential side effectsadverse effects of this class of medication Anticholinergic Side Effects Constipation decreased sweating dilated pupils dry mouth slowed bowls and bladder Extrapyramidal Side Effects Akathisia akinesia dystonia parkinsonism tardive dyskinesia Neuroleptic Malignant Syndrome High fever and rigidity can be fatal Antiadrenergic Side Effects Hypotension orthostatic hypotension re ex tachycardia Cardiac Effects potential for lengthening of QTc interval Endocrine Side Effects Elevated prolactin levels Metabolic Syndrome Weight gain more common with atypical antipsychotics clozapine and olanzapine Sexual dysfunction Gastrointestinal Effects Weight gain Other Effects J aundice rare but serious blood dyscrasias susceptibility to hyperthermia sunsensitive skin nasal congestion wheezing memory loss Tests needed when taking this class of medication Vital signs ECG monitoring Liver enzymes bilirubin CBC Intake and Output Mental status examination baseline to evaluate progress Important information to include in patient education regarding this class of drug Avoid immersion in hot water because hypotension might occur causing falls Rise from lying or sitting position slowly to avoid lightheadedness and dizziness associated with orthostatic hypotension Avoid CNS depressants Use a sunscreen to prevent sunburn and use a maximum strength sunscreen when sunbathing Dress appropriately in hot weather and drink plenty of water to avoid heat stroke Avoid abrupt withdrawal of medication because EPSEs can occur Take the drug as prescribed nonadherence is the leading cause of the return of symptoms and a leading cause of readmission Immediately report signs of a sore throat malaise fever or bleeding These signs might indicate a blood dyscrasia Avoid during the first trimester of pregnancy List of medications in this class of medications Fluphenazine Prolixin Haloperidol Haldol Thiothixene Navane Tri uoperazine Stelazine Loxapine Loxitane Perphenazine Trilafon Chlorpromazine Throrazine Thioridazine Mellaril References Keltner N L Bostrom C E and McGuinness T M 2011 Psychiatric Nursing 7th ed St Louis MO ElsevierMosby
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