TESTED QUESTIONS AND SOLUTIONS FULL
REVIEW GRADED A+
◉ Typical Antipsychotics (nonphenothiazines). Answer: Haloperidol
(Haldol): use in acute psychosis since it is immediate acting
Crisis can cause dystonia
◉ Nursing intervention: phenothiazines and nonphenothiazines.
Answer: Psychotropic washout period: since many have long half-
lives, avoid changing meds with overlapping treatment which could
lead to toxicity
◉ Lorazepam (anxiolytics) use. Answer: works for immediate relief
but poor choice for longer term
◉ Major antidepressant groups. Answer: Tricyclic antidepressants
(TCAs)
Selective serotonin reuptake inhibitors (SSRIs)
,Serotonin norepinephrine reuptake inhibitors (SNRIs)
Atypical antidepressant
Monoamine oxidase inhibitors (MAOIs)
◉ SSRIs and SNRIs prevent. Answer: reuptake of serotonin,
increasing its level in the brain
◉ Serotonin. Answer: A neurotransmitter known as the "feel good"
hormone
◉ Momoamine oxidase enzymes. Answer: break down
neurotransmitters like dopamine, norepinephrine, and serotonin in
the brain leading to low levels.
These low levels have been linked with depression and anxiety.
◉ Tricyclic antidepressants side effects. Answer: Include dry mouth
and eyes, GI distress (anticholinergic effects)
◉ Monoamine oxidase inhibitors. Answer: Maintain levels of
dopamine, norepinephrine, and serotonin in the brain
, ◉ Food interactions with MAOIs. Answer: Food that contains
tyramine can cause hypertensive crisis.
includes some cheeses, yogurt, cream, coffee, chocolate, bananas,
raisins, Italian green beans, liver, pickled foods, sausage, soy sauce,
yeast, beer and red wine
◉ Mood stabilizer: Lithium toxicity. Answer: Can cause arrhythmia,
slurred speech, unsteadiness, appetite suppression
◉ Side effects of aspirin. Answer: Swelling of the eyes, face, lips,
tongue, throat
Ringing in the ears, loss of hearing
Wheezing, difficulty breathing, hoarseness, fast breathing
Fast heartbeat
Cold, clammy skin
Hives, rash