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Review the most common psych meds, side effects, adverse reactions, and
nursing considerations. (53 cards)
1
Q
What are “Downers”?
A
Medications that cause the central nervous system to be sedated.
They are also called “Sedatives”.
2
Q
What types of medications and substances are “Downers”?
A
Antidepressants
Anxiolytics
Antipsychotics
Antiallergy drugs / Antihistamines
Barbiturates
Benzodiazepines
Muscle relaxers
Opioids
Alcohol
Marijuana
, St. John’s wort
3
Q
What will the pupils look like if a client has overdosed on a “downer” medication
such as too many anxiolytics or opioids?
A
Pinpoint pupils.
4
Q
Adverse reactions and nursing considerations:
Downers
A
1. advise client to avoid taking too many Downers at once - client can
become sedated, overdose, and die
2. implement safety and fall precautions
3. assess for suicide
Hold med and notify HCP if client has a decreased level of consciousness.
5
Q
What is the treatment for CNS depressant (“downer”) overdose?
A
induce vomiting or gastric lavage (pump the stomach)
give activated charcoal
flumazenil IV for benzodiazepine overdose
6
Q
What are “Uppers”?
A