Mark Klimek Audio Lectures
- It takes 3 things to pass the NCLEX exam
- Knowledge
- Confidence
- Exam Proficiency Your text here
- You can’t apply what you don't know, but you have to be able to apply what you do
know.
- Go with majority: if something is 75% fatal, consider it fatal.
- If you try to learn everything you will master nothing.
Lecture 9 Psych Medications
- All psych medications cause 2 things regardless of classification:
- Lower’s blood pressure
- Weight changes (usually increase weight)
Phenothiazine’s
- Phenothiazine’s are an old class of psych medication that have a couple different
names:
- First generation antipsychotic medications
- Typical antipsychotics
- All Phenothiazine medications end in “zine”.
- Prochlorperazine
- Cholorpromazine
- Thioridazine
- Fluphenazine
- Action:
- All Phenothiazine medication do not cure the psychotic disorder, they just
reduce the symptoms.
- In large doses they are antipsychotics
- “We use zine’s for the zainy (insane)”
- In small doses they are antiemetic’s
- Phenothiazine’s are major tranquilizers.
- “Aminoglycosides are to antibiotics” as “Phenothiazine’s are to
tranquilizers”
- Meaning: when no other tranquilizers are working the Phenothiazine’s are
used to get the job done.
This study source was downloaded by 100000832361371 from CourseHero.com on 03-22-2022 06:46:51 GMT -05:00
https://www.coursehero.com/file/26890216/Lecture-9-Psych-Medicationsdocx/
, - Side effects of Phenothiazine’s:
- Phenothiazine’s have a long list of major side effects:
- Anticholinergic effects (primarily dry mouth)
- Blurred vision
- Constipation
- Drowsiness
- EPS (Extrapyramidal syndrome): drug induced Parkinson’s
- Photosensitivity
- Agranulocytosis (low WBC count): immunosuppressed
- Nursing Care:
- The nursing care is focused on treating the side effects of Phenothiazine’s
- Since patients on these medications have blurred vision, drowsiness, and
EPS, the number one concern is risk for injury.
- Cogentin and Artane are given to reduce EPS effects
- Decanoate:
- Typically abbreviated with the letter “D”
- Thioridazine “D”
- If the “D” comes after the name of the medication it means it is a long-acting
medication. Meaning it is given once IM and its actions last for weeks or
months at a time.
- This is for noncompliant patients.
Tricyclic Antidepressants NSSRI
- Tricyclic Antidepressants are and old class of antidepressant medications that fall
under the category of NSSRI (Non-Selective Serotonin Reuptake Inhibitors)
medications.
- These medications are mood elevators that are used to treat depression.
- Elavil (amitriptyline)
- Tofranil (imipramine)
- Avitil
- Deceril
- Side effects of Tricyclic Antidepressants:
- Anticholinergic (primarily dry mouth)
- Blurred vision
- Constipation
- Drowsiness
- Euphoria
- The patient must take these medications for at least 2 - 4 weeks before the effects
kick in.
This study source was downloaded by 100000832361371 from CourseHero.com on 03-22-2022 06:46:51 GMT -05:00
https://www.coursehero.com/file/26890216/Lecture-9-Psych-Medicationsdocx/
- It takes 3 things to pass the NCLEX exam
- Knowledge
- Confidence
- Exam Proficiency Your text here
- You can’t apply what you don't know, but you have to be able to apply what you do
know.
- Go with majority: if something is 75% fatal, consider it fatal.
- If you try to learn everything you will master nothing.
Lecture 9 Psych Medications
- All psych medications cause 2 things regardless of classification:
- Lower’s blood pressure
- Weight changes (usually increase weight)
Phenothiazine’s
- Phenothiazine’s are an old class of psych medication that have a couple different
names:
- First generation antipsychotic medications
- Typical antipsychotics
- All Phenothiazine medications end in “zine”.
- Prochlorperazine
- Cholorpromazine
- Thioridazine
- Fluphenazine
- Action:
- All Phenothiazine medication do not cure the psychotic disorder, they just
reduce the symptoms.
- In large doses they are antipsychotics
- “We use zine’s for the zainy (insane)”
- In small doses they are antiemetic’s
- Phenothiazine’s are major tranquilizers.
- “Aminoglycosides are to antibiotics” as “Phenothiazine’s are to
tranquilizers”
- Meaning: when no other tranquilizers are working the Phenothiazine’s are
used to get the job done.
This study source was downloaded by 100000832361371 from CourseHero.com on 03-22-2022 06:46:51 GMT -05:00
https://www.coursehero.com/file/26890216/Lecture-9-Psych-Medicationsdocx/
, - Side effects of Phenothiazine’s:
- Phenothiazine’s have a long list of major side effects:
- Anticholinergic effects (primarily dry mouth)
- Blurred vision
- Constipation
- Drowsiness
- EPS (Extrapyramidal syndrome): drug induced Parkinson’s
- Photosensitivity
- Agranulocytosis (low WBC count): immunosuppressed
- Nursing Care:
- The nursing care is focused on treating the side effects of Phenothiazine’s
- Since patients on these medications have blurred vision, drowsiness, and
EPS, the number one concern is risk for injury.
- Cogentin and Artane are given to reduce EPS effects
- Decanoate:
- Typically abbreviated with the letter “D”
- Thioridazine “D”
- If the “D” comes after the name of the medication it means it is a long-acting
medication. Meaning it is given once IM and its actions last for weeks or
months at a time.
- This is for noncompliant patients.
Tricyclic Antidepressants NSSRI
- Tricyclic Antidepressants are and old class of antidepressant medications that fall
under the category of NSSRI (Non-Selective Serotonin Reuptake Inhibitors)
medications.
- These medications are mood elevators that are used to treat depression.
- Elavil (amitriptyline)
- Tofranil (imipramine)
- Avitil
- Deceril
- Side effects of Tricyclic Antidepressants:
- Anticholinergic (primarily dry mouth)
- Blurred vision
- Constipation
- Drowsiness
- Euphoria
- The patient must take these medications for at least 2 - 4 weeks before the effects
kick in.
This study source was downloaded by 100000832361371 from CourseHero.com on 03-22-2022 06:46:51 GMT -05:00
https://www.coursehero.com/file/26890216/Lecture-9-Psych-Medicationsdocx/
