Exam 2 Pharm NURS 615 Maryville
trycyclic anti. depressants - ANS-toxic cardiac issues
Carbamazepine: seizures - ANS-i. CBC Q 3-4 month
ii. Auto induces metabolism
iii. Dermatologic reactions
iv. Stevens Johnson
v. Toxic epidermal necrosis
vi. Aplastic anemia
vii. agranulocytosis
Teach for seizures - ANS-i. Prevent
ii. Safety
iii. Quality of life
iv. Don't abruptly stop
Topiramate: seizures - ANS-i. Kidney stones
ii. Weight loss
iii. Monitor sweating and temp with exercise
iv. Low sodium bicarb=hyperchloremic metabolic acidosis
Pregnant - ANS-i. Valproate=XX (Seizures) no use 1st trimester AKA Depakote
ii. Keppra better (Seizures)
iii. PCN and Cephalosporins good (INFECTION)
Tricyclic antidepressants symptoms - ANS-i. Anticholinergic: this class has the most
1. dry mouth
2. sedation
3. constipation
4. increased appetite
5. blurred vision
6. tinnitus
7. euphoria
8. mania
Tricyclic precautions - ANS-ii. Antiarrhythmic: stop VF, decrease contraction, increase
blood flow
, iii. Toxic= myocardial irritation
iv. CAUTION with heart history
Tricyclic medications - ANS-i. Elavil
ii. Asendin
iii. Anafranil
iv. Adapine
v. Sinequan
vi. Tofranil
vii. Pamelor
viii. Vivactil
Nadal/ phenelzine - ANS-is a MOIA drug inhibit monoamine oxidase
Nardal - ANS-i. Treat: atypical depression and Parkinson's
ii. Caution: tyramine rich foods=fermented
iii. Causes hypertensive crisis
iv. Do not take: Imitrex/ sumatriptan
v. 2 weeks to clear system
vi. Last line medication when all others have failed
MOIA drugs - ANS-i. Marplan
ii. Nadal
iii. parnate
hypertensive crisis - ANS-i. Headache
ii. Heart palpitations
iii. Stiff or sore neck
iv. Chest tightness
v. Tachycardia
vi. Sweating
vii. Dilated pupils
SSRI's - ANS-i. Take 2 to 6 weeks to work
ii. Nausea resolves within a week
iii. No Alcohol
iv. Has short half-life withdrawal seizures
Paxil or Paroxetine - ANS-SSRI
trycyclic anti. depressants - ANS-toxic cardiac issues
Carbamazepine: seizures - ANS-i. CBC Q 3-4 month
ii. Auto induces metabolism
iii. Dermatologic reactions
iv. Stevens Johnson
v. Toxic epidermal necrosis
vi. Aplastic anemia
vii. agranulocytosis
Teach for seizures - ANS-i. Prevent
ii. Safety
iii. Quality of life
iv. Don't abruptly stop
Topiramate: seizures - ANS-i. Kidney stones
ii. Weight loss
iii. Monitor sweating and temp with exercise
iv. Low sodium bicarb=hyperchloremic metabolic acidosis
Pregnant - ANS-i. Valproate=XX (Seizures) no use 1st trimester AKA Depakote
ii. Keppra better (Seizures)
iii. PCN and Cephalosporins good (INFECTION)
Tricyclic antidepressants symptoms - ANS-i. Anticholinergic: this class has the most
1. dry mouth
2. sedation
3. constipation
4. increased appetite
5. blurred vision
6. tinnitus
7. euphoria
8. mania
Tricyclic precautions - ANS-ii. Antiarrhythmic: stop VF, decrease contraction, increase
blood flow
, iii. Toxic= myocardial irritation
iv. CAUTION with heart history
Tricyclic medications - ANS-i. Elavil
ii. Asendin
iii. Anafranil
iv. Adapine
v. Sinequan
vi. Tofranil
vii. Pamelor
viii. Vivactil
Nadal/ phenelzine - ANS-is a MOIA drug inhibit monoamine oxidase
Nardal - ANS-i. Treat: atypical depression and Parkinson's
ii. Caution: tyramine rich foods=fermented
iii. Causes hypertensive crisis
iv. Do not take: Imitrex/ sumatriptan
v. 2 weeks to clear system
vi. Last line medication when all others have failed
MOIA drugs - ANS-i. Marplan
ii. Nadal
iii. parnate
hypertensive crisis - ANS-i. Headache
ii. Heart palpitations
iii. Stiff or sore neck
iv. Chest tightness
v. Tachycardia
vi. Sweating
vii. Dilated pupils
SSRI's - ANS-i. Take 2 to 6 weeks to work
ii. Nausea resolves within a week
iii. No Alcohol
iv. Has short half-life withdrawal seizures
Paxil or Paroxetine - ANS-SSRI
