Mental Health Psychopharm Review Questions with Complete Solutions Rated 100%
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Course
Mental Health Psychopharm
Institution
Mental Health Psychopharm
Mental Health Psychopharm Review Questions with Complete Solutions Rated 100%
What organ excretes *MOST* psychiatric drugs? - Answers The liver
What organ excretes Lithium (a mood stabilizer)? - Answers The kidney
How should IM medications typically be given? - Answers Z-track
Name the 4 sites...
Mental Health Psychopharm Review Questions with Complete Solutions Rated 100%
What organ excretes *MOST* psychiatric drugs? - Answers The liver
What organ excretes Lithium (a mood stabilizer)? - Answers The kidney
How should IM medications typically be given? - Answers Z-track
Name the 4 sites of action that drugs interact with - Answers 1. Receptors
2. Ion channels
3. Enzymes
4. Carrier proteins
Efficacy - Answers The ability of a drug to produce a response
Potency - Answers The does of a drug required to produce a specific effect
Desensitization - Answers A rapid decrease in drug effects that may develop in a few minutes of
exposure to the drug
Tolerance - Answers A gradual decrease in the action of a drug at a given dose or concentration
Toxicity - Answers The point at which concentrations of the drug in the bloodstream are high enough to
become harmful or poisonous to the body
Therapeutic index - Answers The ration of the maximum nontoxic dose to the minimum effective dose
(How much or how little of the drug can you take for it to be effective)
Name 4 ways the body acts on a drug (Pharmacokinetics) - Answers 1. Absorption (varies through
different routes of administration)
2. Distribution (solubility and protein binding)
3. Metabolism
4. Excretion
Phases of drug treatment - Answers 1. Initiation
2. Stabilization
3. Maintenance
What must we always watch for in patient's taking Clozapine? - Answers AGRANULOCYTOSIS
, - Remember to always get a baseline WBC before administration and then get weekly or bi-weekly WBC
as the drug is being given to monitor for changes (WBC value should be >3500 and granulocytes >1500
to initiate drug treatment)
What are the typical anti psychotics and what are they used for?
(-zine) - Answers - Clorpromazine (Thorazine)
- Haloperidol (Haldol)
- Thioridazine (Mellaril)
- Fluphennazine (Prolixin)
*uses:* these drugs target positive s/s of schizophrenia and psychosis
Depot injections - Answers Haldol, Risperdal, Consta, Olanzapine, and Prolixin are often given as depot
injections and they last 2-4 weeks which helps decrease incidence of non-compliance and relapse. These
drugs are always given z-track and you should administer them in deltoid or thigh, but never the
buttocks
What are the atypical anti psychotics and what are they used for?
(-pine & -done) - Answers - Clozapine (Clozaril)
- Ziprasidone (Geodon)
- Resperidone (Resperidal)
- Olanzpine (Zyprexa)
- Quetiapine (Seroquel)
- Iloperidone ( Fanapt)
- Asenapine (Saphris)
- Lurasidone HCL (Latuda)
- Paliperidone
-Ariprazole (Abilify) *Odd man out w/ different end letters*
*uses:* Target negative s/s of schizophrenia and may also be used in patients with bipolar, depression,
and other mental disorders.
Major side effects of typical and atypical anti psychotics - Answers - Cardiovascular problems
- EPS: greater risk with typicals
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