Psychopharmacology & Mental
health/psych nursing
Side effects unique to Wellbutrin - correct answer ✔*skin rash, sweating,
ringing in the ears, shakiness, stomach pain, muscle pain*
Zyban- Helps you stop smoking at low doses
Keeps sex drive
Helps with ADHD
Caution if hx of seizures
Risks of combining different types of antidepressants - correct answer ✔Can
cause *serotonin syndrome* or hypertensive crisis
Patient education about lithium - correct answer ✔Adequate dietary sodium
and fluid
Hyponatremia→↑Lithium toxicity
Tight therapeutic range
Lithium processed in Kidneys, if taking meds that are also processed in
kidneys can make you go toxic, if dehydrated can go toxic
MAOI antidepressants and patient education - correct answer ✔Do not take
with OTC cold meds, SSRIs, TCAs, narcotics, antihypertensives, sedatives, or
stimulants
Avoid food high in tyramine- aged wine, fermented cheese, pickled foods,
sausage
Hypertensive crisis s/s- stiff neck, N/V, headache, palpitations, incr temp,
incr/decr HR
, Seizure meds used in psych - correct answer ✔Valproate (Depakote)- check
levels
Lamotrigine (Lamictal)- Stevens Johnson rash
Carbamazepine (Equetro, Tegretol)
Gabapentin (Neurontin)
Used as mood stabilizers
Other benefits of using antidepressants (other than depression) - correct
answer ✔Buspirone (BuSpar) used for anxiety, does not decr CNS
Smoking cessation, Alcoholism, Schizophrenia, Intellectual disability
Antianxiety and Hypnotics (depresses CNS)
CANNOT BE COMBINED WITH:
CAUTION IN
-
- - correct answer ✔OTHER CNS DEPRESSANTS
CAUTION IN..
-ELDERLY, RENAL AND HEPATIC DYSFUNCTION
-PTS WITH DEPRESSION AND SUICIDE (HX OF DRUG AND ALC ABUSE)
types of antianxiety drugs - correct answer ✔benzos
Hypnotics
Short acting sedative-hypnotics (Z) - correct answer ✔Zolpidem (ambien)
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