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Test Bank Solution Manual for Psychopharm Meds Already Passed

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Test Bank Solution Manual for Psychopharm Meds Already Passed akathesia - Answers physical restlessness Typical Antipsychotics "Major Tranquilizers" - Answers • chlorpromazine (Thorazine) • haloperidol (Haldol) Atypical Antipsychotics - Answers • clozapine (Clozaril) **AGRANULOCYTOSIS...

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  • October 17, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Psychopharm Meds

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Test Bank Solution Manual for Psychopharm Meds Already Passed

akathesia - Answers physical restlessness

Typical Antipsychotics "Major Tranquilizers" - Answers • chlorpromazine (Thorazine)



• haloperidol (Haldol)

Atypical Antipsychotics - Answers • clozapine (Clozaril) **AGRANULOCYTOSIS

• risperidone (Risperdal)

• ziprazadone (Geodon)

• aripiprazole (Abilify) (cardiac concerns) (third generation antipsychotic)

Mood stabilizer - Answers •Lithium carbonate (Eskalith & other brand names) **danger of dehydration
or toxic levels of lithium

Anti-seizure (used for mood stabilization) - Answers •Valproate (Depakote)

SSRI (antidepressant) - Answers • paroxetine (Paxil)

• fluoxetine (Prozac)

**Sexual side effects

SNRI (antidepressant) - Answers •duloxetine hydrochloride (Zymbalta)

•Pristique

•venlafaxine (Effexor)

Tricyclics (TCAs) (antidepressants) - Answers • imipramine (Tofranil)

• amitriptyline (Elavil, Endep, Tryptanol, Trepiline)

MAO inhibitor (antidepressant) - Answers • phenelzine (Nardil)

Antidepressants (other) - Answers • bupropion (Wellbutrin)

Benzodiazepines (antioxyltics, antianxiety) - Answers • lorazepam (Ativan)

• alprazolam (Xanax)

• diazepam (Valium)

**ADDICTIVE, do not stop abruptly!

, Non-benzos - Answers Buspirone (Buspar) **not addictive

Typical Antipsychotic indications - Answers schizophrenia, autism, psychosis, hallucinations, delusions,
disorganized thinking, agitation, reduce aggressiveness in psychosis

Typical Antipsychotic MOA - Answers blocks dopamine (aka it treats the + symptoms), this will in turn
increase production of Acetylcholine-->stimulates area of movement

Typical Antipsychotic s/x - Answers Movement disorders: Extrapyramidal side effects including dystonia,
psuedoparkinsonism, akathisia; Tardive Diskinesia; Neuroleptic Malignant Syndrome....treat side effects
with anticholinergic and antiparkinson meds (Artane, Benadryl, Cogentin, Symmetrel)

Atypical Antispychotic indications - Answers Schizoprenia, -Also: autism, psychosis, hallucinations,
delusions, disorganized thinking, agitation, also used to reduce aggressiveness in psychosis

Atypical Antipsychotic MOA - Answers Blocks dopamine in certain areas only and serotonin in other
areas of the brain. Blocking dopamine treats (+) symptoms, blocking serotonin leads to an increase in
dopamine release in that area, thus treating (-) symptoms in that area (movement disorders are less
common!)

Antypical Antipsychotic s/x - Answers Hypotension, QT prolongation, anticholinergic side effects (dry
mouth, slowed GI motility, constipation, urinary hesitancy/retention, blurred vision, dry eyes, nasal
congestion, confusion, decreased memory), weight gain (increase in triglycerides), sexual side effects,
increased risk for type II diabetes, NMS

Clozaril (atypical antipsychotic) - Answers Monitor WBC's for agraunolycytosis!

Antiparkinson meds indications - Answers treating EPS of older antipsychotics

Mood Stabilizers indications - Answers Symptoms of Mania (decreased sleep, decreased appetite,
hyperactivity, grandiose thinking, hyperverbal, pressured speech, irritability)

Mood stabilizers MOA - Answers Competes with Na to enter the cell, cells retain lithium more easily
which leads to decreased action of catecholamines, dopamine, and norepinephrine...increased action of
GABA and serotonin

Mood stabilizers s/x - Answers Mild @ therapuetic level: excessive thirst, metallic thirst, increased
urination, mild diarrhea, drowsiness

Lithium can alter thyroid function!

Lithium Toxicity - Answers S/x: ataxia, slurred speech, course tremor, N/V, tinnitus, blurred vision

early signs: diarrhea, vomiting, drowsiness, muscular weakness and lack of coordination

Teaching: maintain adequate salt and water intake

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