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
