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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...

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  • October 17, 2024
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  • 2024/2025
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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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