Psychopharmacology Worksheet

Psychopharmacology Worksheet

1. What must the nurse be on the alert for with the client who is receiving antidepressant medication? The nurse should be particularly alert to sudden lifts in mood.

2. As the nurse when would you expect the client to begin showing signs of symptomatic relief after the initiation of antidepressant therapy? The therapeutic effect may not be seen for as long as 4 weeks.

Name an example of a tricyclic antidepressant Amoxapine (Asendin)

Name an example of a MAOI Isocarboxazid (Marplan)

Name an example of an SSRI Fluozetine (Prozac, Serafem)

3. Name some common side effects and nursing implications of antidepressants.

Common Side Effects Nursing Implications

Dry Mouth Offer client sugarless candy, ice or frequent sips of water.

Sedation Request order from physician for drug to give at bedtime.

Nausea Medication may be taken with food to minimize GI distress.

4. Hypertensive crisis is the most potentially life threatening adverse effect of MAOIs. What are the symptoms? Severe occipital headache, palpitations, nausea, vomiting, nuchal rigidity, fever, sweating, marked increase in BP, chest pain, coma. What can be done as a preventive measure? Discontinue drug immediately, monitor vital signs, administer short-acting antihypertensive as order by physician and use external cooling measures to control hyperpyrexia.

5. Lithium carbonate is the drug of choice for Bipolar Disorder (Mania)

6. What is the therapeutic range for Lithium 0.6-1.2 mEq/L (maintenance) 1.0-1.5 mEq/L (acute mania). What are the symptoms of toxicity? Blurred vision, ataxia, tinnitus, persistant nausa, vomiting, severe diarrhea, increasing tremors, seizures, coma

7. What is the most commonly used group of anxiolytics? Benzodiazepines

8. What instruction must be given to a client on long term anxiolytics to prevent a potentially life threatening situation? Do not stop taking drug abruptly. Do not consume other CNS depressants (including alcohol). Do not take non prescribed meds without approval of physician.

9. What is thought to be the mechanism of action that produces the desired effect with antipsychotic medications? These drugs are thought to work by blocking post synaptic dopamine receptors in the basal ganglia, hypothalamus, limbic system, brain stem and medulla.

10. Phenothiazines are a commonly used antipsychotic group. Give examples of drugs in this class. Chlorpromazine (Thorazine), Fluphenazine (Prolixin), Mesoridazine (Serentil), Perphenazine (Trilafon), Prochlorperazine (Compazine), Promazine (Sparine), Thioridazine (Mellaril), Trifluoperazine (Stelazine), Trifluopromazine (Vesprin)

Identify the drug classification for each of the following medications

11. Antipsychotic Clozapine (Clozaril)

12. Antidepressant Fluoxetine (Prozac)

13. Antidepressant Amitriptyline (Elavil)

14. Antiparkinsonian Benztropine (Cogentin)

15. CNS Stimulant Methylphenidate (Ritalin)

16. Mood Stabilizing Agent Carbamazapine (Tegretol)

17. Antianxiety/Mood Stabilizing Agent Clonazepam (Klonopin)

18. Antipsychotic