date rape - Answers Flunitrazepam (Rohypnol) or GHB (gammahydroxybutyrate) are two drugs
that can be used to facilitate sexual assault. These drugs are known as _______ _________ drugs.
Benzodiazepines - Answers Classification of medications most commonly used to treat anxiety
First line treatment unless pt has addictive tendencies due to the fact they are highly addictive
Ex: Ativan, Xanax
Used for OCD/panic disorders
Fast-acting
Withdrawal symptoms: seizures, delirium
Do not stop abruptly
buspirone (BuSpar) - Answers medication in its own class used to help control anxiety in
patients who have history of addiction
given as scheduled med that needs to be taken every day
hydroxyzine (Vistaril) - Answers antihistamine used to help decrease anxiety in patients with
addictive behaviors
Given PRN
Antidepressants - Answers What is the classification of SSRIs and SNRIs?
Increase serotonin - Answers What is the action of SSRIs?
SSRI and SNIR - Answers What are the two first line classifications used to treat depression?
,Serotonin syndrome - Answers What disorder can happen if SSRI or SNRI is stopped suddenly?
Increase serotonin and norepinephrine - Answers What is the action of SNRIs?
TCA - Answers Second best drug classification used to treat depression
Takes about 6-8 weeks to take effect
Watch for possible signs of patient wanting to OD
Do not stop abruptly
Antidepressant - Answers What is the classification of MAOI?
MAOI - Answers last choice drug classification used to treat patients with depression due to
many drug-drug interactions and potential cause hypertensive crisis
patients must be on no-tyramine diet
No-tyramine diet
Anything pickled, processed, aged food, pizza, chocolate, caffeine, bananas, aged cheese -
Answers A patient is taking an MAOI. What diet should the patient be on? What are some foods
that should be avoided?
Nardil
Parnate - Answers Name the two main MAOIs.
Must be off any psychotropic medication for 10 days before starting this medication. If not,
patient can have a hypertensive crisis reaction and this can lead to a stroke. - Answers The
patient is going to have a medication change. They are going to stop an SSRI and begin taking
an MAOI. How does the nurse do this?
trazodone (Desyrel) - Answers antidepressant that is often used to help patients sleep
If used for sleep, would be given only at bedtime and is often given as PRN medication.
, If used for depression, it is NEVER given PRN and is given anywhere from 1-3 times a day
scheduled
Fatigue
Priapism - Answers Name two major side effects of trazodone (Desyrel)
bupropion (Wellbutrin) - Answers medication in a class of its own that can used to treat
depression and/or smoking cessation
Decreases seizure threshold, so do not give to a patient with a seizure disorder--if someone ODs
on this med, they are at high risk for seizures
No weight gain
Not always effective
ECT - Answers What is considered the last resort in treating depression?
Sign surgical consent form
Take shower night before
Wear hospital gown with no metal
Do not administer benzodiazepines or antiseizure meds after 5PM the day before ECT -
Answers 4 pre-op nursing interventions for patient going to ECT
Orient patient frequently
Do mental status assessment every 4 hours for 24 hours