Ch. 4 Psychopharmacology (book stuff) 100% Verified Review 2024/2025

Ch. 4 Psychopharmacology (book stuff) 100% Verified Review 2024/2025 HW Question 1: Identify the priority safety concerns for each class of psychotropic medications: Anti-anxiety agents - ANS--tolerance and physical dependence -abrupt withdrawal can be life threatening -s/s: sweating, agitation, tremors, n/v, delirium, seizures -drowsiness, confusion, lethargy -increases the effect of other CNS depressants, antihistamines -may aggravate s/s of depression -orthostatic hypotension -paradoxical excitement (opposite from the desired effect) -blood dyscrasias (sore throat, fever, bruising, bleeding) -congenital malformations have been associated with use of these drugs during the first trimester of pregnancy HW Question 1: Identify the priority safety concerns for each class of psychotropic medications: anti-depressants - ANS--increased risk for suicide -sedation -discontinuation syndrome: >>SSRIs=dizziness, lethargy, headache, nausea >>TCAs=hypomania, akathisia, cardiac arrhythmias GI upset, panic attacks >>MAOIs=flu-like symptoms confusion, hypomania -photosensitivity -orthostatic hypotension (TCA) -Tachycardia, arrhythmias (TCA) -Hyponatremia (SSRI), especially among the elderly -blurred vision (TCAs and heterocyclics) -constipation HW Question 1: Identify the priority safety concerns for each class of psychotropic medications: Mood stabilizers - ANS--lithium toxicity: >1.2 mEq/L: vomiting, diarrhea >2.0: tremors, sedation, confusion >3.5: delirium, seizures, coma, cardiovascular collapse, death -increased risk of suicide for all antiepileptics -hyponatremia -Steven Johnson Syndrome -hypotension, arrhythmia (lithium) -blood dyscrasias (Valproic acid, carbamazepine) -increased risk of birth defects (anticonvulsant/mood stabilizers) -drowsiness (lithium and all anticonvulsants) Question 1: Identify the priority safety concerns for each class of psychotropic medications: Continues...