PSYCHIATRIC DRUGS

I just wanted to share some of my Clinical Instructors lecture materials. I don't own this document, I wish to help you guys with the summary of Psychiatric Drugs.

COMMONLY ASKED PSYCHIATRIC NURSING
TOPICS in the ACTUAL EXAM.
A. PSYCHIATRIC DRUGS

1. Psychiatric drugs are preferably given after meal
except minor tranquilizers (anxiolytics).
2. Haloperidol is commonly given for psychotic
patients.
3. Extrapyramidal Syndrome (EPS) is commonly
caused by Haloperidol.
4. Cogentin and Benadryl are drugs usually
administered to decrease symptoms of EPS.
5. Clozaril causes Agranulocytosis and Leukopenia.
6. Diazepam (valium) is commonly prescribed for
individuals with anxiety disorder.
7. Sedation is a common effect of diazepam (valium)
thus, safety should be prioritized.
8. Paxil and Zoloft are antidepressants under the
category of Serotonin Selective Reuptake Inhibitors
(SSRI’s) that can cause Sexual Dysfunction.
9. Tofranil and Elavil are commonly prescribed for
depressed clients under the category of Tricyclic
Antidepressants (TCA’s).
10.
Hypotension and Urinary retention are
anticholinergic side effects of TCA’s.
11.
MAOI’s (Parnate, Nardil, Marplan) should not
be given along with Tyramine rich foods e.g.
Avocado, Banana, Cheese (except cream and cottage),

1
and Soy sauce (hint: usually processed and fermented
foods contain tyramine).
12.
Sedation is an expected effect of antidepressants.
13.
Energizing the patient to commit suicide is a
paradoxical effect of antidepressants therefore
suicidal precaution should be instituted.
14.
Levodopa is the drug of choice for patients with
Parkinson’s disease
15.
Drowsiness and hypotension are side effects of
L-dopa.
16.
Dilantin is usually administered for patients with
grand mal seizure (tonic-clonic).
17.
Gingival hyperplasia is associated with Dilantin
use. Meticulous oral care is required.
18.
Tapering the drug is strongly required if an
anticonvulsant is withdrawn to avoid status
epilepticus (this is due to abrupt withdrawal of the
drug).
19.
Diazepam (valium) is commonly administered
to combat status epilepticus.
20.
Bone marrow depression and Steven-Johnson’s
Syndrome (severe pruritus and blood-shot eyes)
are worst effects of anticonvulsants.
21.
Lithium carbonate is the drug of choice for
manic patients.
22.
Tegretol could also be given for bipolar manic
client due to its mood stabilizing effect.
23.
3gms of Sodium and 3L of fluids per day are
recommended for patients under lithium therapy.
24.
Nausea and Vomiting are early signs of lithium
toxicity.
2
25.
Mannitol and Diamox are antidotes used to
lower the toxicity (lithium).
26.
Cognex and Aricept are drugs used to treat
Dementia. These drugs increases liver enzymes,
therefore liver function test is required (ALT/AST).
27.
Ritalin and Dexedrine are drugs commonly
prescribed for children with ADHD. Insomnia and
Anorexia are side effects of these drugs. Growth
suppression is the worst effect.
B. PERSONALITY THEORIES
1. Commonly asked Developmental milestones in the
board exam according to Erickson:
a. trust vs. mistrust (0-1 or Infancy).
b. initiative vs. guilt (3-6 or Preschooler).
c. identity vs. role confusion (12-19 or
Adolescence).
d. intimacy vs. isolation (20-40 or Young Adult).
2. Piaget’s Cognitive Development Theory
a. Logical thinking (Concrete Operational) is
present in ages 7-12 years old.
b. Abstract thinking (Formal Operational) is
expected for 12 years old and above.
3. Kohlberg’s Moral Theory
a. Toddlers and Preschoolers are guided by
punishment and obedience orientation
(Preconventional).

3
b. School- age children are rules oriented and
viewed accidents as punishment for bad
behavior (Conventional Morality).
c. Teenagers and Adult individuals are guided by
ethics as a basis of our conscience.
4. Freud’s Psychosexual Theory
a. Foundation of personality, id, and stranger’s
anxiety develop during Oral Stage (0-1 year
old).
b. Toilet training (2 years old), temper tantrums,
and separation anxiety are common during the
Anal Stage (1-3 years old).
c. Fear of mutilation and Complexes (oedipal and
elektral) develop during the Phallic Stage (3-6
years old).
d. Silahis behavior (bisexuality) is associated with
the absence of a “father figure” and is only
resolved in latency stage when the child
identifies the parent of the same sex.
C. SCHIZOPHRENIA
1. Increased dopamine level is the main problem in
patients with Schizophrenia.
2. Hallucination and Delusion are positive signs of
schizophrenia.
3. Safety (self and others) and offering Sealed Foods are
main nursing interventions to Paranoid Schizophrenic
patients.
4. Major Tranquilizers (Haldol, Thorazine, Clozaril)
are drug of choice for schizophrenics.

4
5. Altered thought process is the priority nursing
diagnosis.
D. CHILDREN and ADOLESCENTS Psychiatric
Conditions
1. Safety and Nutrition (finger foods) should be
prioritized for ADHD.
2. Impulsiveness, Hyperactivity, and Inattention are
hallmark signs of ADHD.
3. Ritalin and Dexedrine are drugs commonly
administered for ADHD.
4. Provide helmet for Autistic children, head banging is
common.
5. Poor-mother child relationship is the possible
etiology of Autism (most accepted psychobehavioral
theory).
6. Involuntary muscle movements (motor tics) and
vocalizations (vocal tics) are hallmark signs of
Tourette Syndrome (TS).
7. TS is genetically transmitted.
E. COMMONLY ASKED PSYCHIATRIC
PROBLEMS in ELDERLY
1. Parkinson’s disease (PD) results from decreased
dopamine and increased level of acetylcholine due
to degeneration of substantia nigra.
2. Tremors (pill rolling and resting), Rigidity (cog
wheel), and Shuffling gait (scissors gait) are common
symptoms of Parksonism.
3. L-dopa is the drug of choice for PD.

5
4. Alzheimer’s disease (AD) is due to decrease
Acetylcholine (Ach) and Cognex
(or Aricept as another drug of choice) is usually
administered to improve memory.
5. Altered thought process is the priority nursing
diagnosis for AD.
6. Confabulation and hyperorality are commonly seen
in patients with AD.
F. ANXIETY and ANXIETY DISORDERS
1. Alertness is a characteristic of mild anxiety.
2. Client with moderate anxiety will have narrowed
perception and selective inattention.
3. Greatly reduced perception and many scattered
detail are manifestations of severe anxiety.
4. During Panic-attack, reality is distorted.
5. Flashback is the hallmark symptom of Posttraumatic Stress Disorder (PTSD).
6. Systematic Desensitization (gradual exposure to
specific fear) is the best management for Phobic
Disorders (Phobias).
G. EATING DISORDERS (Anorexia nervosa and
Bulimia nervosa)
1. Refusal to eat is the main problem in Anorexia
nervosa.
2. Amenorrhea and Lanugo are symptoms of Anorexia
nervosa.
3. Lack of control over eating (binge eating and
purging) is the main problem in Bulimic clients.

6
4. Russel signs (callus on fingers) and Perimyolysis
(front teeth erosion) are commonly seen in Bulimia
nervosa.
5. Altered nutrition: less than body requirement is the
priority nursing diagnosis for eating disorders.
6. Socialization and staying with the client during snack
or meal prevents them from exercising or inducing
vomiting.
7. Weight gain is an indication that nursing
intervention(s) especially for anorexic client is(are)
effective.
H. MOOD DISORDERS (Bipolar manic and Major
Depression)
1. All depressed clients are potentially suicidal.
2. Depression is associated with decreased level of
norepinephrine and serotonin.
3. Introjection (blaming self) is a common defense
mechanism used during depression.
4. Antidepressants and ECT are therapies used to treat
depression.
5. Mania is associated with increased level of
norepinephrine and serotonin.
6. Projection (blaming others) is commonly used as
defense mechanism by manic patients.
7. Lithium is the drug of choice to lessen symptoms of
mania.
8. Finger foods (usually in tetra packs) and avoidance of
stimulants are recommended diets for manic clients.
I. SUBSTANCE ABUSE and DEPENDENCE
7
1. Alcohol is a CNS depressant by nature and the most
widely abused drug according to WHO.
2. Normal alcohol blood level is less than 1 % or 100
mg%.
3. Narcotics are the second widely abused drugs (next
to alcohol).
4. Wernicke’s-Korsakoff’s Syndrome is (are)
neurologic complication(s) of alcoholism that results
from severe vit. B1 deficiency (thiamine).
5. Antabuse (disulfiram) is the drug used for alcohol
Aversion Therapy.
6. Narcotics usually constrict pupils.
7. Yawning indicates brain hypoxia and is common in
heroin withdrawal.
8. Perforated nasal septum is a physical complication
of cocaine, a stimulant.
9. Hallucination, Pica, and Blood-shot eyes are
common manifestations of a person using Marijuana.
10.
Amotivational Syndrome (absence of
motivation) is a withdrawal effect of Marijuana.
J. CRISES INTERVENTIONS
1. Safety and Reporting of cases within 48 hours to
authorities are highest in priority for child abuse case
(Brgy. Captain, Police Station, DSWD, Bantay Bata).
2. Provide shelter for battered wives.
3. Gather evidence (no bathing nor changing of
clothes) for a suspected rape case for legal purposes.
4. Ineffective individual coping is the priority nursing
diagnosis for victims of abuses.

8
K. CONCEPTS ON DEATH and DYING
1. Denial, Anger, Bargaining, Depression, and
Acceptance (DABDA) are grief reactions according to
Kubler-Ross.
2. Hearing ability is the last to disappear in a dying
person.
3. Flat EEG is the most accepted criterion or definition
of death
4. Between 9-10 years old develops the universal
concept of death, that it is a permanent biology

9
K. CONCEPTS ON DEATH and DYING
1. Denial, Anger, Bargaining, Depression, and
Acceptance (DABDA) are grief reactions according to
Kubler-Ross.
2. Hearing ability is the last to disappear in a dying
person.
3. Flat EEG is the most accepted criterion or definition
of death
4. Between 9-10 years old develops the universal
concept of death, that it is a permanent biology

9

Recomendados

Conceptual model and the role of a nurse por
Conceptual model and the role of a nurseConceptual model and the role of a nurse
Conceptual model and the role of a nurseTejal Virola
7.1K visualizações26 slides
Substance related disorders in psychiatric nursing por
Substance related disorders in psychiatric nursingSubstance related disorders in psychiatric nursing
Substance related disorders in psychiatric nursingMaruthu Ganapathy
1.9K visualizações91 slides
Therapeuti impasse por
Therapeuti impasseTherapeuti impasse
Therapeuti impasseNursing Path
16.5K visualizações32 slides
Drug kit for sub centre por
Drug kit for sub centreDrug kit for sub centre
Drug kit for sub centreSachin Chhari
1.2K visualizações10 slides
Principles of Psychiatric Nursing por
Principles of Psychiatric Nursing Principles of Psychiatric Nursing
Principles of Psychiatric Nursing AbhishekMasih14
25.8K visualizações28 slides
Nature and scope of mental health nursing por
Nature and scope of mental health nursingNature and scope of mental health nursing
Nature and scope of mental health nursingShradhanjali Biswal Pradhan
43.9K visualizações17 slides

Mais conteúdo relacionado

Mais procurados

Restraints por
Restraints   Restraints
Restraints wcmc
28.1K visualizações17 slides
ppt. treatment modalities and therapies used in psychiatric disorders por
ppt. treatment modalities and therapies used in psychiatric disordersppt. treatment modalities and therapies used in psychiatric disorders
ppt. treatment modalities and therapies used in psychiatric disordersVisionPublisher
2.3K visualizações84 slides
Standard of mental health nursing por
Standard of mental health nursingStandard of mental health nursing
Standard of mental health nursingNursing Path
37.7K visualizações13 slides
National mental health programme - Presented By Mohammed Haroon Rashid por
National mental health programme -  Presented By Mohammed Haroon Rashid National mental health programme -  Presented By Mohammed Haroon Rashid
National mental health programme - Presented By Mohammed Haroon Rashid Haroon Rashid
10.8K visualizações14 slides
Application of theories in nursing resea5 rch por
Application of theories in nursing resea5 rchApplication of theories in nursing resea5 rch
Application of theories in nursing resea5 rchKVM COLLEGE OF NURSING
19.2K visualizações57 slides
NATIONAL MENTAL HEALTH PROGRAMME por
NATIONAL MENTAL HEALTH PROGRAMMENATIONAL MENTAL HEALTH PROGRAMME
NATIONAL MENTAL HEALTH PROGRAMMESnehlata Parashar
123.1K visualizações18 slides

Mais procurados(20)

Restraints por wcmc
Restraints   Restraints
Restraints
wcmc28.1K visualizações
ppt. treatment modalities and therapies used in psychiatric disorders por VisionPublisher
ppt. treatment modalities and therapies used in psychiatric disordersppt. treatment modalities and therapies used in psychiatric disorders
ppt. treatment modalities and therapies used in psychiatric disorders
VisionPublisher2.3K visualizações
Standard of mental health nursing por Nursing Path
Standard of mental health nursingStandard of mental health nursing
Standard of mental health nursing
Nursing Path37.7K visualizações
National mental health programme - Presented By Mohammed Haroon Rashid por Haroon Rashid
National mental health programme -  Presented By Mohammed Haroon Rashid National mental health programme -  Presented By Mohammed Haroon Rashid
National mental health programme - Presented By Mohammed Haroon Rashid
Haroon Rashid10.8K visualizações
Application of theories in nursing resea5 rch por KVM COLLEGE OF NURSING
Application of theories in nursing resea5 rchApplication of theories in nursing resea5 rch
Application of theories in nursing resea5 rch
KVM COLLEGE OF NURSING19.2K visualizações
NATIONAL MENTAL HEALTH PROGRAMME por Snehlata Parashar
NATIONAL MENTAL HEALTH PROGRAMMENATIONAL MENTAL HEALTH PROGRAMME
NATIONAL MENTAL HEALTH PROGRAMME
Snehlata Parashar123.1K visualizações
Alternative system medicine por anjalatchi
Alternative system medicineAlternative system medicine
Alternative system medicine
anjalatchi6.6K visualizações
Behavior therapy por Nursing Path
Behavior therapyBehavior therapy
Behavior therapy
Nursing Path23.6K visualizações
Trends and issues in nursing por Dr.Nilima Sonawane
Trends and issues in nursing Trends and issues in nursing
Trends and issues in nursing
Dr.Nilima Sonawane85K visualizações
Alternative system of medicine in Psychiatry por divya2709
Alternative system of medicine in PsychiatryAlternative system of medicine in Psychiatry
Alternative system of medicine in Psychiatry
divya27091.2K visualizações
Nursing practice por Nursing Path
Nursing practiceNursing practice
Nursing practice
Nursing Path27.4K visualizações
Extended and Expanded role of nurse por Simran Kaur
Extended and Expanded role of nurseExtended and Expanded role of nurse
Extended and Expanded role of nurse
Simran Kaur8.5K visualizações
MENTAL HEALTH NURSING-PSYCHOLOGICAL THERAPIES por Akila anbalagan
MENTAL HEALTH NURSING-PSYCHOLOGICAL THERAPIESMENTAL HEALTH NURSING-PSYCHOLOGICAL THERAPIES
MENTAL HEALTH NURSING-PSYCHOLOGICAL THERAPIES
Akila anbalagan5.1K visualizações
National mental health program por Nursing Path
National mental health programNational mental health program
National mental health program
Nursing Path26K visualizações
Mania. bipolar disorder. manic disorder por mamtabisht10
Mania. bipolar disorder. manic disorderMania. bipolar disorder. manic disorder
Mania. bipolar disorder. manic disorder
mamtabisht1059.6K visualizações
Scope of mental health nursing por Sathish Rajamani
Scope of mental health nursingScope of mental health nursing
Scope of mental health nursing
Sathish Rajamani10.7K visualizações
1.03 healthcare trends por melodiekernahan
1.03 healthcare trends1.03 healthcare trends
1.03 healthcare trends
melodiekernahan6.2K visualizações
Effect of Hospitalization on Child and Family por Jyotika Abraham
Effect of Hospitalization on Child and Family Effect of Hospitalization on Child and Family
Effect of Hospitalization on Child and Family
Jyotika Abraham30.4K visualizações
Misconceptions related to mental illness por Shimla
Misconceptions related to mental illnessMisconceptions related to mental illness
Misconceptions related to mental illness
Shimla10.9K visualizações

Destaque

ABC's of MEDICAL and SURGICAL NURSING por
ABC's of MEDICAL and SURGICAL NURSINGABC's of MEDICAL and SURGICAL NURSING
ABC's of MEDICAL and SURGICAL NURSINGSam Malenab
8.4K visualizações44 slides
Cholinergics and anticholinergics drugs 2 por
Cholinergics and anticholinergics drugs 2Cholinergics and anticholinergics drugs 2
Cholinergics and anticholinergics drugs 2Ranaonly
2.9K visualizações29 slides
Anticholinergics and drugs acting on autonomic ganglia- drdhriti por
Anticholinergics and drugs acting on autonomic ganglia- drdhritiAnticholinergics and drugs acting on autonomic ganglia- drdhriti
Anticholinergics and drugs acting on autonomic ganglia- drdhritihttp://neigrihms.gov.in/
15.2K visualizações39 slides
Anticholinergic drugs por
Anticholinergic drugsAnticholinergic drugs
Anticholinergic drugsDrVishal Kandhway
80.8K visualizações26 slides
Commonly asked emergency drugs por
Commonly asked emergency drugsCommonly asked emergency drugs
Commonly asked emergency drugsSam Malenab
51.9K visualizações17 slides
Common emergency drugs in medicine por
Common emergency drugs in medicineCommon emergency drugs in medicine
Common emergency drugs in medicineOluwatobi Olusiyan
318.5K visualizações61 slides

Destaque(6)

ABC's of MEDICAL and SURGICAL NURSING por Sam Malenab
ABC's of MEDICAL and SURGICAL NURSINGABC's of MEDICAL and SURGICAL NURSING
ABC's of MEDICAL and SURGICAL NURSING
Sam Malenab8.4K visualizações
Cholinergics and anticholinergics drugs 2 por Ranaonly
Cholinergics and anticholinergics drugs 2Cholinergics and anticholinergics drugs 2
Cholinergics and anticholinergics drugs 2
Ranaonly2.9K visualizações
Anticholinergics and drugs acting on autonomic ganglia- drdhriti por http://neigrihms.gov.in/
Anticholinergics and drugs acting on autonomic ganglia- drdhritiAnticholinergics and drugs acting on autonomic ganglia- drdhriti
Anticholinergics and drugs acting on autonomic ganglia- drdhriti
http://neigrihms.gov.in/15.2K visualizações
Anticholinergic drugs por DrVishal Kandhway
Anticholinergic drugsAnticholinergic drugs
Anticholinergic drugs
DrVishal Kandhway80.8K visualizações
Commonly asked emergency drugs por Sam Malenab
Commonly asked emergency drugsCommonly asked emergency drugs
Commonly asked emergency drugs
Sam Malenab51.9K visualizações
Common emergency drugs in medicine por Oluwatobi Olusiyan
Common emergency drugs in medicineCommon emergency drugs in medicine
Common emergency drugs in medicine
Oluwatobi Olusiyan318.5K visualizações

Similar a PSYCHIATRIC DRUGS

Depression por
DepressionDepression
DepressionLinda Vibin
157 visualizações21 slides
Anxiety disorder-Muslih.pptx por
Anxiety disorder-Muslih.pptxAnxiety disorder-Muslih.pptx
Anxiety disorder-Muslih.pptxMoslehKareem
7 visualizações48 slides
Symptoms And Treatment Of Adolescent Disorders por
Symptoms And Treatment Of Adolescent DisordersSymptoms And Treatment Of Adolescent Disorders
Symptoms And Treatment Of Adolescent DisordersCindy Wooten
2 visualizações79 slides
Underestimated psychometabolic aspects in child psychiatry por
Underestimated psychometabolic aspects in child psychiatryUnderestimated psychometabolic aspects in child psychiatry
Underestimated psychometabolic aspects in child psychiatrySamir Mounir
973 visualizações52 slides
Narcolepsy Essay por
Narcolepsy EssayNarcolepsy Essay
Narcolepsy EssayMaria Polite
2 visualizações35 slides
Attention deficit Hyperactivity Disorder (ADHD) (justpsychiatry) por
Attention deficit Hyperactivity Disorder (ADHD) (justpsychiatry)Attention deficit Hyperactivity Disorder (ADHD) (justpsychiatry)
Attention deficit Hyperactivity Disorder (ADHD) (justpsychiatry)Waleed Ahmad
396 visualizações34 slides

Similar a PSYCHIATRIC DRUGS(20)

Depression por Linda Vibin
DepressionDepression
Depression
Linda Vibin157 visualizações
Anxiety disorder-Muslih.pptx por MoslehKareem
Anxiety disorder-Muslih.pptxAnxiety disorder-Muslih.pptx
Anxiety disorder-Muslih.pptx
MoslehKareem7 visualizações
Symptoms And Treatment Of Adolescent Disorders por Cindy Wooten
Symptoms And Treatment Of Adolescent DisordersSymptoms And Treatment Of Adolescent Disorders
Symptoms And Treatment Of Adolescent Disorders
Cindy Wooten2 visualizações
Underestimated psychometabolic aspects in child psychiatry por Samir Mounir
Underestimated psychometabolic aspects in child psychiatryUnderestimated psychometabolic aspects in child psychiatry
Underestimated psychometabolic aspects in child psychiatry
Samir Mounir973 visualizações
Narcolepsy Essay por Maria Polite
Narcolepsy EssayNarcolepsy Essay
Narcolepsy Essay
Maria Polite2 visualizações
Attention deficit Hyperactivity Disorder (ADHD) (justpsychiatry) por Waleed Ahmad
Attention deficit Hyperactivity Disorder (ADHD) (justpsychiatry)Attention deficit Hyperactivity Disorder (ADHD) (justpsychiatry)
Attention deficit Hyperactivity Disorder (ADHD) (justpsychiatry)
Waleed Ahmad396 visualizações
Acute Mental Status Changes[1] por MedicineAndHealth14
Acute Mental Status Changes[1]Acute Mental Status Changes[1]
Acute Mental Status Changes[1]
MedicineAndHealth141.6K visualizações
Pychopharmacology por neetudhami
PychopharmacologyPychopharmacology
Pychopharmacology
neetudhami121 visualizações
Prehospital behavioral emergencies and treatments por Ross Finesmith M.D.
Prehospital behavioral emergencies and treatmentsPrehospital behavioral emergencies and treatments
Prehospital behavioral emergencies and treatments
Ross Finesmith M.D.1.6K visualizações
Prehospital behavioral emergencies Psychiatry EMS treatment por Ross Finesmith
Prehospital behavioral emergencies Psychiatry EMS treatmentPrehospital behavioral emergencies Psychiatry EMS treatment
Prehospital behavioral emergencies Psychiatry EMS treatment
Ross Finesmith3K visualizações
Understanding The Clinical Management Of Pain In Fibromyalgia por Melissa Moore
Understanding The Clinical Management Of Pain In FibromyalgiaUnderstanding The Clinical Management Of Pain In Fibromyalgia
Understanding The Clinical Management Of Pain In Fibromyalgia
Melissa Moore2 visualizações
Pediatric Pharm--against por psych493
Pediatric Pharm--againstPediatric Pharm--against
Pediatric Pharm--against
psych4932.1K visualizações
Depression por John Bergman
DepressionDepression
Depression
John Bergman1.7K visualizações
ORGANIC DISORDERS por Richard Asare
ORGANIC DISORDERSORGANIC DISORDERS
ORGANIC DISORDERS
Richard Asare19.3K visualizações
Anxiety disorders por Gilbert Kiprono
Anxiety disordersAnxiety disorders
Anxiety disorders
Gilbert Kiprono119 visualizações
Depression & bipolar disorder por kkapil85
Depression & bipolar disorderDepression & bipolar disorder
Depression & bipolar disorder
kkapil857.5K visualizações
Schizophrenia and other psychotic disorder por Millicentlorenaguila
Schizophrenia and other psychotic disorder Schizophrenia and other psychotic disorder
Schizophrenia and other psychotic disorder
Millicentlorenaguila137 visualizações
Bipolar treatment skilled nursing por Michael Changaris
Bipolar treatment skilled nursingBipolar treatment skilled nursing
Bipolar treatment skilled nursing
Michael Changaris 2K visualizações

Último

Cholera Romy W. (3).pptx por
Cholera Romy W. (3).pptxCholera Romy W. (3).pptx
Cholera Romy W. (3).pptxrweth613
38 visualizações11 slides
Tetracyclines por
TetracyclinesTetracyclines
TetracyclinesDr. Ajmer Singh Grewal
9 visualizações34 slides
The AI apocalypse has been canceled por
The AI apocalypse has been canceledThe AI apocalypse has been canceled
The AI apocalypse has been canceledTina Purnat
134 visualizações19 slides
status epilepticus-management por
status epilepticus-managementstatus epilepticus-management
status epilepticus-managementVamsi Krishna Koneru
9 visualizações91 slides
treatment of oropharyngeal cancer.pptx por
treatment of oropharyngeal cancer.pptxtreatment of oropharyngeal cancer.pptx
treatment of oropharyngeal cancer.pptxWoldemariam Beka
9 visualizações53 slides
Top PCD Pharma Franchise Companies in India | Saphnix Lifesciences por
Top PCD Pharma Franchise Companies in India | Saphnix LifesciencesTop PCD Pharma Franchise Companies in India | Saphnix Lifesciences
Top PCD Pharma Franchise Companies in India | Saphnix LifesciencesSaphnix Lifesciences
25 visualizações11 slides

Último(20)

Cholera Romy W. (3).pptx por rweth613
Cholera Romy W. (3).pptxCholera Romy W. (3).pptx
Cholera Romy W. (3).pptx
rweth61338 visualizações
The AI apocalypse has been canceled por Tina Purnat
The AI apocalypse has been canceledThe AI apocalypse has been canceled
The AI apocalypse has been canceled
Tina Purnat134 visualizações
treatment of oropharyngeal cancer.pptx por Woldemariam Beka
treatment of oropharyngeal cancer.pptxtreatment of oropharyngeal cancer.pptx
treatment of oropharyngeal cancer.pptx
Woldemariam Beka9 visualizações
Top PCD Pharma Franchise Companies in India | Saphnix Lifesciences por Saphnix Lifesciences
Top PCD Pharma Franchise Companies in India | Saphnix LifesciencesTop PCD Pharma Franchise Companies in India | Saphnix Lifesciences
Top PCD Pharma Franchise Companies in India | Saphnix Lifesciences
Saphnix Lifesciences25 visualizações
sales forecasting (Pharma) por sristi51
sales forecasting (Pharma)sales forecasting (Pharma)
sales forecasting (Pharma)
sristi518 visualizações
Torque in orthodontics.docx por Dr.Mohammed Alruby
Torque in orthodontics.docxTorque in orthodontics.docx
Torque in orthodontics.docx
Dr.Mohammed Alruby11 visualizações
Top 10 Pharma Companies in Mumbai | Medibyte por Medibyte Pharma
Top 10 Pharma Companies in Mumbai | MedibyteTop 10 Pharma Companies in Mumbai | Medibyte
Top 10 Pharma Companies in Mumbai | Medibyte
Medibyte Pharma17 visualizações
AntiAnxiety Drugs .pptx por Dr Dhanik Mk
AntiAnxiety Drugs .pptxAntiAnxiety Drugs .pptx
AntiAnxiety Drugs .pptx
Dr Dhanik Mk11 visualizações
Basic Life support (BLS) workshop presentation. por Dr Sanket Nandekar
Basic Life support (BLS) workshop presentation.Basic Life support (BLS) workshop presentation.
Basic Life support (BLS) workshop presentation.
Dr Sanket Nandekar33 visualizações
Small Intestine.pptx por Mathew Joseph
Small Intestine.pptxSmall Intestine.pptx
Small Intestine.pptx
Mathew Joseph44 visualizações
eTEP -RS Dr.TVR.pptx por Varunraju9
eTEP -RS Dr.TVR.pptxeTEP -RS Dr.TVR.pptx
eTEP -RS Dr.TVR.pptx
Varunraju9131 visualizações
DEBATE IN CA BLADDER TMT VS CYSTECTOMY por Kanhu Charan
DEBATE IN CA BLADDER TMT VS CYSTECTOMYDEBATE IN CA BLADDER TMT VS CYSTECTOMY
DEBATE IN CA BLADDER TMT VS CYSTECTOMY
Kanhu Charan36 visualizações
The Art of naming drugs.pptx por DanaKarem1
The Art of naming drugs.pptxThe Art of naming drugs.pptx
The Art of naming drugs.pptx
DanaKarem19 visualizações
VarSeq 2.5.0: VSClinical AMP Workflow from the User Perspective por Golden Helix
VarSeq 2.5.0: VSClinical AMP Workflow from the User PerspectiveVarSeq 2.5.0: VSClinical AMP Workflow from the User Perspective
VarSeq 2.5.0: VSClinical AMP Workflow from the User Perspective
Golden Helix67 visualizações
melani glossophobia.pdf por Paygeon
melani glossophobia.pdfmelani glossophobia.pdf
melani glossophobia.pdf
Paygeon9 visualizações

PSYCHIATRIC DRUGS

  • 1. COMMONLY ASKED PSYCHIATRIC NURSING TOPICS in the ACTUAL EXAM. A. PSYCHIATRIC DRUGS 1. Psychiatric drugs are preferably given after meal except minor tranquilizers (anxiolytics). 2. Haloperidol is commonly given for psychotic patients. 3. Extrapyramidal Syndrome (EPS) is commonly caused by Haloperidol. 4. Cogentin and Benadryl are drugs usually administered to decrease symptoms of EPS. 5. Clozaril causes Agranulocytosis and Leukopenia. 6. Diazepam (valium) is commonly prescribed for individuals with anxiety disorder. 7. Sedation is a common effect of diazepam (valium) thus, safety should be prioritized. 8. Paxil and Zoloft are antidepressants under the category of Serotonin Selective Reuptake Inhibitors (SSRI’s) that can cause Sexual Dysfunction. 9. Tofranil and Elavil are commonly prescribed for depressed clients under the category of Tricyclic Antidepressants (TCA’s). 10. Hypotension and Urinary retention are anticholinergic side effects of TCA’s. 11. MAOI’s (Parnate, Nardil, Marplan) should not be given along with Tyramine rich foods e.g. Avocado, Banana, Cheese (except cream and cottage), 1
  • 2. and Soy sauce (hint: usually processed and fermented foods contain tyramine). 12. Sedation is an expected effect of antidepressants. 13. Energizing the patient to commit suicide is a paradoxical effect of antidepressants therefore suicidal precaution should be instituted. 14. Levodopa is the drug of choice for patients with Parkinson’s disease 15. Drowsiness and hypotension are side effects of L-dopa. 16. Dilantin is usually administered for patients with grand mal seizure (tonic-clonic). 17. Gingival hyperplasia is associated with Dilantin use. Meticulous oral care is required. 18. Tapering the drug is strongly required if an anticonvulsant is withdrawn to avoid status epilepticus (this is due to abrupt withdrawal of the drug). 19. Diazepam (valium) is commonly administered to combat status epilepticus. 20. Bone marrow depression and Steven-Johnson’s Syndrome (severe pruritus and blood-shot eyes) are worst effects of anticonvulsants. 21. Lithium carbonate is the drug of choice for manic patients. 22. Tegretol could also be given for bipolar manic client due to its mood stabilizing effect. 23. 3gms of Sodium and 3L of fluids per day are recommended for patients under lithium therapy. 24. Nausea and Vomiting are early signs of lithium toxicity. 2
  • 3. 25. Mannitol and Diamox are antidotes used to lower the toxicity (lithium). 26. Cognex and Aricept are drugs used to treat Dementia. These drugs increases liver enzymes, therefore liver function test is required (ALT/AST). 27. Ritalin and Dexedrine are drugs commonly prescribed for children with ADHD. Insomnia and Anorexia are side effects of these drugs. Growth suppression is the worst effect. B. PERSONALITY THEORIES 1. Commonly asked Developmental milestones in the board exam according to Erickson: a. trust vs. mistrust (0-1 or Infancy). b. initiative vs. guilt (3-6 or Preschooler). c. identity vs. role confusion (12-19 or Adolescence). d. intimacy vs. isolation (20-40 or Young Adult). 2. Piaget’s Cognitive Development Theory a. Logical thinking (Concrete Operational) is present in ages 7-12 years old. b. Abstract thinking (Formal Operational) is expected for 12 years old and above. 3. Kohlberg’s Moral Theory a. Toddlers and Preschoolers are guided by punishment and obedience orientation (Preconventional). 3
  • 4. b. School- age children are rules oriented and viewed accidents as punishment for bad behavior (Conventional Morality). c. Teenagers and Adult individuals are guided by ethics as a basis of our conscience. 4. Freud’s Psychosexual Theory a. Foundation of personality, id, and stranger’s anxiety develop during Oral Stage (0-1 year old). b. Toilet training (2 years old), temper tantrums, and separation anxiety are common during the Anal Stage (1-3 years old). c. Fear of mutilation and Complexes (oedipal and elektral) develop during the Phallic Stage (3-6 years old). d. Silahis behavior (bisexuality) is associated with the absence of a “father figure” and is only resolved in latency stage when the child identifies the parent of the same sex. C. SCHIZOPHRENIA 1. Increased dopamine level is the main problem in patients with Schizophrenia. 2. Hallucination and Delusion are positive signs of schizophrenia. 3. Safety (self and others) and offering Sealed Foods are main nursing interventions to Paranoid Schizophrenic patients. 4. Major Tranquilizers (Haldol, Thorazine, Clozaril) are drug of choice for schizophrenics. 4
  • 5. 5. Altered thought process is the priority nursing diagnosis. D. CHILDREN and ADOLESCENTS Psychiatric Conditions 1. Safety and Nutrition (finger foods) should be prioritized for ADHD. 2. Impulsiveness, Hyperactivity, and Inattention are hallmark signs of ADHD. 3. Ritalin and Dexedrine are drugs commonly administered for ADHD. 4. Provide helmet for Autistic children, head banging is common. 5. Poor-mother child relationship is the possible etiology of Autism (most accepted psychobehavioral theory). 6. Involuntary muscle movements (motor tics) and vocalizations (vocal tics) are hallmark signs of Tourette Syndrome (TS). 7. TS is genetically transmitted. E. COMMONLY ASKED PSYCHIATRIC PROBLEMS in ELDERLY 1. Parkinson’s disease (PD) results from decreased dopamine and increased level of acetylcholine due to degeneration of substantia nigra. 2. Tremors (pill rolling and resting), Rigidity (cog wheel), and Shuffling gait (scissors gait) are common symptoms of Parksonism. 3. L-dopa is the drug of choice for PD. 5
  • 6. 4. Alzheimer’s disease (AD) is due to decrease Acetylcholine (Ach) and Cognex (or Aricept as another drug of choice) is usually administered to improve memory. 5. Altered thought process is the priority nursing diagnosis for AD. 6. Confabulation and hyperorality are commonly seen in patients with AD. F. ANXIETY and ANXIETY DISORDERS 1. Alertness is a characteristic of mild anxiety. 2. Client with moderate anxiety will have narrowed perception and selective inattention. 3. Greatly reduced perception and many scattered detail are manifestations of severe anxiety. 4. During Panic-attack, reality is distorted. 5. Flashback is the hallmark symptom of Posttraumatic Stress Disorder (PTSD). 6. Systematic Desensitization (gradual exposure to specific fear) is the best management for Phobic Disorders (Phobias). G. EATING DISORDERS (Anorexia nervosa and Bulimia nervosa) 1. Refusal to eat is the main problem in Anorexia nervosa. 2. Amenorrhea and Lanugo are symptoms of Anorexia nervosa. 3. Lack of control over eating (binge eating and purging) is the main problem in Bulimic clients. 6
  • 7. 4. Russel signs (callus on fingers) and Perimyolysis (front teeth erosion) are commonly seen in Bulimia nervosa. 5. Altered nutrition: less than body requirement is the priority nursing diagnosis for eating disorders. 6. Socialization and staying with the client during snack or meal prevents them from exercising or inducing vomiting. 7. Weight gain is an indication that nursing intervention(s) especially for anorexic client is(are) effective. H. MOOD DISORDERS (Bipolar manic and Major Depression) 1. All depressed clients are potentially suicidal. 2. Depression is associated with decreased level of norepinephrine and serotonin. 3. Introjection (blaming self) is a common defense mechanism used during depression. 4. Antidepressants and ECT are therapies used to treat depression. 5. Mania is associated with increased level of norepinephrine and serotonin. 6. Projection (blaming others) is commonly used as defense mechanism by manic patients. 7. Lithium is the drug of choice to lessen symptoms of mania. 8. Finger foods (usually in tetra packs) and avoidance of stimulants are recommended diets for manic clients. I. SUBSTANCE ABUSE and DEPENDENCE 7
  • 8. 1. Alcohol is a CNS depressant by nature and the most widely abused drug according to WHO. 2. Normal alcohol blood level is less than 1 % or 100 mg%. 3. Narcotics are the second widely abused drugs (next to alcohol). 4. Wernicke’s-Korsakoff’s Syndrome is (are) neurologic complication(s) of alcoholism that results from severe vit. B1 deficiency (thiamine). 5. Antabuse (disulfiram) is the drug used for alcohol Aversion Therapy. 6. Narcotics usually constrict pupils. 7. Yawning indicates brain hypoxia and is common in heroin withdrawal. 8. Perforated nasal septum is a physical complication of cocaine, a stimulant. 9. Hallucination, Pica, and Blood-shot eyes are common manifestations of a person using Marijuana. 10. Amotivational Syndrome (absence of motivation) is a withdrawal effect of Marijuana. J. CRISES INTERVENTIONS 1. Safety and Reporting of cases within 48 hours to authorities are highest in priority for child abuse case (Brgy. Captain, Police Station, DSWD, Bantay Bata). 2. Provide shelter for battered wives. 3. Gather evidence (no bathing nor changing of clothes) for a suspected rape case for legal purposes. 4. Ineffective individual coping is the priority nursing diagnosis for victims of abuses. 8
  • 9. K. CONCEPTS ON DEATH and DYING 1. Denial, Anger, Bargaining, Depression, and Acceptance (DABDA) are grief reactions according to Kubler-Ross. 2. Hearing ability is the last to disappear in a dying person. 3. Flat EEG is the most accepted criterion or definition of death 4. Between 9-10 years old develops the universal concept of death, that it is a permanent biology 9
  • 10. K. CONCEPTS ON DEATH and DYING 1. Denial, Anger, Bargaining, Depression, and Acceptance (DABDA) are grief reactions according to Kubler-Ross. 2. Hearing ability is the last to disappear in a dying person. 3. Flat EEG is the most accepted criterion or definition of death 4. Between 9-10 years old develops the universal concept of death, that it is a permanent biology 9