Download Mental Health Nursing I

Mental Health Nursing I
NURS1300
Psychoactive Medications for Clients with
Mood Disorder or Schizophrenia
CLASSIFICATIONS
Typical
Neuroleptics
Atypical
Neuroleptics
SSRIs
(Antidepressant)
Tricyclics
(Antidepressant)
Tetracyclics
(Antidepressant)
MAOIs
(Antidepressant)
Miscellaneous
Antidepressants
Antimanics
MEDICATIONS
chlorpromazine (Thorazine)
thioridazine (Mellaril)
fluphenazine (Prolixin)
haloperidol (Haldol)
clozapine (Clozaril)
risperidone (Risperdal)
olanzapine (Zyprexa)
ziprasidone (Geodon)
citalopram (Celexa)
fluoxetine (Prozac)
paroxetine (Paxil)
sertraline (Zoloft)
amitriptyline (Elavil)
clomipramine (Anafranil)
imipramine (Tofranil)
nortriptyline (Pamelor)
mirtazapine (Remeron)
USES
Psychosis
ACTIONS
Antipsychotic
Psychosis
Antipsychotic
Depression
Mood
Elevator
Depression
Mood
Elevator
Depression
phenelzine (Nardil)
tranylcypromine (Parnate)
Depression
Panic Disorder
Anxiety
Mood
Elevator
Mood
Elevator
buproprion (Wellbutrin)
nefazodone (Serzone)
trazodone (Desyrel)
venlafaxine (Effexor)
lithium (Lithobid, Eskalith)
valproic acid (Depakene)
divalproex sodium (Depakote)
Depression
Mood
Elevator
Mania
Mood
Stabilizer
SIDE EFFECTS
helpful only for positive symptoms of schizophrenia;
side effects include extrapyramidal symptoms (refer to
assigned readings for list of symptoms); neuroleptic
malignant syndrome
extrapyramidal symptoms; neuroleptic malignant
syndrome (refer to assigned readings for description of
this condition); agranulocytosis may occur with use of
clozapine; orthostatic hypotension/risk for falls
watch patients for cheeking of medications as they may
attempt to save them for a suicidal overdose; as energy
increases, so does the risk of suicide; SSRIs have
been found to increase suicide risk
cardiac complications; severe and life-threatening
dysrhythmias may result from overdose; side effects
may be more problematic in this group of medications
than with the SSRIs
significant sedation; potentially as dangerous as the
tricyclics
hypertensive crisis can occur when taken with many
foods, beer or wine, and other antidepressants (refer to
assigned readings for complete list of foods to avoid, as
well as signs and symptoms of hypertensive crisis)
headaches, insomnia, nausea and vomiting, appetite
changes, dizziness; may experience life-threatening
liver failure with Serzone; Effexor may increase suicide
risk
watch patients for cheeking of medications because
they want to experience the high associated with the
manic phase; side effects include sedation and hair
loss; watch for lithium toxicity (refer to assigned
readings for causes and side effects of lithium toxicity)