Study Guide 2

Question 1

SSRi side effects

Answer 1

• relatively few

- usually just GI issues

Question 2

SNRI side effects

Answer 2

• relatively mild

- usually just GI distress

Question 3

Side effects of tricyclics

Answer 3

• cardiac
• increased suicide risk
• drug interactions
• sedation, lethargy, muscle weakness
• confusion, delirium
• peripheral anticholinergic effects

Question 4

Why are confusion and delirium side effects of tricyclics?

Answer 4

Central acetylcholine is blocked

Question 5

What are the peripheral anticholinergic effects of tricyclics?

Answer 5

• dry mouth
• constipation
• urine retention
• confusion
• tachycardia

Question 6

What are some of the cardiac effects caused by tricyclics?

Answer 6

• arrhythmias

- orthostatic hypotension

Question 7

Potential immune issues with tricyclics

Answer 7

Bone marrow depression

Question 8

Tricyclics have a high potential for interactions with these types of drugs

Answer 8

Cardiovascular drugs

Question 9

MAOIs and side effects

Answer 9

Comes with high risk of side effects

• increased BP
• drug/food interactions

Question 10

Lithium has a tendency to do this

Answer 10

Accumulate in the body

Question 11

Problems that can arise from lithium accumulation in the body

Answer 11

• seizures
• muscle weakness
• lethargy

Question 12

Antipsychotic drugs that carry lower risk of side effects (category)

Answer 12

Atypical antipsychotics

Question 13

What are potential side effects of atypical antipsychotics?

Answer 13

• weight gain
• increased plasma lipids
• DM

Question 14

What are the benefits of using atypical antipsychotics to treat pts?

Answer 14

• lower incidence of relapse

- fewer side effects, especially mvt and motor disorders

Question 15

This may occur during the first stages following administration of antipsychotic drugs (all types)

Answer 15

Orthostatic hypotension

Question 16

Side effects of all antipsychotic drugs:

Answer 16

• sedation
• orthostatic hypotension
• extrapyramidal effects
• anticholinergic effects
• Tardive dyskinesia
• Pseudoparkinsonism
• Neuroleptic malignant syndrome

Question 17

What are the extrapyramidal effects?

Answer 17

• tremor
• slurred speech
• constant motion
• dystonia
• anxiety
• distress
• paranoia
• sluggish thinking

Question 18

What is Tardive dyskinesia characterized by?

Answer 18

Repetitive facial movements

Question 19

What results from neuroleptic malignant syndrome?

Answer 19

• catatonic state
• stupor
• rigidity
• tremors
• fever

Question 20

Major danger with neuroleptic malignant syndrome

Answer 20

May be fatal