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% Most of the following are not required for the majority
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% Document Info
\author{ashley\_ap (ashap)}
\pdfinfo{
  /Title (mental-health-drugs-nursing.pdf)
  /Creator (Cheatography)
  /Author (ashley\_ap (ashap))
  /Subject (Mental Health Drugs- Nursing Cheat Sheet)
}

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\noindent
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    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
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    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Mental Health Drugs- Nursing Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{ashley\_ap (ashap)} via \textcolor{DarkBackground}{\uline{cheatography.com/134446/cs/40176/}}}
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\noindent
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}ashley\_ap (ashap) \\
  \uline{cheatography.com/ashap} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 11th September, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
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% www.emerson.emory.edu/services/latex/latex_169.html
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\begin{multicols*}{4}

\begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} }
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\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Anxiolytics}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Benzodiazepines}} & Enhance effect of GABA. (GABA is low with anxiety \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Alprazolam, Diazepam, Clonazepam, Lorazepam, Temazepam & also approved for tx of insomnia by FDA due to primary hypnotic effect. \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
 & CNS depressants {\emph{(do not combine with other CNS depressants)}}, potential for addiction in 4-6 weeks, {\bf{Ataxia}} \tn 
% Row Count 13 (+ 6)
% Row 3
\SetRowColor{white}
Buspirone & MOA: unknown. Not a CNS depressant (patient can tolerate better and is not sleepy) \tn 
% Row Count 18 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{2}{x{3.833cm}}{{\bf{Conditions:}} Generalized Anxiety disorder (GAD), obsessive compulsive disorder (OCD), Post traumatic stress disorder (PTSD) \newline  \newline Can treat anxiety with antidepressants (SSRI's and SNRI's) due to neurotransmitters and circuit overlap between anxiety and depression.  \newline  \newline {\bf{Ataxia}} secondary SE due to extra GABA, risk of fall and Fractures in geri population.}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\begin{tabularx}{3.833cm}{p{0.51495 cm} x{2.91805 cm} }
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\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Mood Stabilizers}}  \tn
% Row 0
\SetRowColor{LightBackground}
\seqsplit{Lithium} & {\bf{MOA}} not fully understood. influences electrical conductivity. Can result in adverse effects, toxicity. Complex interaction of NA+ and K+ can use fluid shifts. \tn 
% Row Count 5 (+ 5)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{{\bf{Therapeutic Range}} 0.6-1.2, need routine blood testing.} \tn 
% Row Count 7 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & SE: Neuro/MSK: tremors, ataxia, confusion, convulsions Digestive: N/V/D, Cardiac: Arrhythmias Electrolytes: Polyuria, Polydipsia, edema (Hypernatremia) Endocrine: Goiter, hypothyroidism \tn 
% Row Count 13 (+ 6)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{{\bf{Conditions}} Bipolar \newline  \newline Anticovulsants can be used to treat bipolar as well in certain cases.}  \tn 
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\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{ADHD}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Psychostimulants}} & block reuptake of NE and dopamine, increasing release into synapse, \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
Methylphenidate, Dextroamphetamine & SE: agitation, exacerbation of psychotic thought processes, HTN, growth suppression, potential abuse.{\bf{ Considerations}} Tx for children and increasingly adults. \tn 
% Row Count 13 (+ 9)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{{\bf{Non-stimulants }}} \tn 
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Atomoxetine & NE reuptake inhibitor, {\bf{SE:}} decreased appetite, wt loss, fatigue. \tn 
% Row Count 18 (+ 4)
% Row 4
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Centrally acting alpha-2 adrenergic agonists & monitor fatigue, traditionally used for HTN. \tn 
% Row Count 21 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{ADHD includes symptoms of short attention span, impulsivity and overactivity.}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Alzheimer's}}  \tn
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{\bf{Cholinesterase Inhibitors }} & Slow rate of memory loss and improve memory. {\bf{ memory loss linked to loss/insufficient quantity of acetylcholine.}} \tn 
% Row Count 6 (+ 6)
% Row 1
\SetRowColor{white}
Donepezil, galantamine, rivastigmine & Inactivate cholinesterase, less destruction means higher concentrations of acetylcholine there is. \tn 
% Row Count 11 (+ 5)
% Row 2
\SetRowColor{LightBackground}
{\bf{Glutamate}} & important role in memory function. Can't be taken at the same time as a Cholinesterase inhibitor. \tn 
% Row Count 16 (+ 5)
% Row 3
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Memantine & Too much glutamate can be damaging to the neurons. Used in moderate to severe Alzheimers. \tn 
% Row Count 21 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{is a progressive loss of memory and other higher brain functions. Pharm slows the structural degeneration and/or maintaining normal brain function.  \newline  \newline No cure.}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}