Psych Drugs to Know
Drug Class with Brand/Generic Name, Mechanism of Action, Target Receptors, Metabolic Pathway, and Therapeutic Range |
S/E of Class of Psych Meds |
Smoking cessation with Psych Meds |
Tegretol |
Zyprexa |
Lithium |
MAOI |
TCA |
Major Mood Stabilizer |
Target receptor for Major Disease State |
Inducer/Inhibitor actions |
General Psych Meds for Anxiety |
General Psych Meds for Depression |
General Psych Meds for Mood Disorder |
General Psych Meds for Psychosis |
General Psych Meds for ADHD, Attention, or Focus |
Disease States
Disease State: Dementia-treatment and meds |
Early s/s dementia |
Frontal Lobe Dementia |
Differentiate between Depression/Dementia |
Differentiate between AIDS/ALZ |
Disease State: Depression-treatment and meds |
Disease State: Anxiety-treatment and meds |
Disease State: Mood/Bipolar-treatment and meds |
Disease State: Psychosis-treatment and meds |
Disease State: ADHD, Attention, and Focus-treatment and meds |
Positive and Negative Symptoms of Psychosis/Schizophrenia |
Disease State: Conversion Disorder-treatment and meds |
Labs to Know from the Purple Book
Thyroid |
ANC from CBC |
Albumin for protein binding with psych drugs |
WBC from CBC |
Lithium Levels |
Liver Function |
Kidney |
Know values, norms and implications for variations in results.
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Things to Know and/or Memorize
NMS vs SS |
Lab Values from Purple Book |
Immunization Schedule |
BMI and meaning |
Infant Reflexes |
MH Screening (PDQ9, MDQ, GAD7, MMSE, Beck Inventory) |
Cranial Nerves: Function and how to test |
Common Medication Interactions (Drug-Drug) (Drug-Food) |
Screening Tools with interpretation of the results and the intervention necessary |
General Disease states with use of which class of meds |
Protein in the urine with lithium |
Neurotransmitters: Purpose and Influence |
Receptor Antagonism Spectrum |
Receptor neurotransmitter target and implication in disease management |
Areas of the brain with which receptors and targets for treatment |
Cranial Pathways related to Disease State and Importance |
-pine VS -done |
2 Pips and a Rip: Aripiprazole and Brexpiprazole |
Use the Purple Book from ANCC because these are the resources they use to build and create the board exams.
Specific Questions/Topics
Psych Med interacting with Flonase |
Frontal Lobe Functions |
Smoking r/t dose adjustment (decrease dose with cessation) |
Delayed Gastric Emptying |
Anorexic Patient |
Antacid use with other meds |
Apoptosis |
Topics Known to be on the Exam: Understand
Screening Tools (MMSE, PHQ9, GAD7, MDQ) and meaning of results |
BMI calculation and meaning of results |
Immunizations |
Childhood Developmental Stages |
Cranial Nerves |
Function of areas of the Brain: Frontal Lobe, Parietal, Temporal, Occipital, |
Disease States: Specific Drugs with therapeutic Ranges, S/E, interactions, and contraindications |
Theorists |
Pathways within the brain |
CYP 450 Pathways and metabolism |
Drug inducer and inhibitor on CYP450 |
Agonist Spectrum |
Effects of smoking on psych meds and action with smoking cessation |
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Helpful Resources
Purple Book Ch 2-6 Policy |
Purple Book Ch 10-14 Disorders |
Pocket Prep App by ANCC $39 |
ANCC IQ $25 |
Red Book (Memorable Pharmacology) also has YouTube Vids |
Strategies for Best Answers
Narrow down to 2 possible right answers |
Culture is important to be included in all nursing care. |
Quality of Care is a goal in Nursing |
Conflict Management is the goal in Nursing |
See the root action (assessing) then match the answers to that action |
Be wary of absolutes: all, nothing, everything, nothing, etc--> usually wrong |
Critical Thinking is important |
If undecided, the longest answer is usually the right answer |
If asked to refer or consult with someone else, then it is most likely not the right answer |
Safety for the patient and others is usually the right answer |
If see "initially" in the stem of the question, then refer back to ADPIE process and address the same phase asked about in the question stem |
Priority is usually concerning safety |
Identify is the question is asking for a strategy (assess, implement, plan, measurement, outcome) then match the answer to the action requested |
Pair diagnosis with right outcome if planning |
Client outcomes need to be client centered, specific, positive, measurable, and have time frame |
Cognitive=Thought Process |
Evaluation is collecting data to support the problem towards a resolution |
Always remember to assess the implementation from the ADPIE |
Best Answer/Choice: usually include advocating for the patient or the nursing profession |
Best Answer/Choice: usually include policy improvement for the nursing profession |
Best Answer/Choice: usually include quality outcomes for the patient or the nursing profession |
Best Answer/Choice: usually include cultural sensitivity and competency for the patient |
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