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정신간호학 약물 보고서
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정신간호학 약물 보고서
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2023.06.21
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  • 1. Antipsychotics
    Antipsychotics include Chlorpromazine, Haloperidol, Clozapine, Risperidone, and Olanzapine. They work by blocking dopamine receptors. Common side effects include cardiovascular issues, blood disorders, neuroleptic malignant syndrome, extrapyramidal symptoms, and tardive dyskinesia. Nursing care involves monitoring the patient, managing side effects, and gradually tapering the medication if discontinuing.
  • 2. Antidepressants
    Antidepressants include TCAs like Amitriptyline, MAOIs like Phenelzine, SSRIs like Fluoxetine and Sertraline, and other antidepressants like Venlafaxine. They work by inhibiting the reuptake of neurotransmitters like serotonin and norepinephrine. Side effects can include sedation, sexual dysfunction, and withdrawal symptoms. Nurses should educate patients on side effects and monitor for clinical worsening or suicidal ideation.
  • 3. Mood Stabilizers
    Mood stabilizers include Lithium, Valproate, and Carbamazepine. They help regulate mood in conditions like bipolar disorder. Side effects can include gastrointestinal issues, endocrine changes, and neurological effects. Nurses should monitor lithium levels, educate patients on the risks of abrupt discontinuation, and watch for signs of toxicity.
  • 4. Anxiolytics
    Anxiolytics include benzodiazepines like Diazepam, beta-blockers like Propranolol, and z-drugs like Zolpidem. They work by enhancing GABA activity or blocking beta-adrenergic receptors. Side effects include sedation, impaired cognition, and dependence. Nurses should avoid use in patients with respiratory conditions, educate on risks of combined use with other CNS depressants, and monitor for withdrawal symptoms with discontinuation.
  • 5. Antidementia Drugs (Cognitive Enhancers)
    Cognitive enhancers like Tacrine, Donepezil, Rivastigmine, and Galantamine work by inhibiting acetylcholinesterase to increase acetylcholine levels and improve cognitive function in dementia. Side effects can include gastrointestinal issues and cardiovascular effects. Nurses should monitor liver function, encourage fluid intake, and observe for both therapeutic effects and adverse reactions.
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  • 1. Antipsychotics
    Antipsychotics are a class of medications primarily used to treat psychotic disorders such as schizophrenia, schizoaffective disorder, and bipolar disorder. They work by modulating the activity of certain neurotransmitters in the brain, particularly dopamine and serotonin, which are believed to play a key role in the development of psychotic symptoms. Antipsychotics can be effective in reducing hallucinations, delusions, and disorganized thinking, and can help stabilize mood and improve overall functioning for individuals with these conditions. However, they are not without their side effects, which can include weight gain, metabolic changes, sedation, and movement disorders. It is important for individuals taking antipsychotics to work closely with their healthcare providers to find the right medication and dosage that balances efficacy and tolerability. Ongoing monitoring and adjustments may be necessary to optimize treatment and minimize adverse effects. Overall, antipsychotics can be a valuable tool in the management of serious mental health conditions, but their use requires careful consideration and close medical supervision.
  • 2. Antidepressants
    Antidepressants are a class of medications primarily used to treat depression, but they can also be effective in managing other mental health conditions, such as anxiety disorders, obsessive-compulsive disorder, and chronic pain. These medications work by modulating the levels of certain neurotransmitters in the brain, such as serotonin, norepinephrine, and dopamine, which are believed to play a role in regulating mood and emotional well-being. Antidepressants can help alleviate symptoms of depression, such as low mood, loss of interest, changes in appetite and sleep, and feelings of hopelessness or worthlessness. They can also help reduce anxiety, improve focus and concentration, and enhance overall functioning. However, it is important to note that the effectiveness of antidepressants can vary from individual to individual, and they may not be suitable for everyone. Additionally, antidepressants can have side effects, such as nausea, dry mouth, constipation, and sexual dysfunction, which should be monitored and addressed with the healthcare provider. Proper dosage, gradual titration, and close medical supervision are essential for the safe and effective use of antidepressants.
  • 3. Mood Stabilizers
    Mood stabilizers are a class of medications primarily used to treat bipolar disorder, a mental health condition characterized by episodes of mania and depression. These medications work by regulating the fluctuations in mood and preventing the extreme highs and lows associated with bipolar disorder. Commonly used mood stabilizers include lithium, anticonvulsants (such as valproate, lamotrigine, and carbamazepine), and atypical antipsychotics (such as quetiapine and olanzapine). Mood stabilizers can help reduce the severity and frequency of manic and depressive episodes, improve overall mood stability, and enhance daily functioning for individuals with bipolar disorder. They can also be used to treat other mood-related conditions, such as schizoaffective disorder and certain types of depression. However, mood stabilizers can have side effects, such as weight gain, tremors, cognitive impairment, and potential organ toxicity, which require close monitoring and management by healthcare providers. Careful dosage adjustments and regular check-ups are essential to ensure the safe and effective use of mood stabilizers in the treatment of bipolar and related disorders.
  • 4. Anxiolytics
    Anxiolytics, also known as anti-anxiety medications, are a class of drugs primarily used to treat anxiety disorders, such as generalized anxiety disorder, panic disorder, and social anxiety disorder. These medications work by modulating the activity of the gamma-aminobutyric acid (GABA) system in the brain, which is responsible for regulating feelings of anxiety and stress. Commonly used anxiolytics include benzodiazepines (such as diazepam, alprazolam, and clonazepam), as well as non-benzodiazepine medications (such as buspirone and pregabalin). Anxiolytics can help reduce the physical and psychological symptoms of anxiety, such as excessive worry, restlessness, muscle tension, and panic attacks. They can provide rapid relief and help individuals manage their anxiety more effectively, allowing them to function better in their daily lives. However, anxiolytics can also have side effects, such as sedation, cognitive impairment, and the potential for dependence and withdrawal, especially with long-term use. It is important for individuals taking anxiolytics to work closely with their healthcare providers to find the right medication and dosage, and to use these medications as part of a comprehensive treatment plan that may also include therapy and lifestyle modifications.
  • 5. Antidementia Drugs (Cognitive Enhancers)
    Antidementia drugs, also known as cognitive enhancers, are a class of medications primarily used to treat the cognitive and functional impairments associated with various types of dementia, such as Alzheimer's disease, Lewy body dementia, and vascular dementia. These medications work by modulating the activity of certain neurotransmitters in the brain, such as acetylcholine, which are believed to play a key role in cognitive processes like memory, attention, and language. Commonly used antidementia drugs include cholinesterase inhibitors (such as donepezil, rivastigmine, and galantamine) and the NMDA receptor antagonist memantine. These medications can help slow the progression of cognitive decline, improve or stabilize cognitive function, and enhance daily functioning for individuals with dementia. However, the effectiveness of these drugs can vary, and they may not be suitable for all individuals with dementia. Additionally, antidementia drugs can have side effects, such as gastrointestinal issues, dizziness, and headaches, which require close monitoring and management by healthcare providers. It is important for individuals with dementia and their caregivers to work closely with their healthcare team to determine the most appropriate treatment plan, which may also include non-pharmacological interventions, such as cognitive stimulation, physical activity, and caregiver support.
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