Psychiatric Mental Health Portfolio for Clinical Practice
PMHNP Portfolio for Clinical Practice
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Table of Contents
NU670 Psychopharmacology and Health promotion Neurotransmitter Chart (Unit 2) Antipsychotics Chart (Unit 7)Antidepressants, Anxiolytics, & Mood Stabilizers Chart (Units 5, 6)Substance Use Resources (Chart links) (Units 11, 13, 14)Additional Resources List
Neurotransmitters Chart Function (Excitatory or Inhibitory) Locations Receptors Effects of Deficient Effects of Surplus Agonist Drug Antagonist Drug Acetylcholine
Dopamine
Endorphins
GABA
Glutamate
Glycine
Glutamate
Norepinephrine
Serotonin
Notes:
AntipsychoticsFirst Generation Side Effects (L=Low, M=Moderate, H=High) Generic Name Trade Name Route(s) of Administration LAI option Starting Dose Half Life Indications (s/sx & diagnosis) MOA (neurotransmitter effects) EPS Hyperlipidemia T2DM Weight Gain Cognitive Issue Other SE Costs Second Generation
Notes:
Antidepressants, Anxiolytics & Mood StabilizersAntidepressants Side Effects (L=Low, M=Moderate, H=High) Generic Name Trade Name Route(s) of Administration LAI option Starting Dose Half Life Indications (s/sx & diagnosis) MOA (neurotransmitter effects) EPS Hyperlipidemia T2DM Weight Gain Cognitive Issue Other SE CostsSSRIs SNRIs TCAs MAOIs Atypical Anxiolytics Benzodiazepines Barbiturates Mood Stabilizers
Notes:
Substance Use Resources
Commonly Used Drugs and Treatment Information Charts:
https://www.drugabuse.gov/sites/default/files/Commonly-Used-Drugs-Charts_final_June_2020_optimized.pdf
https://www.drugabuse.gov/sites/default/files/nida_commonlyuseddrugs_final_printready.pdf
Withdrawal Sx Charthttps://www.drugabuse.gov/sites/default/files/nida_commonlyabused_withdrawalsymptoms_10062017-508-1.pdf
NU670 Psychopharmacology and Health promotion Neurotransmitter Chart (Unit 2) Antipsychotics Chart (Unit 7)Antidepressants, Anxiolytics, & Mood Stabilizers Chart (Units 5, 6)Substance Use Resources (Chart links) (Units 11, 13, 14)Additional Resources List
Neurotransmitters Chart
Function (Excitatory or Inhibitory)
Locations
Receptors
Effects of Deficient
Effects of Surplus
Agonist Drug
Antagonist Drug
Acetylcholine
Excitatory
It occurs at the CNS as well as the junctions referred to as neuromuscular junctions
Nicotinic Muscarinic
It involves paralysis which isa symptom related to Alzheimer’s disease or any health problem resulting in memory impairment
With such deficiency, the individual can experience severe muscle spasms causing Parkinson’s symptoms
Apply Alzheimer’s medications such as Exelon; nicotine and Caffeine
Apply either nicotinic antagonist or atropine
Dopamine
Inhibitory
It results in the stimulation of the hypothalamus as well as reward pathways cognition
Hypothalamus
D1, D2, D3, D4, D5
Engagement in drug or substance abuse and the presence of Parkinson’s disease
Addiction to medication used to treat Schizophrenia
Amphetamine, cocaine, Parkinson's drugs
AMPT, other medication used as antipsychotics like Haldol
Endorphins
Inhibitory
They serve the function of opioids because they help in pain relief and the stimulation of positive emotions
Endorphins
When the body senses pain, the pituitary gland secretes endorphins, which have effects on the central nervous system as well as the peripheral neurological system.
Endorphins
They are significant in inhibiting the transmission of the pain signals.
They include the possible addiction, high sensitivity to emotions alongside chronic back pain
Feeling confident and optimistic, high self-esteem, artificial highs, inadequate responses to pain
Heroin and morphine which are categorized under the opiate family of drugs
The occurrence of panic attacks alongside depressions needs the use of a morphine antagonist called the nalterxone
GABA
Inhibitory
Help in inhibiting the NS alongside offsetting the excitatory message which is significant in wake cycles’ regulation
Brain
Omega 1 & 2
Possible seizures, possible tremors, and anxiety
The possibility of diagnosing either sleep or eating disorders
Opiates, alcohol and benzodiazepines
Flumazenil and Ro 15-4513
Glutamate
Excitatory
They help in initiating memory potentiation in the long-term
Central nervous system
N-methyl-D-aspartate (NMDA
Problems such as learning disabilities and memory issues
BP considered to be extremely high due to little GABA. Attributed to causing migraines because of brain overstimulation
D-cycloserine, domoic acid
Dizocilpine and Alzheimer’s drugs such as Namenda
Glycine
Excitatory
Significant in inhibiting signals
Bot...
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