
정신간호학 실습 케이스 자료시 필요한 약 정리
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정신간호학 실습 케이스 자료시 필요한 약 정리
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2024.04.27
문서 내 토픽
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1. Olanzapine올란자핀은 정신신경용제로, 도파민 D2 수용체와 세로토닌 5-HT2 수용체에 대한 길항 작용을 통해 항정신병 작용을 나타내는 조현병 치료제입니다. 10mg의 용량으로 경구 투여되며, 주요 부작용으로는 악성증후군, 뇌혈관 이상반응, 지연운동이상증 등이 있습니다. 올란자핀은 조현병과 양극성 장애 치료에 사용됩니다.
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2. Donepezil도네페질은 기타 중추신경용약으로, 중추에서 선택적으로 acetylcholinesterase를 가역적, 비경쟁적으로 저해하여 시냅스에서 아세틸콜린의 농도를 증가시킵니다. 10mg의 용량으로 경구 투여되며, 주요 부작용으로는 두통, 구토, 식욕감퇴, 피로, 졸음 등이 있습니다. 도네페질은 알츠하이머 형태의 치매 증상 완화에 사용됩니다.
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3. Venlafaxine벤라팍신은 정신신경용제로, 세로토닌 노르에프네프린 재흡수를 억제하여 우울증, 범불안장애, 사회공포증, 공황장애에 효과가 있습니다. 75mg의 용량으로 경구 투여되며, 주요 부작용으로는 자살성향, 항우울제, 지속적 고혈압 등이 있습니다.
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4. Acetaminophen아세트아미노펜은 해열, 진통, 소염제로, 중추에서 프로스타글란딘의 생합성을 억제하여 해열, 진통작용을 나타냅니다. 650mg의 용량으로 필요 시 경구 투여되며, 주요 부작용으로는 간손상, 급성 전신성 발진성 농포증, 스티븐스존슨 증후군 등이 있습니다.
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5. Lorazepam로라제팜은 정신신경용제로, Benzodiazepine계 약물로 Benzodiazepine이 Benzodiazepine 수용체에 결합하여 GABA 수용체의 GABA성 신경전달을 촉진합니다. 1mg의 용량으로 필요 시 경구 투여되며, 주요 부작용으로는 의존성, 금단증상, 졸음, 어지러움, 휘철거림, 기립성 조절장애 등이 있습니다.
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6. Haloperidol할로페리돌은 정신신경용제로, Butyrophenone계 약물로 도파민의 수용을 차단하여 망상적인 사상과 환각을 억제할 수 있습니다. 5mg의 용량으로 필요 시 경구 투여되며, 주요 부작용으로는 신경이완제악성증후군, 추체외로증상, 지발성 운동장애 등이 있습니다.
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7. Escitalopram에스시탈로프람은 선택적 세로토닌 재흡수 억제제로, 세로토닌이 뇌세포에 재흡수되는 것을 감소시켜 우울증상 치료에 도움이 됩니다. 10mg의 용량으로 1일 1회 경구 투여되며, 주요 부작용으로는 두통, 짜증, 설사, 입마름, 구역질, 수면장애, 성욕감퇴 및 오르가즘 지연 등이 있습니다.
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8. Aripiprazole아리피프라졸은 정신신경용제로, 조현병, 양극성 장애, 자폐장애, 주요우울장애 치료에 사용됩니다. 2mg의 용량으로 경구 투여되며, 주요 부작용으로는 구역, 구토, 변비, 두통, 어지러움, 정좌불능증, 불안, 졸림, 불면증, 추체외로장애, 소화불량 등이 있습니다.
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9. Duloxetine Hydrochloride둘록세틴 염산염은 신경통 치료제로, 주요우울장애, 범불안장애, 당뇨병성 말초 신경병증성 통증, 섬유근육통 치료에 사용됩니다. 60mg의 용량으로 경구 투여되며, 주요 부작용으로는 구역, 두통, 입마름, 졸림, 어지러움 등이 있습니다.
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10. Triazolam트리아졸람은 최면진정제로, 불면증 치료에 사용됩니다. 10mg의 용량으로 필요 시 경구 투여되며, 주요 부작용으로는 신경계 및 정신병 이상반응, 전신 이상반응, 근골격계 이상반응 등이 있습니다.
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11. Cyanocobalamin시아노코발라민은 중추신경용약으로, 식욕부진 치료에 사용됩니다. 1캡슐의 용량으로 경구 투여되며, 주요 부작용으로는 어지러움, 구역, 발진, 권태감, 정신적 혼란, 식욕부진 등이 있습니다.
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1. OlanzapineOlanzapine is an atypical antipsychotic medication primarily used to treat schizophrenia and bipolar disorder. It works by modulating the activity of various neurotransmitters in the brain, including dopamine and serotonin. Olanzapine has been shown to be effective in reducing the positive and negative symptoms of schizophrenia, as well as in stabilizing mood in individuals with bipolar disorder. However, it is also associated with a range of potential side effects, including weight gain, metabolic changes, and sedation. Careful monitoring and management of these side effects is important for ensuring the safe and effective use of olanzapine. Overall, olanzapine can be a valuable tool in the treatment of serious mental health conditions, but its use requires close collaboration between patients and healthcare providers to optimize outcomes and minimize risks.
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2. DonepezilDonepezil is a cholinesterase inhibitor medication primarily used to treat the symptoms of Alzheimer's disease. It works by inhibiting the breakdown of acetylcholine, a neurotransmitter that is important for cognitive function. Donepezil has been shown to modestly improve or stabilize cognitive and functional abilities in individuals with mild to moderate Alzheimer's disease. However, its effects are generally modest, and it does not slow the underlying progression of the disease. Donepezil is generally well-tolerated, but it can cause side effects such as nausea, diarrhea, and insomnia. Overall, donepezil can be a useful tool in the management of Alzheimer's disease, but it is not a cure and its benefits must be weighed against its potential risks and limitations.
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3. VenlafaxineVenlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI) medication primarily used to treat depression and anxiety disorders. It works by inhibiting the reuptake of both serotonin and norepinephrine, two neurotransmitters that play important roles in mood regulation. Venlafaxine has been shown to be effective in reducing the symptoms of major depressive disorder, generalized anxiety disorder, and social anxiety disorder. It is generally well-tolerated, but it can cause side effects such as nausea, dry mouth, constipation, and increased blood pressure. Venlafaxine is also associated with a risk of withdrawal symptoms if the medication is discontinued abruptly. Overall, venlafaxine can be a valuable tool in the treatment of depression and anxiety, but its use requires careful monitoring and management by healthcare providers to ensure optimal outcomes and minimize risks.
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4. AcetaminophenAcetaminophen, also known as paracetamol, is a widely used over-the-counter medication for the relief of pain and fever. It is generally considered a safe and effective medication when used as directed, but it can also be potentially dangerous if taken in excess or in combination with other medications. Acetaminophen is primarily metabolized by the liver, and high doses or prolonged use can lead to liver damage, particularly in individuals with underlying liver disease or who consume alcohol regularly. Careful dosing and monitoring is important to ensure the safe and effective use of acetaminophen. Overall, acetaminophen can be a valuable tool for managing pain and fever, but its use should be guided by healthcare providers, especially in individuals with pre-existing medical conditions or who are taking other medications.
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5. LorazepamLorazepam is a benzodiazepine medication primarily used to treat anxiety, insomnia, and seizures. It works by enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that has a calming effect on the brain. Lorazepam can be effective in providing rapid relief of anxiety and insomnia symptoms, but it also carries a risk of dependence and abuse, particularly with long-term use. Withdrawal symptoms can be severe if the medication is discontinued abruptly. Lorazepam should be used with caution, especially in older adults and individuals with a history of substance abuse. Healthcare providers should carefully weigh the potential benefits and risks of lorazepam and consider alternative treatment options, particularly for long-term use. Proper dosing, monitoring, and patient education are essential to ensure the safe and effective use of this medication.
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6. HaloperidolHaloperidol is a typical antipsychotic medication primarily used to treat schizophrenia, Tourette's syndrome, and other psychiatric disorders. It works by blocking the action of dopamine, a neurotransmitter that plays a key role in regulating mood, behavior, and cognition. Haloperidol has been shown to be effective in reducing the positive symptoms of schizophrenia, such as delusions and hallucinations, but it is also associated with a range of potential side effects, including extrapyramidal symptoms (EPS), such as tremors, muscle stiffness, and akathisia. These side effects can be particularly problematic in older adults and individuals with pre-existing neurological conditions. Careful monitoring and management of these side effects is essential for ensuring the safe and effective use of haloperidol. Overall, haloperidol can be a valuable tool in the treatment of certain psychiatric disorders, but its use requires close collaboration between patients and healthcare providers to optimize outcomes and minimize risks.
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7. EscitalopramEscitalopram is a selective serotonin reuptake inhibitor (SSRI) medication primarily used to treat depression and anxiety disorders. It works by selectively inhibiting the reuptake of serotonin, a neurotransmitter that plays a key role in regulating mood and emotional well-being. Escitalopram has been shown to be effective in reducing the symptoms of major depressive disorder, generalized anxiety disorder, and social anxiety disorder. It is generally well-tolerated, with common side effects including nausea, headache, and insomnia. Escitalopram is also associated with a lower risk of certain side effects, such as sexual dysfunction, compared to some other SSRI medications. Overall, escitalopram can be a valuable tool in the treatment of depression and anxiety, but its use should be guided by healthcare providers to ensure optimal outcomes and minimize potential risks.
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8. AripiprazoleAripiprazole is an atypical antipsychotic medication primarily used to treat schizophrenia, bipolar disorder, and major depressive disorder. It works by modulating the activity of dopamine and serotonin, two neurotransmitters that play key roles in regulating mood, behavior, and cognition. Aripiprazole has been shown to be effective in reducing the positive and negative symptoms of schizophrenia, as well as in stabilizing mood in individuals with bipolar disorder. It is also sometimes used as an adjunctive therapy for major depressive disorder. Aripiprazole is generally well-tolerated, with common side effects including headache, nausea, and restlessness. However, it can also be associated with metabolic changes, such as weight gain and changes in blood sugar and lipid levels. Careful monitoring and management of these potential side effects is important for ensuring the safe and effective use of aripiprazole. Overall, aripiprazole can be a valuable tool in the treatment of serious mental health conditions, but its use requires close collaboration between patients and healthcare providers to optimize outcomes and minimize risks.
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9. Duloxetine HydrochlorideDuloxetine hydrochloride is a serotonin-norepinephrine reuptake inhibitor (SNRI) medication primarily used to treat depression, anxiety disorders, and certain types of chronic pain, such as diabetic neuropathy and fibromyalgia. It works by inhibiting the reuptake of both serotonin and norepinephrine, two neurotransmitters that play important roles in mood regulation and pain perception. Duloxetine has been shown to be effective in reducing the symptoms of major depressive disorder, generalized anxiety disorder, and certain types of chronic pain. It is generally well-tolerated, but it can cause side effects such as nausea, dry mouth, constipation, and increased blood pressure. Duloxetine is also associated with a risk of withdrawal symptoms if the medication is discontinued abruptly. Overall, duloxetine can be a valuable tool in the treatment of depression, anxiety, and chronic pain, but its use requires careful monitoring and management by healthcare providers to ensure optimal outcomes and minimize risks.
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10. TriazolamTriazolam is a benzodiazepine medication primarily used for the short-term treatment of insomnia. It works by enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that has a calming effect on the brain. Triazolam can be effective in providing rapid relief of insomnia symptoms, but it also carries a risk of dependence and abuse, particularly with long-term use. Withdrawal symptoms can be severe if the medication is discontinued abruptly. Triazolam should be used with caution, especially in older adults and individuals with a history of substance abuse. Healthcare providers should carefully weigh the potential benefits and risks of triazolam and consider alternative treatment options, particularly for long-term use. Proper dosing, monitoring, and patient education are essential to ensure the safe and effective use of this medication.
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11. CyanocobalaminCyanocobalamin is a synthetic form of vitamin B12, an essential nutrient that plays a crucial role in various bodily functions, including red blood cell formation, neurological function, and DNA synthesis. Cyanocobalamin is primarily used to treat and prevent vitamin B12 deficiency, which can occur due to various factors, such as poor dietary intake, malabsorption disorders, or certain medical conditions. Supplementation with cyanocobalamin can help restore normal vitamin B12 levels and prevent or alleviate the symptoms associated with deficiency, such as anemia, fatigue, and neurological problems. Cyanocobalamin is generally well-tolerated, with few reported side effects. It is an important component of a balanced and healthy diet, and its use can be particularly beneficial for individuals at risk of vitamin B12 deficiency, such as those following a vegan or vegetarian diet, or those with certain gastrointestinal conditions. Overall, cyanocobalamin is a safe and effective supplement that can help maintain optimal vitamin B12 status and support overall health and well-being.
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