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23 Cards in this Set
- Front
- Back
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Pts are monitored for evidence of involuntary movements after being administered conventional antipsychotic meds using the ? scale.
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AIMS(Abnormal Involuntary Movement Scale)
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Antipsychotic meds block ? and ?
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Dopamine,
Acetycholine |
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The first generation of Antipsychotic meds are called the ?'s and the second generation are called the ?'s
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typicals
atypicals |
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The typical/conventional Antipsychotics treat the ? signs of schizophrenia such as ? and ?
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positive,
delusions, hallucinations |
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The dopamine blockage that occurs with antipsychotics can lead to motor abnormalities known as ?(EPS) e.g. psuedoparkinsonism, akathisia/akinesia, dystonia, and TD.
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xtrapyramidal sied effects,
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Side effects of Typical/conventional antipsychotics meds include ? and ? in women and failure to ? and ?in men, plus ? S/E's, orthostatic ?, substantial ? gain and ?
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amenorrhea,
galactorrhea, ejaculate,gynecomastia, anticholinergic, hypotension, weight, sedation |
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Atypicals are the ? line of tx for schizophrenia because they target the ? and ? signs of schizophrenia.
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first,
positive, negative |
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Atypical antipsychotics have fewer ? S/E's, but they can cause ? syndrome with increased ?, ? glucose, and ?
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EPS,weight,blood,triglycerides,
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The two Atypical/Antipsychotic meds that have the highest risk of causing metabolic syndrome are ? and ?
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Clozapine(clozaril),
Olanzapine(zyprexa) |
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? is not a first choice antidepressant tx it is better used for its ? properties and can have the side effect of ?
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trazadone(desyrel),
sedation, priapism |
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The Atypical antipsychotic Clozapine(clozaril) has no ? disorders. Adverse effects are suppression of ? and it causes ? so we must monitor WBC. Make to monitor WBC on med sheets.
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movement,
bone marrow, agranulocytosis |
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The Atypical antipsychotic risperidone(Risperdal) has the highest risk for ? of any atypical antipsychotic.
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EPS
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The long acting injectable form of risperidone(Risperdol) is ?
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CONSTA
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There is a rare but serious S/E of CVA in older adults with ? when using risperidone(Risperdol).
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dementia
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Quetiapine(Seroquel) is an antipsychotic with high ?, ? gain, Orthostatic ?, but a low risk for ?
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sedation,
weight, hypotension, EPS |
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olanzapine(Zyprexa) has S/E of ?, ? gain, ?-glycemia with new onset type 2 diabetes which all lead to higher risk for ? syndrome.
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sedation,
weight, hyper, metabolic |
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ziprasidone(Geoden) is a ? antipsychotic that has ? S/E's, so it is contraindicated in pts with prolonged ? interval, recent ?, or uncompensated ? failure,
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SNRI(serotonin-norepinephrine-reuptake-inhibitor),
cardiac, QT, MI, heart |
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apiprazole(Abilfy) stabilizes ? when it is high it lowers it when it is low it raises it. S/E's include ? and ?
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dopamine,
insomnia, akathesia |
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paliperidone(Invega) is the newest antipshychotic on the market it is the major active metabolite of ? S/E are similar to risperidone such as ? and ? elevation also orthostatic-? and ?
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risperidone,"",
EPS, prolactin, hypotension, sedation |
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ADHD psychostimulant meds include ? and ? They block ? and ? reuptake, they also mimick ? and ?
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Ritalin, Adderall
Norepinephrine, Dopamine, Norepinephrine, Dopamine |
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Meds that are used for ADHD that are not stimulants are ? and ?
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Straterra,
Intuniv |
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The main tx for Alzheimers tries to maintain ? brain function for as long as possible. The meds do not prevent or slow ? degeneration.
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normal,
structural |
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The Anticholinesterase inhibitors for Alzheimers are ?, ?, and ?
The N-methyl-D-Aspartate receptor agonist for Alzheimers is ? |
donepezil(Aricept),
galantamine(Reminyl),"", rivastigmine(Exelon), memantine(Namenda) |
