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6 Cards in this Set

  • Front
  • Back
Agranulocytosis
CH:
Sore throat, fever, chills malaise, Decreased WBC
NI:
Monitor
Teach
EPSE
Pseudo-parkinsonism
CH:
Rigidity, shuffling gait, pill rolling, hand movement (cog Wheel), tremors, dyskinesia, mask like face, drooling
NI:
Administer anticholinergic meds, ie. Artane, Benedryl, Cogentin
EPSE
Akathisia
CH:
Uncontrolled movements, restlessness, agitation, pacing (sensation m/b all internal)
NI:
Rule out anxiety; adjust dosage of psychotropic or change to diff. med
Tx w/Inderal or a benzodiazepine
EPSE
Dystonia
CH:
acute muscle rigidity occurs within 1-2 days after initiation of treatment
Limb and neck spasms, arching back uncoordinated ,jerky movements, difficulty speaking and swallowing, rigidity and muscle spasms
NI:
Emergency treatment w IM anticholinergic such as Cogentin or Bendryl
Have emergency respiratory equipment available
Give reassurance
EPSE
Tardive Dyskinesia
CH:
Involuntary tongue thrusting and lip smacking movements, blinking, grimacing, involuntary movement of upper or lower extremities or trunk
Permanent and irreversible if not caught early
NI:
Anti-parkinson drugs will not decrease the sx; need to stop the drug or decrease the dose
AIMS assessment q3-6 months; teach P/F to report sx early
keep dose as low as possible
EPSE
Orthostatic hypotension
CH:
Dizziness, lightheadedness