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24 Cards in this Set
- Front
- Back
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TRADITIONAL ANTIPSYCHOTIC DRUGS INCLUDE WHAT?
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PHENOTHIAZINES - ALL HAVE THE SUFFIX "ZINE"
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ATYPICAL ANTIPSYCHOTIC DRUGS INCLUDE WHAT?
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CLOZARIL (CLOZAPINE)
RISPERDAL (RESPERIDONE) ZYPREXA (OLANZAPINE) SEROQUEL (QUETIAPINE) |
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WHY SHOULD CARE BE TAKEN WHEN ADMINISTERING ANTIPSYCHOTICS TO A PATIENT WITH A POTENTIAL FOR SEIZURES?
WHICH 2 DRUGS IN PARTICULAR SHOULD BE USED WITH THE MOST CAUTION? |
ANTIPSYCHOTICS CAN LOWER THE SEIZURE THRESHOLD
INCREASE IN SEIZURE-CONTROLLING MEDS. MAY BE NECESSARY |
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WHAT EFFECT DO ANTACIDS HAVE ON ANTIPSYCHOTIC DRUGS.
WHAT INSTRUCTIONS NEED TO BE PROVIDED TO PATIENT IN NEED OF ANTACID. |
ANTACIDS DECREASE ABSORPTION OF DRUGS.
INSTRUCT PT TO TAKE ANTACID ONE HOUR BEFORE OR 2 HOURS AFTER TAKING DRUG |
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WHAT EFFECT DOES ALCOHOL HAVE ON ANTIPSYCHOTICS
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ALCOHOL INCREASES THE POTENCY AND PROLONGS THE EFFECTS OF ANTIPSYCHOTICS
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WHAT EFFECTS DO CAFFIENE AND NICOTINE HAVE ON ANTIPSYCHOTICS
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DAILY INTAKE OVER 250 MG OF CAFFEINE DECREASES EFFECT.
10-20 CIGS DECREASES EFFECT. |
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INDICATIONS FOR ANTIPSYCHOTICS
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ACUTE AND CHRONIC PSYCHOSES, PARTICULARLY WHEN ACCOPANIED BY PSYCHOMOTOR ACTIVITY
ANTIEMETICS INTRACTABLE HICCOUGHS CONTROL OF TICS AND VOCAL UTTERANCES SUCH AS TOURETTE'S |
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WHAT ANTIPSYCHOTICS ARE USED AS ANTIEMETICS
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CHLORPROMAZINE
PERPHENAZINE PROCHORPERAZINE |
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WHAT ANTIPSYCHOTICS ARE USED FOR THE TX OF HICCOUGHS
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CHLORPROMAZINE
PERPHENAZINE |
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WHAT ANTIPSYCHOTICS ARE USED FOR THE TX OF TOURETTE'S
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HALOPERIDOL
PIMOZIDE |
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CONTRAINDICATIONS/PRECAUTIONS FOR ANTIPSYCHOTICS
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HYPERSENSITIVITY
CNS DEPRESSION BLOOD DISEASE PARKINSON'S DISEASE LIVER, RENAL, CARDIAC INSUFFICIENCY ELDERLY, SEVERELY ILL, DEBILITATED, AND DIABETIC CLIENTS RESPIRATORY INSUFFICIENCY PROSTATIC HYPERTROPHY INTESTINAL OBSTRUCTION LOWERS SEIZURE THRESHOLD AVOID EXTREME TEMPS. SAFETY IN PREG. NOT ESTABLISHED PHENOTHIAZINES SHOULD NOT BE GIVEN TO PT. WITH HIST. OF NARROW-ANGLE GLAUCOMA USE WITH EXTREME CAUTION IN THOSE WITH PARKINSONS |
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EXTRAPYRAMIDAL SIDE EFFECTS (EPS) - DEFINITON
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SIDE EFFECTS THAT DEVELOP AS A RESULT OF TAKING ANTIPSYCHOTICS.
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THERE ARE 5 EPS THAT PEOPLE DEVELOP AS A RESULT OF TAKING ANTIPSYCHOTICS. LIST THEM IN ORDER FROM LEAST TO MOST SERIOUS
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AKATHISIA
PARKINSONISM DYSTONIAS TARDIVE DYSKINESIA NEUROLEPTIC MALIGNANT SYNDROME |
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AKATHISIA
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CONTINUOUS RESTLESSNESS AND FIDGETING. MAY OCCUR 50-60 DAYS AFTER INITIATION OF THERAPY
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PARKINSONISM
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TREMOR
SHUFFLING GAIT DROOLING RIGIDITY SYMPTOMS MAY APPEAR 1-5 DAYS FOLLOWING INITIATION OF THERAPY |
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DYSTONIAS
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INVOLUNTARY MUSCULAR MOVEMENTS (SPASMS) OF TH FACE, ARMS, LEGS, AND NECK
OCCURS MOST OFTEN IN MEN AND IN PEOPLE UNDER 25. |
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TARDIVE DYSKINESIA
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BIZARRE FACIAL AND TONGUE MOVEMENTS
STIFF NECK DIFICULTY SWALLOWING SYMPTOMS ARE POTENTIALLY IRREVERSABLE |
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NEUROLEPTIC MALIGNANT SYNDROME (NMS)
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EXTREME MEDICAL EMERGENCY
SEVERE PARKINSONIAN MUSCLE RIGIDITY HYPERPYREXIA (UP TO 107 F) TACHYCARDIA TACHYPNEA FLUCTUATIONS IN BP DIAPHORESIS RAPID DETERIORATION OF MENTAL STATUS TO STUPOR AND COMA |
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WHAT IS THE TREATMENT FOR A PATIENT EXPERIENCING AKATHISIA
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ADMINISTER AN ANTICHOLINERGIC SUCH AS:
COGENTIN ARTANE BENADRYL KEMADRIN |
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TREATMENT FOR PT. EXPERIENCING PARKINSONISM
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ADMINISTER ANTICHOLINERGICS
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TX. FOR PT. EXPERIENCING DYSTONIAS
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IM OR IV ANTICHOLINERGICS
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TX. FOR PT. EXPERIENCING TARDIVE DYSKINESIA
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STOP MED IMMEDIATELY
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TX. FOR PT. EXPERIENCING NEUROPLEPTIC MALIGNANT SYNDROME (NMS)
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D/C DRUG
MONITOR VITALS MONITOR DEGREE OF MUSCLE RIGIDITY MONITOR I & O MONITOR LOC PERLODEL OR DANTRIUM MAY BE ORDERED TO COUNTERACT EFFECTS |
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WHAT ARE DECANOATE INJECTIONS? WHAT IS THE RISK ASSOCIATED WITH THEIR USE?
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EXTENDED RELEASE ANTIPSYCHOTICS .
INCREASED RISK OF NMS |
