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55 Cards in this Set

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CONVENTIONAL ANTIPSYCHOTICS
0
Why would conventional antipsychotics be used over nonconventional ones?
To control the positive S/S of psychosis, such as violence
What is the primary problem with conventional antipsychotics?
More side effects
Chlorpromazine
Thorazine
Haloperidol
Haldol
Fluphenazine
Prolixin
Molindone
Moban
Loxapine
Loxitane
Thioridazine
Mellaril
Thiothixene
Navane
Thorazine
Chlorpromazine
Haldol
Haloperidol
Prolixin
Fluphenazine
Moban
Molindone
Loxitane
Loxapine
Mellaril
Thioridazine
Navane
Thiothixene
Chlorpromazine (Thorazine)
Conventional antipsychotic
Haloperidol (Haldol)
Conventional antipsychotic
Fluphenazine (Prolixin)
Conventional antipsychotic
Molindone (Moban)
Conventional antipsychotic
Loxapine (Loxitane)
Conventional antipsychotic
Thioridazine (Mellaril)
Conventional antipsychotic
Thiothixene (Navane)
Conventional antipsychotic
How do conventional antipsychotics work?
block D, Ach, histamine, and NE receptors in the brain (the D is r/t psychosis)
What are the side effects of conventional antipsychotics?
acute dystonia, parkinsonism, akathisia, EPS, tardive dyskinesia, NMS, anticholinergic effects, orthostatic hypotension, sedation, seizures, sexual dysfunction, skin effects, agranulocytosis
Acute dystonia is
severe spasm of the tongue, neck, face, and back
akathisia is
inability to sit or stand still
EPS
example is tardive dyskinesia (remember: 'Extra movement, Parkinsonism, Spasms)
Tardive dyskinesia
involuntary movements of the tongue and face, arms, legs, and trunk
NMS is
neuroleptic malignant syndrome - sudden high fever, B/P fluctuations, dysrhythmias, muscle rigidity, changes in LOC, coma
ATYPICAL ANTIPSYCHOTICS
0
Why would atypical antipsychotics be used?
to relieve both positive and negative S/S of psychosis, and because of fewer side effects
Risperidone (Risperdal)
Atypical Antipsychotic
Olanzapine (Zyprexa)
Atypical Antipsychotic
Quetiapine (Seroquel)
Atypical Antipsychotic
Aripiprazole (Abilify)
Atypical Antipsychotic
Ziprasidone (Geodon)
Atypical Antipsychotic
Clozapine (Clozaril)
Atypical Antipsychotic
Risperidone
Risperdal
Olanzapine
Zyprexa
Quetiapine
Seroquel
Aripiprazole
Abilify
Ziprasidone
Geodon
Clozapine
Clozaril
Risperdal
Risperidone
Zyprexa
Olanzapine
Seroquel
Quetiapine
Abilify
Aripiprazole
Geodon
Ziprasidone
Clozaril
Clozapine
What are the side effects of atypical antipsychotics
new onset of DM, weight gain, hypercholesterolemia, orthostatic hypotension, Anticholinergic effects, mild EPS such as tremor
Olanzapine (Zyprexa) is a special risk for
DM, weight gain, and dyslipidemia
Ziprasidone (Geodon) is a special risk for
ECT changes and QT prolongation leading to torsades de pointes
Clozapine (Clozaril) is a special risk for
weight gain, DM, dyslipidemia, and FATAL AGRANULOCYTOSIS!!!