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51 Cards in this Set

  • Front
  • Back

Acute Dystonia

painful, sustained contraction of muscles of head and neck typically, 2 to 5 days after the start of antipsychotics

Affect

Emotions that are manifested through facial expression, tone of voice, and body language

Affective Symptoms

Symptoms involving emotions and their expression

Akasthesia

Regular rhythmic movements usually in the lower limbs with constant pacing sometimes seen; common after taking antipsychotics

Ambivelence

Holding two opposing emotions, attitudes, ideas, or wishes towards someone or something at the same time

Agnosia

"loss of knowledge" referring to a wide range of cognitive losses such as familiar sounds or objects

Anasognosia

Inability for someone to realize they are ill which is caused by the illness itself

Associative Looseness

Disturbance of thinking in which ideas shift from one topic to another in an unrelated manner

Clang Association

meaningless rhyming of words usually in a forceful manner

Cognitive Symptoms

Abnormalities in how a person thinks

Command Hallucinations

Hearing voices that direct a person to take action

Concrete Thinking

Thinking grounded rather than abstractly, over emphasis on specific detail




"What brought you here today?" "My car."

Delusions

A belief thought to be true even with evidence that it is not.

Depersonalization

Sense of unreality or estrangement from the self

Ex: one is dreaming or a limb has changed

Derealization

False perception that environment has changed

Ex: Something may seem bigger or smaller

Echolalia

Repeating of the last words spoken by another

Echopraxia

Imitation of the movements of another

Executive Functioning

Ability to set priorities or make decisions

EPS

Extra Pyramidal Side Effects

s/s seen when taking antipsychotics particularly Phenothiazines (acute dystonia, akathsia, and pseudoparkinsonism)

First Generation Antipsychotics

Typical, Conventional

Originals meds used and treat only positive symptoms

Hallucinations

Seeing, hearing, smelling, tasting or touching something that does not exist

Ideas of Reference

False impression that outside events have special meaning for oneself

Illusions

Errors in the perception of sensory stimulus

Ex: mistaken polka dots on a pillow for spiders

Metabolic Syndrome

Weight gain, dyslipidemia, and altered glucose metabolism caused by atypicals

Negative Symptoms

Absence of something that should be present




Ex: apathy, lack of motivation, anhedonia, poor thought process

Neologisms

Words a person makes up personal for themselves, common with delusional patients

NMS

Neuroleptic Malignant Syndrome results from blockage of dopamine at the basal ganglia and hypothalamus

Muscle rigidity, fever elevated WBC's

Paranoia

Intense and strongly defended suspicions, cannot be corrected by experience or facts

Positive Symptoms

Presence of something that is not normally present

Ex: Hallucinations, delusions, bizarre behavior, paranoia

Pseudoparkinsonism

Medication induced temporary set of symptoms that mimic Parkinson's Disease including tremors, impaired gate, and stiffening of muscles

Reality Testing

Person is able to distinguish internal world (self) from external

Recovery Model

Patient/consumer centered, hopeful and empowering, and emphasizes the person and the future

Second Generation Antipsychotics

Newer set of antipsychotics used to target both positive and negative symptoms

Stereotyped Behaviors

motor pattern that originally had meaning (sweeping, washing) but has become mechanical and lacks purpose

Tardive Dyskinesia

Irreversable side effect of phenos consisting of involuntary tonic muscle spasms involving the tongue, fingers, toes, neck, trunk, or pelvis.

Third Generation Antipsychotics

Newest class that includes Aripiprzole (ambilify) that has the ability to increase or decrease dopamine depending of the condition

SE: insomnia and akathesia

Word Salad

mixture of words meaningless to speaker and listener

Schitzotypal Personality Disorder

Schizophrenia without the hallucinations and illusions, client ma exhibit eccentric and odd behavior, inappropriate emotions, alterations in identity, mistrust and sensitive to others

Delusional Disorder

Experiences non bizarre delusions (things that could realistically happen, being followed or having a disease) functioning is not impaired and there are no other symptoms of psychosis

Brief Psychotic Disorder

Acute onset of psychosis or disorganized catatonic behavior in response to extreme stress, last less than one month and recovers fully

Substance induced Psychotic Disorder

Psychosis induced by drugs of abuse

Psychosis w/ medical condition

Schizoaffective

An episode of major depression, mania, or mixed depression and mania occurs in the presence of sx of schizophrenia

Acute Dystonia

Onset 1-5 days, happens with high potency of medication, treated with benztropine and diphenhydramine IM stat

Akathesia/Akinesia

Onset 5-60 days, happens with high potency of medication, teaching dosage adjustments

Pseudoparkinsonism

Onset 5-30 days, happens with higher potency of medication, treat with Benzotropine and Diphenhydramine IM

Tardive Dyskinesia

Long term, happens with higher potency of medication, irreversible so plan with MD

AIMS test

abnormal involuntary movement scale, used to assess for EPS, early detection of tardive dyskinesia

NMS

Neuroleptic Malignant syndrome, develops after taking first generation antipsychotics, results from an excessive dopamine receptor blockage


-Characteristics include muscle rigidity, hyperprexia, delirium, HTN, Tachy

2nd and 3rd generation s/s

Metabolic Syndrome, weight gain altered glucose metabolism increased BP and HDL, also decreased WBC and greater risk of infection


-Agranulocytosis WBC <3000 ANC <1500