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24 Cards in this Set

  • Front
  • Back
marklike face
stiff and stoopped posture
pseudoparkinsonism
drooling
tremor
pseudoparkinsonism
onset 5 hours to 30 days
pseudoparkinsonism
treatment for pseudoparkinsonism:
administer antiparkinsonism agent (Benztropine)

provide towel to wipe excess drool
contractions of the tongue, face, neck, back
acute dystonia
heightening of the entire body, head and belly up
acute dystonia
eyes locked upward
actue dystonia
treatment for acute dystonia:
administere antiparkinsonan agent (Benztropine)

Benadryl IV (antihistamine)
inner driven restlessness
akathisia
tapping foot
rocking forward and backward in chair
akathisia
shifting weight from side to side
akathisia
onset: 2 hours to 60 days
akathisia
treatment for akathisia
consult doc about medication change

give antiparkinsonian agent (Benztropine)

disappears when neuroleptic is continued

benzos can be used
protruding and rolling of tongue

blowing
tardive dyskinesia
smacking
licking
spastic facial distortion
tardive dyskinesia
twisting pelvic thrusts
irregular movements
hip jerks
tardive dyskinesia
onset is months to years
tardive dyskinesia
treatment for tardive dyskinesia
no known treatment
-discontinuning the drug rarely relives symptoms
-warning of pts who take these drugs for longer than 2 years
-every 3 months should be screened
agranulocytosis
symptoms are:
fever
sore throat
malaise
mouth sores
agranulocytosis
-onset:
-fast or slow?
during the first 12 weeks of therapy,



occurs suddenly
agranulocytosis
-treatment:
blood work done every week for 6 months and then every 2 months

blood work to determine presence of leukopenia or agranulocytosis, if positive, stop drug
neuroleptic malignant syndrome
-symptoms
muscle rigidity
hyperpyrexia (above 103)
hypertension, tachy
dyaphoresis
incontinence
neuroleptic malignant syndrome
-onset:
variable, progresses rapidly over 2-3 days
neuroleptic malignant syndrome
-treatment
life threatenning emergency:
STOP neuroleptic
-cool body to reduce fever
-maintain hydration (oral and IV) to correct electrolyte imbalance
-early detection increases pts chance of survival