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24 Cards in this Set
- Front
- Back
marklike face
stiff and stoopped posture |
pseudoparkinsonism
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drooling
tremor |
pseudoparkinsonism
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onset 5 hours to 30 days
|
pseudoparkinsonism
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treatment for pseudoparkinsonism:
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administer antiparkinsonism agent (Benztropine)
provide towel to wipe excess drool |
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contractions of the tongue, face, neck, back
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acute dystonia
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heightening of the entire body, head and belly up
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acute dystonia
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eyes locked upward
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actue dystonia
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treatment for acute dystonia:
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administere antiparkinsonan agent (Benztropine)
Benadryl IV (antihistamine) |
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inner driven restlessness
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akathisia
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tapping foot
rocking forward and backward in chair |
akathisia
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shifting weight from side to side
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akathisia
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onset: 2 hours to 60 days
|
akathisia
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treatment for akathisia
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consult doc about medication change
give antiparkinsonian agent (Benztropine) disappears when neuroleptic is continued benzos can be used |
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protruding and rolling of tongue
blowing |
tardive dyskinesia
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smacking
licking spastic facial distortion |
tardive dyskinesia
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twisting pelvic thrusts
irregular movements hip jerks |
tardive dyskinesia
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onset is months to years
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tardive dyskinesia
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treatment for tardive dyskinesia
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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 |
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agranulocytosis
symptoms are: |
fever
sore throat malaise mouth sores |
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agranulocytosis
-onset: -fast or slow? |
during the first 12 weeks of therapy,
occurs suddenly |
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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 |
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neuroleptic malignant syndrome
-onset: |
variable, progresses rapidly over 2-3 days
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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 |