Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
22 Cards in this Set
- Front
- Back
|
hallucinations, delusions, disorganized speech, bizarre behavior
|
positive
|
|
|
blunted affect, poverty of thought (alogia), loss of motivation (avolition) inability to experience pleasure or joy (anhedonia).
|
negative
|
|
|
sun sensitivity, highest sedative and hypotensive effects, may cause irreversible retinitis pigmentosa at 800 mg/day
|
thorazine
|
|
|
Has low sedative properties: is used in large doses for assaultive clients to avoid the severe side effects of hypotension. Appropriate for elderly to avoid hypotension and falls. High incidence of EPS:
|
haldol
|
|
|
high incidence of akathisia (motor innerdriven restlessness. Tapping foot incessantly, rocking back and forth in chair, shifting weight from side to side. )
|
navane
|
|
|
among the least sedating, high incidence for EPS
|
prolixin
|
|
|
5hrs-30days later, masklike face, stiff and stooped posture, shuffling gait, drooling, tremor, “pill-rolling”
alert staff, give trihexyphenil (artane) or benztropine (congentin). |
EPS: pseudoparkisoniasm
|
|
|
1-5 days. Acute contractions of tongue face, neck and back (tongue and jaw first) such as Opisthonos: titanic heightening of entire body, head and belly up. Oculogyric crisis: eyes locked backward. Give Benadryl (first choice) relief occurs in minutes. Second choice benztropine (congentin). Experinece is very frightening, take client to quiet area and stay with them until medicated
|
EPS: Acute dystonic reactions
|
|
|
2hours-60 days motor innerdriven restlessness. Tapping foot incessantly, rocking back and forth in chair, shifting weight from side to side. Physician may change antipsychotic, or give antiparkinsonian agent, such as Inderal, ativan, valium.
|
EPS: Akathisia
|
|
|
months to years. Sticking out and rolling tongue, blowing, smacking, licking, spastic facial distortion, smacking mvmnts. CHOREIC-Rapid, purposeless irregular mvmts. ATHETOID- slow, complex and serpentine mvmts. TRUNK- neck and shoulder mvmts, dramtic hip jerks and rocking, twisting pelvic thrusts.
No known treatment, d/c drug does not always relieve symptoms. If you take these drugs for more than two yrs, you may develop this. Should encourage clients to be screened for tardive dyskinesia q3months |
EPS: Tardive dyskinesia
|
|
|
signin weight gain, drowsiness, insomnia, agitation and restlessness, possibly akathisia or parkinsonism.
|
Olanzanine/zyprexa atypical
|
|
|
Risperdal/Risperidone: atypical
|
hypotension, insomnia, sedations, rare nms, td. Sex dysfunction and weight gain.
|
|
|
new class of aap, lil or no weight gain or increase in glucose, HDL, LDL, or triglyceride levels.
|
Abilify/aripripazole: atypical
|
|
|
, blood work q1week fo 6mths, if positive, d/c drug and reverse isolation may be initiated.
|
agranulocytosis
|
|
|
and stop drug, transfer to E.R., GIVE Dnatrolene (Dantrium) msy reduce muscle spasms. Cool body to reduce fever, hydrate iv fluids, small doses of heparin
anticholinergic toxicity MS, and |
NMS tx
|
|
|
Severe EPS, severe muscle rigigdity, oculogyric crisis, dysphasia, flexor-extensor posturing, cogwheeling
Hyperpyrexia, hypertension, tachycardia, diaphoresis, incontinence |
NMS
|
|
|
Abnormal motor behavior, motor agitation/retardation. Psoturing, waxy flexibility, stereotyped behavior, extreme negativism, automatic disobedience, echolaloa, echpraxia. Comatose, mute. Physycal needs take priority, hand fed or tube fed, check for urinary and bowel retention, incontinence may cause skin breakdown, ROM to prevent muscular atrophy, calcium depletion, and contractures
|
schizophrenic catatonic withdrawn phase
|
|
|
Talks or shouts, verbalization may be incoherent. Nurse needs to be clear and direct, and reflect concern for the safety of the client and others. Standard antipsychotic IM, fluids, rest, calories. Aggressive and destructive to others in response to hallucinations.
|
schizophrenic catatonic excited phase
|
|
|
Mood elevation takes 7-28 days, 6-8 weeks for full effect. Ongoing reassurance, reinforce the drug effects. Reassure the client that dizziness, and hypotension subside after the first few weeks. Careful with machinery, alcohol blocks the effst of antidepressants. Take at bedtime, not double dose if forget, just take within 3 hours of forgotten time, if not just take again at usual time. Suddenly stopping can cause nausea, altered heartbeat, nightmares, and cold sweats in 2-4 days
|
patient teaching w/ TCA's
|
|
|
May cause sexual dysfunction, insomnia, anxiety, nervousness (inform nurse or dr) Should not be taken within 14 days of last dose of MAOI. Notify dr for OTC meds! Avoid alcohol, n,v,d, dry mouth, fatigue, do not abruptly stop! Notify dr if INCREASE in suicidal thoughts, rash or hives, rapid HR, sore throat, difficulty unrinating, fever, anorexia.
|
patient teaching with ssri's
|
|
|
For tardive dyskinesia, examine facial and oral mvmts, extremity mvmts, and trunk movement.
|
AIMS scale
|
|
|
These foods are Avocados, fids, bananas, dry meats, sausages, dired fish, imported beer, chocolate, fava beans, ginseng, caffeine
|
maois. avoid tyramine
|
