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36 Cards in this Set
- Front
- Back
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BLEULER'S FOUR A'S
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AMBIVALENCE
ASSOCIATIVE DISTURBANCE AUTISM AFFECTIVE DISTURBANCE |
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GIVE AN EXAMPLE OF AMBIVILANCE (BLEULER'S FOUR A'S)
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I LOVE MY MOTHER, I WISH SHE WOULD DROP DEAD (AMBIVALENT FEELINGS ARE PRESENT IN ALL RELATIONSHIPS, BUT IT IS GREATLY EXAGGERATED IN THE SCHIZOFRENIC)
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GIVE AN EXAMPLE OF ASSOCIATIVE DISTURBANCE (B'S 4 A'S)
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THE BUS ALMOST RAN ME OVER; IT WAS SO COLD. THE KITCHEN TABLE FELT WARM AND PAIN FOR MY SORROW WHEN HE RETURNED
ONE THOUGHT LEADS TO ANOTHER WITHOUT A LOGICAL PROGRESSION. |
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GIVE AN EXAMPLE OF AUTISM (B'S 4 A'S)
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"THE BLUEDIZ IS COMING, "WHOSE FURLINK IS THIS"
RETREAT INTO FANTASY USE OF SYMBOLISM |
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GIVE AN EXAMPLE OF AFFECTIVE DISTURBANCE (B'S 4 A'S)
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"I CAME TO THE HOSPITAL BECAUSE MY BEST FRIEND DIED." (THE PATIENT IS LAUGHING)
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DESCRIBE A FLAT AFFECT
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NO CLUE AS TO WHETHER PATIENT IS MAD, GLAD, OR DEPRESSED
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DESCRIBE A BLUNTED AFFECT
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AN EXTREME DECREASE IN THE INTENSITY OF A PATIENT'S RESPONSE
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WHAT IS THE MOST COMMON AFFECT FOR THE SCHIZOFRENIC PATIIENT
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SCARED
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NEGATIVE SYMPTOMS OF SCHIZOPHRENIA
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ABSENCE OF BEHAVIOR NORMALLY EXPECTED. REFLECT A DECREASE OR LOSS OF NORMAL FUNCTION SUCH AS ADL'S
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POSTIVE SYMPTOMS OF SCHIZOPHRENIA
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PRESENCE OF UNUSUAL BEHAVIOR; REFLECTS AN EXCESS OR DISTORTION OF NORMAL FUNCTIONS
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EXAMPLES OF POSITIVE SYMPTOMS OF SCHIZOFRENIA
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HALLUCINATIONS
DELUSIONS DISORGANIZED THINKING/SPEECH DISORGANIZED BEHAVIOR |
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EXAMPLES OF NEGATIVE SYMPTOMS OF SCHIZOFRENIA
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AFFECTIVE FLATTENING
ALOGIA (POVERTY OF SPPECH) AVOLITION/APATHY ANHEDONIA (LACK OF PLEASURE) SOCIAL ISOLATION |
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TRADITIONAL ANTIPSYCHOTIC DRUGS INCLUDE WHAT?
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PHENOTHIAZINES - ALL HAVE THE SUFFIX "ZINE"
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ATYPICAL ANTIPSYCHOTIC DRUGS INCLUDE WHAT?
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CLOZARIL (CLOZAPINE)
RISPERDAL (RESPERIDONE) ZYPREXA (OLANZAPINE) SEROQUEL (QUETIAPINE) |
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WHY SHOULD CARE BE TAKEN WHEN ADMINISTERING ANTIPSYCHOTICS TO A PATIENT WITH A POTENTIAL FOR SEIZURES?
WHICH 2 DRUGS IN PARTICULAR SHOULD BE USED WITH THE MOST CAUTION? |
ANTIPSYCHOTICS CAN LOWER THE SEIZURE THRESHOLD
INCREASE IN SEIZURE-CONTROLLING MEDS. MAY BE NECESSARY |
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WHAT EFFECT DO ANTACIDS HAVE ON ANTIPSYCHOTIC DRUGS.
WHAT INSTRUCTIONS NEED TO BE PROVIDED TO PATIENT IN NEED OF ANTACID. |
ANTACIDS DECREASE ABSORPTION OF DRUGS.
INSTRUCT PT TO TAKE ANTACID ONE HOUR BEFORE OR 2 HOURS AFTER TAKING DRUG |
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WHAT EFFECT DOES ALCOHOL HAVE ON ANTIPSYCHOTICS
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ALCOHOL INCREASES THE POTENCY AND PROLONGS THE EFFECTS OF ANTIPSYCHOTICS
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WHAT EFFECTS DO CAFFIENE AND NICOTINE HAVE ON ANTIPSYCHOTICS
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DAILY INTAKE OVER 250 MG OF CAFFEINE DECREASES EFFECT.
10-20 CIGS DECREASES EFFECT. |
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INDICATIONS FOR ANTIPSYCHOTICS
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ACUTE AND CHRONIC PSYCHOSES, PARTICULARLY WHEN ACCOPANIED BY PSYCHOMOTOR ACTIVITY
ANTIEMETICS INTRACTABLE HICCOUGHS CONTROL OF TICS AND VOCAL UTTERANCES SUCH AS TOURETTE'S |
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WHAT ANTIPSYCHOTICS ARE USED AS ANTIEMETICS
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CHLORPROMAZINE
PERPHENAZINE PROCHORPERAZINE |
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WHAT ANTIPSYCHOTICS ARE USED FOR THE TX OF HICCOUGHS
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CHLORPROMAZINE
PERPHENAZINE |
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WHAT ANTIPSYCHOTICS ARE USED FOR THE TX OF TOURETTE'S
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HALOPERIDOL
PIMOZIDE |
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CONTRAINDICATIONS/PRECAUTIONS FOR ANTIPSYCHOTICS
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HYPERSENSITIVITY
CNS DEPRESSION BLOOD DISEASE PARKINSON'S DISEASE LIVER, RENAL, CARDIAC INSUFFICIENCY ELDERLY, SEVERELY ILL, DEBILITATED, AND DIABETIC CLIENTS RESPIRATORY INSUFFICIENCY PROSTATIC HYPERTROPHY INTESTINAL OBSTRUCTION LOWERS SEIZURE THRESHOLD AVOID EXTREME TEMPS. SAFETY IN PREG. NOT ESTABLISHED PHENOTHIAZINES SHOULD NOT BE GIVEN TO PT. WITH HIST. OF NARROW-ANGLE GLAUCOMA USE WITH EXTREME CAUTION IN THOSE WITH PARKINSONS |
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EXTRAPYRAMIDAL SIDE EFFECTS (EPS) - DEFINITON
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SIDE EFFECTS THAT DEVELOP AS A RESULT OF TAKING ANTIPSYCHOTICS.
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THERE ARE 5 EPS THAT PEOPLE DEVELOP AS A RESULT OF TAKING ANTIPSYCHOTICS. LIST THEM IN ORDER FROM LEAST TO MOST SERIOUS
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AKATHISIA
PARKINSONISM DYSTONIAS TARDIVE DYSKINESIA NEUROLEPTIC MALIGNANT SYNDROME |
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AKATHISIA
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CONTINUOUS RESTLESSNESS AND FIDGETING. MAY OCCUR 50-60 DAYS AFTER INITIATION OF THERAPY
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PARKINSONISM
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TREMOR
SHUFFLING GAIT DROOLING RIGIDITY SYMPTOMS MAY APPEAR 1-5 DAYS FOLLOWING INITIATION OF THERAPY |
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DYSTONIAS
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INVOLUNTARY MUSCULAR MOVEMENTS (SPASMS) OF TH FACE, ARMS, LEGS, AND NECK
OCCURS MOST OFTEN IN MEN AND IN PEOPLE UNDER 25. |
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TARDIVE DYSKINESIA
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BIZARRE FACIAL AND TONGUE MOVEMENTS
STIFF NECK DIFICULTY SWALLOWING SYMPTOMS ARE POTENTIALLY IRREVERSABLE |
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NEUROLEPTIC MALIGNANT SYNDROME (NMS)
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EXTREME MEDICAL EMERGENCY
SEVERE PARKINSONIAN MUSCLE RIGIDITY HYPERPYREXIA (UP TO 107 F) TACHYCARDIA TACHYPNEA FLUCTUATIONS IN BP DIAPHORESIS RAPID DETERIORATION OF MENTAL STATUS TO STUPOR AND COMA |
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WHAT IS THE TREATMENT FOR A PATIENT EXPERIENCING AKATHISIA
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ADMINISTER AN ANTICHOLINERGIC SUCH AS:
COGENTIN ARTANE BENADRYL KEMADRIN |
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TREATMENT FOR PT. EXPERIENCING PARKINSONISM
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ADMINISTER ANTICHOLINERGICS
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TX. FOR PT. EXPERIENCING DYSTONIAS
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IM OR IV ANTICHOLINERGICS
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TX. FOR PT. EXPERIENCING TARDIVE DYSKINESIA
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STOP MED IMMEDIATELY
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TX. FOR PT. EXPERIENCING NEUROPLEPTIC MALIGNANT SYNDROME (NMS)
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D/C DRUG
MONITOR VITALS MONITOR DEGREE OF MUSCLE RIGIDITY MONITOR I & O MONITOR LOC PERLODEL OR DANTRIUM MAY BE ORDERED TO COUNTERACT EFFECTS |
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WHAT ARE DECANOATE INJECTIONS? WHAT IS THE RISK ASSOCIATED WITH THEIR USE?
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EXTENDED RELEASE ANTIPSYCHOTICS .
INCREASED RISK OF NMS |
