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30 Cards in this Set
- Front
- Back
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Neurosis
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-emotionally distressing symptoms
-an unwelcome psychological state -reasonably good reality testing -behavior within social nors |
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psychosis
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-profound disturbances in
-relaity testing -thought content and or process -emotion(anxiety,depression) |
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Causitive factors for psychosis
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-heredity
-neuroanatomy -neurophys |
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Neuroantomical changes
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-cerebral abnormalities including:
--enlargement of ventricles --decreased volume --increased atrophy --increased CSF |
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Neurophys changes
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-low blood flow and glucose metabolsim in the frontal lobe.
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Criteria for schizo
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A.at least 2 of the following
-delusions -hallucinations -disorganized speech -grossly disorganized or catatonic behavior -negative symptoms B. SOcial.occupational dysfunction C. Duration at least 6 months D. Schizoeffective or modd disorders are not responsible for s/s E. Not caused by substance abuse or general medical disorders |
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Gustation
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-hallucination of taste
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Schizo
Positive symptoms |
-Symptoms are an enhancement of normal thoughts and perceptions
-ie hallucinations, delusions, bizaare behavior -related to dopamine in the brain -usucally develop over a short time |
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Schizo
Negative symptoms |
-Absence of what should be present
--poverty of speech --affective flattening --anhedonia --attentional impairment --asocial behaviour --anergia -related to brain structure and blood flow |
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Paranoid schizo
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-preoccupation with AH or delusions
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disorganized shizo.
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-speech
-behavior -affect |
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catatonic schizo
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-motor,verbal changes
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undifferentiaed schizo
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other subtypes criteria un met
(fewer + symptoms) |
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residual schizo.
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-characteristic symptoms no longer present
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Schizo
S/s |
-alteration in personal relationships
- alterations of activity -altered perceptions -alterations of thought -altered consiousness -alterations of affect -pts with + s/s have a better prognosis |
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Schizo
Bioloby |
-dopamine hypothesis(> dopamine = + symptoms)
-brain structure and phyiology -brain function -genetics -other |
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Schizo
Non biological theorires |
-developmental
-family -vulnerabilty stress model |
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Schizo
Course and prognosis |
-positive and negative symptoms
-depression and scuicide risk -physical illness risk-ETOH and drug abuse -High vs low emotioanl expressiveness(low is better -stress -relapse cycles -medication compliance |
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Schizophreniform disorder
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< 6 months
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Schizoaffective disorder
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pt has mood disorder s/s primarliy and ahve schizo dx or both
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Schizo
Nursing care |
-stay calm and matter of fact
-focus on the person -accept the pt -build trust -never decive to get pt to take medications -watch out for cheeking meds -oriet frequently |
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atypicals
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may cause increased blood sugar and prolactin levels
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clozapine
warning |
-may cause a granulocytosis, needs frequnt blood draws
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antipsychotics
general side effects |
-nausea, GI upset
-skin rash -sedation -orthostatic hypotension -photosensitivity -hormonal effects |
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Anticholinergic effect
typicals (low potetncy) |
-dry mouth
-blurred vision -constipation-urinary retention -tachycardia -decreased sweating -elevated temp -paralytic ileuas |
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CNS effect
high potency typicals |
pseudoparkinsonism
-akinesia -akathesia -dystonias -oculogyric crisis(eyes roll back) |
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Sid effecrs
atipical |
-hyperglycemia and diabetes
-ekg changes -reduction of sezure threshold -agranulocytosis -hypersalivation |
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Be on the alert for
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-tardive dyskensia
-neuroleptic malignancy(increased temp, muscle rigidity,notrelated to dose) |
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antiparkinsonism agents
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-restoring the balance between acetocholine nad dopamine
-treats EPS's |
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Schizo
pt and family teaching |
-understanding dx and symptoms
-dealing with symptoms of illness -medication use -dealing with side effects of meds -stres management coping skills -understanding of d/c plan -using outpt and tx resourse -low ee living -social skills,adls |
