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5) CH 27 Antipsychotics
pharmacology fscj 2011
27
Nursing
Undergraduate 3
11/27/2011

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Cards

Term
losing contact with reality
Definition
Psychosis
Term
symptoms of schizophrenia can be divided into which 2 groups
Definition
positive and negative symptoms
Term
Positive symptoms may be characterized by
Definition
exaggeration of normal function (e.g., agitation), incoherent speech, hallucinations, delusions, and paranoia.
Term
Negative symptoms are characterized by
Definition
a decrease or loss in function and motivation.
Term
which group of anti-psychotics is more helpful for managing positive symptoms
Definition
typical/traditional
Term
which group of anti-psychotics is more helpful for managing both positive and negative symptoms
Definition
atypical
Term
2 groups of anti psychotics
Definition
typical/traditional, atypical
Term
When dopamine is blocked by antipsychotic medicine use, what reaction may take place?
Definition
extrapyramidal symptoms (EPS)/extrapyramidal reactions of parkinsonism ....such as tremors, masklike facies, rigidity, and shuffling gait may develop
Term
extrapyramidal symptoms (EPS)/extrapyramidal reactions of parkinsonism symptoms
Definition
remors, masklike facies, rigidity, and shuffling gait
Term
e typical antipsychotics categorys
Definition
phenothiazines and nonphenothiazines.
Term
phenothiazines block __________ causing sedative and hypotensive effects early in treatment.
Definition
norepinephrine
Term
Atypical antipsychotics example
Definition
Clozapine
Term
atypical antipsychotics are useful in treating what?
Definition
schizophrenia
Term
Two advantages of the atypical agents are that
Definition
(1) they are effective in treating negative symptoms, and (2) they are not likely to cause EPS or tardive dyskinesia.
Term
Benzodiazepines have multiple uses as
Definition
anticonvulsants, sedative-hypnotics, preoperative drugs, and anxiolytics.
Term
The side effects associated with benzodiazepines are
Definition
sedation, dizziness, headaches, dry mouth, blurred vision, rare urinary incontinence, and constipation
Term
1. The nurse realizes that facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face are indicative of which condition?

a. Akathisia

b. Acute dystonia

c. Tardive dyskinesia

d. Pseudoparkinsonism
Definition
b
Term
2. The nurse understands that antipsychotics act in which way?

a. By blocking actions of dopamine

b. By blocking actions of epinephrine

c. By promoting prostaglandin synthesis

d. By enhancing the action of gamma-aminobutyric acid
Definition
A
Term
3. An antipsychotic agent, fluphenazine (Prolixin), is ordered for a client with psychosis. The nurse knows that this agent can lead to extrapyramidal symptoms (EPS) that may be treated with which medication?

a. quetiapine (Seroquel)

b. aripiprazole (Abilify)

c. benztropine (Cogentin)

d. chlorpromazine (Thorazine)
Definition
C
Term
7. A client appears to have had an overdose of phenothiazines. The nurse is aware that the potential treatment for phenothiazine overdose includes which intervention(s)? (Select all that apply.)

a. Gastric lavage

b. Adequate hydration

c. Maintaining an airway

d. fluphenazine (Prolixin)

e. risperidone (Risperdal)

f. Activated charcoal administration
Definition
A, B, C, F
Term
Restoril is which class of drug
Definition
BENZODIAZEPINES
Term
Barbiturates are classified as
Definition
long-acting, intermediate-acting, short-acting, and ultrashort-acting.
Term
• The long-acting barbiturate group is used for..
Definition
seizures and epilepsy
Term
intermediate acting barbiturates are used for
Definition
maintaining long periods of sleep
Term
short acting barbiturates are used for
Definition
inducing sleep quickly
Term
ultrashort acting barbiturates are used for
Definition
general anesthetic
Term
Benzodiazepines have less drug interactions and side effects than _______, thus have become the traquilizer of choice
Definition
barbiturates
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