Shared Flashcard Set

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Ch.11 Study guide
Psychoses
20
Medical
Professional
11/14/2012

Additional Medical Flashcards

 


 

Cards

Term
Symptoms of psychosis
Definition

Delusions(strong beliefs in something that is false or not based on reality)

Hallucinations(seeing, hearing, or feeling someting that isn't there)

Illusions(distorted or misleading perceptions of something that is actually real)

Disorganized behavior(like dressing in clothing that is inappropriate for the weather)

Difficulty relating to others(become withdrawn from others)

Paranoia(extreme suspicion that they are being followed)

Term
Causes of psychosis
Definition
Brain damage, overdoses of certain medications, extreme depression, chronic alcoholism, or drug addiction. Genetic factors are known to play a role in some psychoses.
Term
Positive symptoms of SCH
Definition

Hallucinations, delusions, or paranoia

Strange behavior, such as talking in rambling statements or making up words

Strange or irrational actions

Changes from stupor to extreme hyperactivity

Term
Negative symptoms of SCH
Definition

Attitude of indifference toward or detachment from life activities

Neglect of personal hygiene, job, and school

Noticeable withdrawal from social activities and relationships

Changes from extreme hyperactivity to stupor

Term
What group of antipsychtics is used to treat both necative and positive symptoms
Definition

Atypical Antipsychotics

aripirazole (Abilify)

clozapine (Clozaril)

olanzapine (Zyprexa)

quetiapine fumarate (Seroquel)

risperidone (Risperdal, Risperdal Consta)

ziprasidone (Geodon)

Term
Dopamine and genetic component roles in schizophrenia
Definition

Genetic component to SCH-many patients suffering from it have family members who have been afflicted with the same disorder

 

Dopamine component to SCH- overactive dopaminergic pathways found in the basal nuclei, an area of the brain that controls motor activity. Its responsible for starting and stopping synchronized motor activity which seems to be associated with dopamine receptors.

Term
The primary goals of pharmacotherapy for schizophrenic patients is to.....
Definition
Reduce phychotic symptoms to a level that allows the patient to maintain normal social relationships, including self-care and keeping a job.
Term
Extrapyramidal adverse effects (time of onset)
Definition
Twitching, loss of sexual function, agitation, distrust, and extreme frustration
Term
Anticholinergic adverse effects
Definition
Dry mouth, tachycardia, blurred vision
Term
What group of antipsychotics has less EPS:
Definition

Atypical anticholinergic

clozapine(Clozaril)

Term
Symptoms of increased level of prolactin in a female patient
Definition
Menstrual disorders, decreased libido, and osteoporosis
Term
Administration of Haldol in an elderly patient (dose?)
Definition
Extrapyramidal effects may be common, incidence of sedation and anticholinergic effects is less
Term
clozapine (Clozaril) What is a unique adverse effect?
Definition

Myocarditis

Weight gain

Diabetes

Term
Teatment for acute dystonia
Definition
benztropine (Cogentin)
Term
How long an IM dose of risperidone (Risperdal) lasts?
Definition
4-6 weeks
Term
chlorpromazine (Thorazin)
Definition

Dizziness, drowsiness, and orthostatic hypotension

EPS in elderly, women, and pediatric patients

Neuroleptic melignant syndrome may occur 

Term
Which class of antipsychotic drugs can cause diabetes type 2?
Definition
risperidone (Risperdal, Risperdal Consta)
Term
Neuroleptic Malignant Syndrome
Definition
High fever, confusion, muscle rigidity, and elecated serum creatine kinase levels; can be fatal
Term
Parkinson disease vs schizophrenia (in terms of dopamine level)
Definition
Parkinson's disease has to do with a deficit in dopamine and Schizophrenia has to do with excess of dopamine
Term
DDS: aripiprozole (Abilify)
Definition
Loss of glycemic control in patients with diabetes
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