Term
| Two categories of typical anti psychotics |
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Definition
| Neuroleptics and major tranquilizers |
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Term
| Typical antipsychotics decrease _____ symptoms in schizophrenics, like hallucinations, delusions, paranoid thinking |
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Definition
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Term
| Examples of typical antipsychotics |
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Definition
Thorazine
Mellaril
Stelazine (fluphenazine)
Haldol (Haloperidol)
Navane (Thiothixene
Moban (Molindone) |
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Term
| Use typical antipsychotics with caution in those with impaired ____ _____. |
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Definition
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Term
| The anticholinergic side effects of typical antipsychotics include ____ _____, _______ ______, _______ ________, ________ |
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Definition
| dry mouth, blurred vision,urinary retension, constipation |
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Term
| The cardiovascular side effects of typical antipsychotics include: _______ _______, ________ |
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Definition
postural hypotension
tachycardia |
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Term
| he CNS side effects of typical antipsychotics include: _______, _______, lack of ________, __________ |
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Definition
| sedation, drowsiness, lack of alertness, headache |
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Term
| Common side effects of Typical antipsychotics: _______sensetivity, ______ and rash, weight ______, and ________ _________ |
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Definition
| photosensetivity, sunburn and rash, weight gain, and appetite increase |
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Term
| Endocrine side effects of typical antipsychotics |
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Definition
amenorrhea
gynecomastia
anorgasmia in women
erectile dysfunction in men |
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Term
| Drooling, lack of facial responsiveness, , shuffling gait and fine intention tremors are ____________ side effects from ________ _______. This should be treated with ______ drugs such as _________. |
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Definition
| psuedoparkinsonism, typical antipsychotics, treat with antiparkinson (anticholincergic) drugs such as Cogentin. |
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Term
| Motor restlessness, aka ____________, is a side effect of _________ antipsychotics. This should be treated with __________ drugs such as ________ and __________ should be reduced. However, is symptoms persist, _______ ______ vs. _______ |
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Definition
| Akathesia is a side effect of typical antipsychotics. Treat with anitparkinson drugs such as Cogentin. Reduce dose of antipsychotic if symptoms persist. *Weigh risk vs benefit of doing so. |
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Term
| Muscle spasms of the jaw, tongue, neck and eyes can be a side effect of typical antipsychotics. This is known as ______ ______ _________ and it is an _____________ because ___________ __________ is possible*. You should immediately __________ ___ ____ and administer *antidotes: ______________, or ___________ (_________) |
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Definition
| Acute Dystonic Reaction. It is an emergency because laryngeal spasms are possible. Immediately STOP THE DRUG. Antidotes are Diphenhydramine 25-50mgm IM or IV, or Benztropine (Cogentin) 1-2 mhm IV/IM |
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Term
| _______ _________ is a side effect of typical antipsychotics involving involuntary movements of tongue, mouth and face that may extend to the fingers arms and trunk. You should _____ the drug or _____ ___ _____, and ______ __ _______medication. |
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Definition
Tardive Dyskinesia
Stop the drug or decrease the dose, and change to another medication. |
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Term
| The nurse knows that there is no __________ available for Tardive dyskinesia |
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Definition
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Term
| The first symptom of Neuroleptic Malignant Syndrome is _______ __________, . |
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Definition
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Term
| In addition to altered LOC, NMS is characterized by muscular ________, temperature greater than ___, extremes in ____ ______, MI, _______ failure, pulmonary ______, muscle ______, and a massive _________ blockage in the brain. |
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Definition
| muscular rigidity, 102, extremes in vital signs, liver failure, pulmonary edema, muscle destruction, massive dopamine block in the brain, |
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Term
| NMS can develop after _____ _____ or after ______ of taking the medication |
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Definition
| first dose; after years of taking the medication |
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Term
| Treatment for NMS is to ____ ___ _____, _______ and cooling, __________ relaxant drugs, __________ drugs, _________, __________ drugs |
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Definition
| Stop the drug, hydration and cooling, muscle relaxant drugs, dopaminergic drugs, Parlodel, anticholinergic drugs. |
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Term
| _________ aka ________ is another serious side effect of typical antipsychotics. You should stop the drug and put the patient on _______ ______ for client safety. |
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Definition
| Agranulocytosis aka luekopenia. Stop the drug and put the patient on reverse isolation. |
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Term
| When typical antipsychotics are taken in conjunction with antihistamines, anti_________, and anti_________ meds, the ________effects of the antipsychotics is increased |
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Definition
| antihistamines, antidepressents, and antiparkinsonian drugs, the anticholinergic effects of the antipsychotic are increased |
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Term
| When antipsychotics are taken in conjunction with _____-blockers, ______ ______-blockers, or ________, there are increased ________ effects of the antipsychotics |
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Definition
| Increased hypotensive effects |
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Term
| ________ and _______ interfere with the theraputic effects of _____ _______. The patient should have no more than __ __________/ day and _ ___ __ ________/day. |
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Definition
Caffeine and nicotine interfere with typical antipsychotics.
No more than 10 cigarettes and 2 cups of coffee a day. |
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Term
| What are the advantages of Atypical antipsychotics? The disadvantages? |
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Definition
| Atypical antipsychotics treat NEGATIVE AND POSITIVE symptoms. It causes less EPS effects, NO tardive dyskinesia, and has no effect on dopamine in striatal areas . Disadvantages are associated with costs. Also, although side effects are less common, they are more severe when they do occur. |
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Term
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Definition
| (Clozapine) atypical antipsychotic for schizophrenia |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| _-_% incidence of agranulocytosis when taking ________ |
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Definition
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Term
| One serious side effect of Atypical antipsychotics is ______ |
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Definition
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Term
| Milieu management should be manipulated in structure so that all aspects are focused to....? |
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Definition
| Get the patient to engage in group treatment and create trust. |
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Term
| What is the goal of long term hospitalization? |
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Definition
| Stabilize the patient and transfer to less restrictive setting. |
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Term
| What 3 types of day treatment programs did we learn about? |
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Definition
| Group therapy, supportive therapy, psychosocial rehabilitation |
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Term
| Group therapy provides ____ _____ training, _______ management, as well as ________ and ________. |
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Definition
| Social skills training, medication management, as well as socialization and recreation. |
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Term
| Psycho-educational programs and outreach services are available in _______ ________. |
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Definition
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Term
| ______ ________ emphasizes development skills, successful living, learning and working in the community |
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Definition
| Psychosocial rehabilitation |
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Term
| Patients thrive when the feel ________ in society again. |
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Definition
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Term
| It is important that goals are ________ and initially may have to be _________. |
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Definition
| realistic, may have to be limited. |
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