Term
It is important to not that certian antiemetics such as _ may also cause dystonic reactions |
|
Definition
promethazine, prochlorperazine |
|
|
Term
after _ of treatment with _ the parkinsonia syndrom may occur |
|
Definition
1 to 2 wks, antipsychotic medication |
|
|
Term
parkinosnian syndrome consists of |
|
Definition
masklike face, rigid postur, shuffling gait and resting tremor |
|
|
Term
other extrapyramidal syndromes that may occur in treatemtn are _ |
|
Definition
|
|
Term
a reversible restlessness manifested as an urge to pace and difficulty sitting still |
|
Definition
|
|
Term
usually an irreversible syndorm that may occur after prolonged use of antipsychotic drug therapy |
|
Definition
|
|
Term
tardiv dyskinesia consists of persistent involutary movements of the _ that lead to grimacing jerky movements of the _ |
|
Definition
p mvoments of the face, jaw and tongue upper extremities and otnic contractions of the neck and back |
|
|
Term
treatment of tardiv dyskinesia includes |
|
Definition
dicontinuing the causative agent, sympomts usually continue |
|
|
Term
_ occurs in 1% of certain people receiving antipsychotic agents and certain antiemetics such as _ |
|
Definition
neuroleptic malignant syndrome, prochlorperazine |
|
|
Term
the first sympomt fo neuroleptic malignant syndrom is usually |
|
Definition
muscular rigidy accopmained by akinesia and respiratory distress and may include involuntary muscle movments |
|
|
Term
the cardinal sign of neruoleptic malignant syndrom is hyperthermia with a temp usually |
|
Definition
|
|
Term
neuroleptic malignant syndrome is a medical emergency that requires immediate intervention and intesive care because it may result in |
|
Definition
permanent impairment or even death |
|
|
Term
one antipsychotic drug tha tpresents risk for blood siorder kononw as agranulocytosis |
|
Definition
|
|
Term
an extreme decrese in granulated white blood cels whcih freqently manifests as a sore throat and fever |
|
Definition
|
|
Term
patients receiving clozapin requrie close superviosion and frequent _ counts |
|
Definition
|
|
Term
if the patient taking clozpine experiences _ the medication must be held and the physician must be notified at once |
|
Definition
sore throat, fever and flulike sympomts |
|
|
Term
after a period of time paitents taking FGAs almost always experience EPS such as |
|
Definition
akathisia and pseudoparakinsonism |
|
|
Term
_ have been associated with the use of SGA's |
|
Definition
weight gain, hyperglycemia and onset of type 2 diabetes |
|
|
Term
apppearance of the patient with schizophrenia |
|
Definition
may have porr grooming and failure to bathe |
|
|
Term
activity of the patient with schixophrenia |
|
Definition
agitation, bizarre postures, catatonic excitement or stupor, mannerisms or sterotypes or stiff body movements |
|
|
Term
modo and affect of pt with schizophrenia |
|
Definition
may have flat affect or inappropriat rage or happiness |
|
|
Term
speech and language of pt with schizophrenia |
|
Definition
mutism, tagential speech, blocking or loos associations |
|
|
Term
thought content of pt with shcizophrenia |
|
Definition
delusions that may be percusatory, grandiose, religious or somatic |
|
|
Term
perceptual distrubances of the pt with schizphrenia |
|
Definition
auditory hallucinations, and visual hallucinations |
|
|
Term
insight and judgment of pt with schizophrenia |
|
Definition
usually little insight inot illness |
|
|
Term
sensorium of pt with schizophrenia |
|
Definition
oriented to person place and time |
|
|
Term
memory of pt with schizophrenia |
|
Definition
|
|
Term
nursing interventsions for impaired cognition r/t schizophrenia |
|
Definition
speaking in a gentle/nonconfrontational manner, decreasing unwanted enviromental stimulie, focusing on reality, letting the pt know that you don't share delusion withot directly confronting the delusion, encoruaging the pt to express feelings and anxiety, connecting delusions with anxiety provking situations |
|
|
Term
interventsion fro altered personal identity r/t schizophrenia |
|
Definition
making brief frequent contacts with the pt, encouraging the patient to pay attention to what is occuring in the environtment in quiet activities and infroming patients that hallucinations are part of the disease process |
|
|
Term
interventions for the inability to communicate effectively r/t schizophrenia |
|
Definition
seeking clarificaiton and verbalizing the implied, provide regular ocntact with the patient and usue gnetl encouragement, understanding that the patient's thinking may be slowed |
|
|
Term
has similar features to schizophrenia with the additional sympoms of major mood disorder thorughout the illness |
|
Definition
|
|
Term
and individual wiht schizoaffectiv disorder may have |
|
Definition
imparied occupational funcitoning, restricted social contact and difficulties with self care, but negaitve sympoms are usually less sever and persistent than in schizophrenia |
|
|
Term
stress is also re/t to the onset of |
|
Definition
major depressive disorder |
|
|
Term
the diagnosis of major depressive disorder is made by the presence of a depressed mood most of the day most days of the week which persists for more than _ and is accompanied by such symptoms as |
|
Definition
2 wks appetite distrubance, wieght loss or weight gain, problems with initiating sleep, remaingin asllep or waking too early in the mornign, loss of interest in activities that used to bring pleasure or joy, loss of energy, fatigu, impairedment in attention and concentration and sometimes suicidal ideation |
|
|
Term
in its' most sever fomr major depression can also include |
|
Definition
|
|
Term
people with _ experience significantly elevated or depressed moods |
|
Definition
|
|
Term
marked by experiencing cycles of elevated modo and depressed mood |
|
Definition
|
|
Term
to qualify for the diagnosis of a bipolar diorder, an individual must hav ehad at least one episode of a _ and then an epidsode of either _ a |
|
Definition
major depression, hypomania or mania |
|
|
Term
an episode of significantly elevated modo along with other sympotms is called |
|
Definition
|
|
Term
alernation between significantly dpressed mood and significantly elevated mood aover time is termed |
|
Definition
|
|
Term
two types fo bipolar disorder |
|
Definition
|
|
Term
the individual must have had one episode of a major depressoin and then an episode of persistenly elevated mood including mania resulting hospitaliztion |
|
Definition
|
|
Term
there are intermittent episodes of major depressive disorder alternating with episodes of hypomania which can include elevated mood or very irritable mood but not to the level of full mania |
|
Definition
|
|
Term
the most recent research suggests that mood disorders are caused by a combination of |
|
Definition
genetic, biological, environmental and psychologic factors |
|
|
Term
probable causes of bipolar disorder are |
|
Definition
neurotransmitter dysregulation, neruroreceptor deficits, neruroendocrine dysfunctions, genetic factors, loss of significant others, learned helpelssness, negative thoughts about life experiences |
|
|
Term
for major depressive disorder, several types of antidperessant medicaitons are avaliable includings |
|
Definition
SSRIs: nefazone, venlafaxin, duloxetin, TCAs and less commonly used monoamine oxidas inhibitors (MOAIs) |
|
|
Term
as the patient responds to antidepressant medicaion and the energy level increases, the risk of _ also increases |
|
Definition
|
|
Term
the mainstay of treament for bipolar disorders is a |
|
Definition
|
|
Term
the manic pahse of biplar diseas is usally treated with |
|
Definition
|
|
Term
sometimes prescribed for paitents with a depression that is resistant to the SSRIs, TCAs and othe rantidperessants |
|
Definition
|
|
Term
It is important to not that certian antiemetics such as _ may also cause dystonic |
|
Definition
promethazine, prochlorperazine |
|
|
Term
after _ of treatment with _ the parkinsonia syndrom may occur |
|
Definition
1 to 2 wks, antipsychotic medication |
|
|
Term
parkinosnian syndrome consists of |
|
Definition
masklike face, rigid postur, shuffling gait and resting tremor |
|
|
Term
other extrapyramidal syndromes that may occur in treatemtn are _ |
|
Definition
|
|
Term
a reversible restlessness manifested as an urge to pace and difficulty sitting still |
|
Definition
|
|
Term
usually an irreversible syndorm that may occur after prolonged use of antipsychotic drug therapy |
|
Definition
|
|
Term
tardiv dyskinesia consists of persistent involutary movements of the _ that lead to grimacing jerky movements of the _ |
|
Definition
p mvoments of the face, jaw and tongue upper extremities and otnic contractions of the neck and back |
|
|
Term
treatment of tardiv dyskinesia includes |
|
Definition
dicontinuing the causative agent, sympomts usually continue |
|
|
Term
_ occurs in 1% of certain people receiving antipsychotic agents and certain antiemetics such as _ |
|
Definition
neuroleptic malignant syndrome, prochlorperazine |
|
|
Term
the first sympomt fo neuroleptic malignant syndrom is usually |
|
Definition
muscular rigidy accopmained by akinesia and respiratory distress and may include involuntary muscle movments |
|
|
Term
the cardinal sign of neruoleptic malignant syndrom is hyperthermia with a temp usually |
|
Definition
|
|
Term
neuroleptic malignant syndrome is a medical emergency that requires immediate intervention and intesive care because it may result in |
|
Definition
permanent impairment or even death |
|
|
Term
one antipsychotic drug tha tpresents risk for blood siorder kononw as agranulocytosis |
|
Definition
|
|
Term
an extreme decrese in granulated white blood cels whcih freqently manifests as a sore throat and fever |
|
Definition
|
|
Term
patients receiving clozapin requrie close superviosion and frequent _ counts |
|
Definition
|
|
Term
if the patient taking clozpine experiences _ the medication must be held and the physician must be notified at once |
|
Definition
sore throat, fever and flulike sympomts |
|
|
Term
after a period of time paitents taking FGAs almost always experience EPS such as |
|
Definition
akathisia and pseudoparakinsonism |
|
|
Term
_ have been associated with the use of SGA's |
|
Definition
weight gain, hyperglycemia and onset of type 2 diabetes |
|
|
Term
apppearance of the patient with schizophrenia |
|
Definition
may have porr grooming and failure to bathe |
|
|
Term
activity of the patient with schixophrenia |
|
Definition
agitation, bizarre postures, catatonic excitement or stupor, mannerisms or sterotypes or stiff body movements |
|
|
Term
modo and affect of pt with schizophrenia |
|
Definition
may have flat affect or inappropriat rage or happiness |
|
|
Term
speech and language of pt with schizophrenia |
|
Definition
mutism, tagential speech, blocking or loos associations |
|
|
Term
thought content of pt with shcizophrenia |
|
Definition
delusions that may be percusatory, grandiose, religious or somatic |
|
|
Term
perceptual distrubances of the pt with schizphrenia |
|
Definition
auditory hallucinations, and visual hallucinations |
|
|
Term
insightandjudgment of the pt with schizophrenia |
|
Definition
usually little insight inot illness |
|
|
Term
sensorium of the pt with schizophrenia |
|
Definition
oriented to person, place and time |
|
|
Term
memory of pt with schizophrenia |
|
Definition
|
|
Term
_ also related to the onset of major deressive disorder |
|
Definition
|
|
Term
diagnosis of major depressive disorder is diagnosed by the prescence of a depressed mood most of the day, most days of the week which persists for more than |
|
Definition
|
|
Term
first generation antipsychotics (r/t schizophrenia) |
|
Definition
chlorpromazine (thorazine) fluphenazine (prolixin) haloperidol (haldol) loxapine (loxitane) mesoridazine (serentil) perphenazine (trilafon) thioridazine (mellaril) thiothizene (navane) trifluperazine (stellazine) |
|
|
Term
extrapyrimal side effects include |
|
Definition
tremors, muscle rigidity, dystonia, muscle contraction, slurred speach |
|
|
Term
second generation antipsychotics (r/t schizophrenia) |
|
Definition
aripiprazole (abilify) clozapine (clozaril) olanzapin (zypriza) quetiapin (seroquel) risperidone (risperdal) ziprasidone (geodon) |
|
|
Term
s&s of parkinson sydrome, an extrapyrmidal side effect r/t FGA's |
|
Definition
involuntary mvoements, muscle rigidyity, dystonia, akathisa, oculogyric crisis |
|
|
Term
severe and life threatening dysrhthmias may result form an overdose of |
|
Definition
|
|
Term
the individual must have had one episode of a major depression and then an episode of persistently elevated mood includngin mania, resulting in hospitalizations |
|
Definition
|
|
Term
intermiitten episodes of major depressive disorder alternating with episodes of hypomania, which can include an elevated mood or very irritable mood but not to hte level of full mania |
|
Definition
|
|
Term
antidperssant medications |
|
Definition
Selective serotonin reuptake inhibitors (SSRIs), newer agent antidepressants such as nefazodone (Serzone), venlafaxine (Effexor), and duloxetine (Cymbalta), tricyclic antidepressants (TCAs), tetracyclic agents, and monoamine oxidase inhibitors (MAOIs) |
|
|
Term
the mainstat of treatment for bipolar is a |
|
Definition
|
|
Term
the manif pase of biplar disease is usally treated with |
|
Definition
|
|
Term
_ should lelapse between ending most antidepressants and beginning maoi |
|
Definition
|
|
Term
nurssing implications for carbamazepine, lamotrigine, |
|
Definition
carful monitoring of liver enzymes and drug levels may cause enemia, life threatening allergic skin reactions hold medication if rash develops and notify provider, may cause dizziness drowsiness and unstady gait, may result in fetal abnormalities if used during pregnancys |
|
|
Term
|
Definition
carbamazepi (tegertol lamotrigine (lamictal) lithium valporoic acid, divalproex sodium |
|
|
Term
hypertensiv crisis occurs if the patient taking an MAOI injests foods containing |
|
Definition
|
|
Term
foods that contain tyrmamine |
|
Definition
avocados, banans, beer, bolonga, canned figs, chocolate, chees, lvier, papaya prodcus, pate, hering, fava beans, raisins, salamis, sausage, sour, cream, souy sauce, some wines and yogurt |
|
|
Term
symptoms of hypertensive crisis |
|
Definition
headache, palptations, visual changes, neck stiffness, nausea, vomiting, sweating, sensitivity to light, pupil changes, bradycardia or tachycardia |
|
|
Term
antidepressants less likey to cause sexual dysfunction |
|
Definition
nefazodon, brupropion, well butrin |
|
|
Term
because relief form symptoms of manic disorder may take up to 3 wks the pt may also receiv an |
|
Definition
|
|
Term
therapeutic level of divalproex sodium in the blood |
|
Definition
|
|
Term
divalproex is mteabolized by the |
|
Definition
|
|
Term
lithium is excreted by the |
|
Definition
kidneys (narrow therapeutic range) |
|
|
Term
therapeutic range for lithium treating acute mania |
|
Definition
|
|
Term
signs of lithium toxixicity |
|
Definition
tremor, nausea, vomiting, diarrhea |
|
|