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Psychosis
Exam 1
22
Nursing
Undergraduate 4
01/15/2019

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Cards

Term
Risk factors for developing schizophrenia
Definition
Age: early adulthood
Birth in late winter/early spring
Growing up in an urban environment
Stressful life events
Cannabis use
Genetic link
Viral infection in pregnancy, fetal hypoxia, greater paternal age, malnutrition or gestational DM
Term
First gen antipsychotic med names
Definition
-azine’s or haloperidol
Term
Second gen antipsychotic med names (atypical)
Definition
-apine’s or -idone’s
Term
AA from all antipsychotic drugs regardless of gen
Definition
Sedation
Anticholinergic effects
Orthostatic hypotension
Term
SGA AA
Definition
Less likely to cause EPS but more likely to cause metabolic effects

Weight Gain
DM
Hyperlipidemia
Term
FGA - Haloderidol vs chlorpromazine
Definition
Chlorpromazine has low potency Halodol is high potency
Term
SGA is not for
Definition
Dementia pts - increased risk of death
Term
FGA AA
Definition
EPS
Parkinsonism
Akathisia
Tardive Dyskinesia
Neuroleptic malignant syndrome
Anticholinergic effects, sedation, orthostatic HTN,
Seizures,
Sexual dysfunction
Term
EPS
Definition
Early reaction of FGA more likely in higher potency

Movement disorders
Term
How to treat acute dystonia
Definition
Anticholinergic
Term
How to treat parkinsinsms
Definition
Anticholinergis or switch to SGA
Term
How to treat akathisia
Definition
Benzodiazepine, b-blocker or anticholinergic
Term
Rardive Dyskinesia treatment
Definition
Benzodiazepines, reduce dose or switch to SGA
Term
Neuroleptic Malignant Syndrome SX
Definition
Lead pipe rigidity
Sudden high fever
Sweating
Autonomic instability manifested as dysrhythmias and fluctuations in BP
Decreased LOC
Respiratory failure

More likely with high potency FGA
Term
FGA Med interactions
Definition
Anticholinergics - intensifies aa, avoid antihistamines
CNS depressants - increase sedation
LEvodopa/dopamine agonist - counteract antipsychotic effects
Term
Rardive Dyskinesia treatment
Definition
Benzodiazepines, reduce dose or switch to SGA
Term
Neuroleptic Malignant Syndrome SX
Definition
Lead pipe rigidity
Sudden high fever
Sweating
Autonomic instability manifested as dysrhythmias and fluctuations in BP
Decreased LOC
Respiratory failure

More likely with high potency FGA
Term
FGA Med interactions
Definition
Anticholinergics - intensifies aa, avoid antihistamines
CNS depressants - increase sedation
LEvodopa/dopamine agonist - counteract antipsychotic effects
Term
Positive vs negative sx
Definition
Positive symptoms can be thought of as an addition to normal cognition. Things we don’t normally have such as hallucinations, delusions, word salad...

Negative symptoms diminish normal functions. Such as altered affect, lack of goal directed behavior (grooming or self care) lack of energy and social isolation.
Term
5 domains os schizophrenia
Definition
Delusions, hallucinations, disorganized thinking, disorganized or abnormal motor behavior including catatonia, and negative symptoms
Term
Schizophrenia etiology
Definition
May be related to excessive dopamine
Genetic link
May be related to virus
Correlated with ventricular enlargement and thinning of prefrontal cortex
Term
FGA and SGA MOA
Definition
Block receptors for dopamine, ACH, histamine, and norepi
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