Term
Occurs in 1st wks of tx
No WBC |
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Definition
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Term
Agranulocytosis
Characteristics (3): |
|
Definition
-Sore throat
-Chills
-Fever |
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Term
Agranulocytosis
Nursing Interventions (2): |
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Definition
-Protect from infections
-Provide comfort measures: gargle for sore throat, use lozenges & analgesics |
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Term
Decreased platelets
(won't clot) |
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Definition
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Term
Thrombocytopenia
Characteristics (2): |
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Definition
-Bruises easily
-Petechia |
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Term
Thrombocytopenia
Nursing Interventions (1): |
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Definition
| -Teach client safety measures |
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Term
Extrapyramidal Effects
Occurs w/in 1-4wks after initiation of tx. |
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Definition
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Term
Extrapyramidal Effects
Parkinsonism
Characteristics (5): |
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Definition
-Rigidity
-Shuffling gait
-Pill rolling hand mvmts
-Tremors
-Dyskinesia
-Mask like face |
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Term
Extrapyramidal Effects
Parkinsonism
Nursing Interventions (1): |
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Definition
| Aminister anticholinergics drugs, i.e., Cogentin, Arrtane, Other drugs for EPS include: Benedryl, Symmetrel, Ativan, Klonopin; Inderal for akathisia & vitE for tardive dyskinesia. |
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Term
Extrapyramidal Effects
Occurs w/in 1-6wks after initiation of tx. |
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Definition
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Term
Extrapyramidal Effects
Akathisia
Characteristics (4): |
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Definition
-Restlessness
-Agitation
-Pacing
-Sudden difficulty sitting still (can be confused w/ tardive dyskinesia) |
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Term
Extrapyramidal Effects
Akathisia
Nursing Interventions (1):
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Definition
| -Rule out anxiety. Can ask client, "Are you feeling so restlessness that you cant sit still?" |
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Term
EPS Effects
Anticholinergic Effects
Characteristics (7): |
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Definition
-Dry mouth
-Blurred vision
-Tachycardia
-Nasal Congestion
-Constipation
-Urinary Retention
-Orthostatic Hypotension |
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Term
EPS Effects
Anticholinergic Effects
Nursing Interventions (5): |
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Definition
-Encourage sips of water, chewing surgarless gum or hard candy.
-Increase fiber in diet
-Change positions slowly to avoid dizziness.
-Report urinary retention to physician.
-Tolerance to these side effects will usually occur. |
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Term
EPS Effects
Blurred Vision
Nursing Interventions (1): |
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Definition
| -Ask client to avoid dangerous tasks. This symtom will usually last only a short time at the beginning of tx. Eye drops should be used for the short-term need. |
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Term
EPS Effects
Constipation
Characteristics (1): |
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Definition
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Term
EPS Effects
Constipation
Nursing Interventions (3): |
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Definition
-Increase fluid intake
-Encourage high fiber intake
-Provide laxatives as needed. |
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Term
EPS Effects
Dry Mouth
Nursing Interventions (2): |
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Definition
-Advise client to use hard, surgarless candy or gum
-Sips of water frequently |
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Term
EPS Effects
Occurs w/in 1-2days after initiation of tx |
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Definition
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Term
EPS Effects
Dystonia
Characteristics (4): |
|
Definition
-Limb & neck spasms
-Uncoordinated, jerky mvmts
-Difficulty speaking & swallowing
-Rigidity & muscle spasms |
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Term
EPS Effects
Dystonia
Nursing Interventions (2): |
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Definition
-Emergency tx is w/ IM anticholinergics drug.
-Have resp emergency equipment available. |
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Term
EPS Effects
A chronic nervous disease characterized by fine, slowly spreading tremors, muscular weakness & rigidity, & a perculiar gait induced by some antipsychotic meds. |
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Definition
| Drug-induced Parkinsonism |
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Term
EPS Effects
Drug-induced Parkinsonism
Nursing Interventions (3): |
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Definition
-Assess for 3 major symptoms: tremors, rigidity, & bradykinesia.
-Report to prescriber STAT.
-Antiparkinon drugs will be indicated |
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Term
EPS Effects
Develops in tx |
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Definition
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Term
EPS Effects
Characteristics (3): |
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Definition
-Involuntary tongue and lip mvmts
-Blinking
-Choreiform mvmts of limbs & trunk |
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Term
EPS Effects
Tardive Dyskinesia
Nursing Interventions (2): |
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Definition
-Permanent side effects, antiparkinsonian drugs are of no help in decreasing symptoms.
-Teach client & family to report side effects early. |
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Term
EPS Effects
Nasal Congestion
Nursing Interventions (1): |
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Definition
| -Suggest OTC decongestants that are safe for use w/ antipsychotic agents. |
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Term
EPS Effects
Photosensitivity
Characteristics (1): |
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Definition
| -Sunlight: Exposed skin turns blue & color changes occur in eyes but doesnt cause vision impairment. |
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Term
EPS Effects
Photosensitivity
Nursing Interventions (2): |
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Definition
-Teach client to stay out of sun, wear protective clothing & sunglasses
-Skin discoloration will disappear w/in 6 months after drug is discontinued. |
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Term
EPS Effects
Mydriasis
Nursing Interventions (1): |
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Definition
| -Ask pt to report any eye pain STAT. |
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Term
EPS Effects
Neuroleptic Malignant Syndrome
Characteristics (1): |
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Definition
| -Life threatening emergency: high fever; tachycardia, stupor, increased respirations, severe muscle rigidity. |
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Term
EPS Effects
Neuroleptic Malignant Syndrome
Nursing Interventions (3): |
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Definition
-Increased risk w/ phenothiazines
-early recognition is important; transfer to medical facility for hydration, nutritional support & tx of possible respiratory failure & renal failure.
-Tx includes discontinuation of antipsychotics & the potential administration of a variety of medications, including Amantadine (symmetrical), bromocriptine (Pariodel), dantrolene (Dantrium), & Benzodiazepines.
- |
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Term
EPS Effects
Orthostatic Hypotension
Nursing Interventions (2): |
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Definition
-Advise client to get out of bed slowly, to sit before standing, & rise slowly.
-Observe to see if change to another antipsychotic is advisable. |
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Term
EPS Effects
Serotonin Syndrome
Characteristics (3): |
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Definition
-Confusion
-Disorientation
-Autonomic Dysfunction |
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Term
EPS Effects
Sedation
Nursing Interventions (1): |
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Definition
| -Help client to get up, get dressed & begin the day early. |
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Term
EPS Effects
Seizures
Nursing Interventions (2):
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|
Definition
-For clozapine doses greater than 600mg/day, a normal EEG should be performed.
-If a seizure occurs, clozapine should be discontinued. |
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Term
EPS Effects
Tachycardia
Characteristics (1): |
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Definition
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Term
EPS Effects
Tachycardia
Nursing Interventions (2):
**this is usually a reflex response to hypotension & decreases when intervention for hypotension is effective. |
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Definition
-W/ clozapine, w/hold dose if pulse rate is greater than 140/min.
-Call doctor |
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Term
EPS Effects
Urinary Hesitation
Nursing Interventions (3): |
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Definition
-Provide privacy
-Encourage client to take time to void
-Run water in sink or pour warm water over perineum. |
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Term
EPS Effects
Urinary retention
Nursing Interventions (4): |
|
Definition
-Encourage client to void when urge & void frequently.
-Cath for residual urine.
-Client should closely monitor output.
-Older men w/ benign prostatic hyperplasia are more susceptible. |
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Term
| Meds used to treat EPS effects include (2): |
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Definition
-Anticholinergic: Benztropine & Trihexyphenidyl
-Antihistamine: Benadryl & symmetrel |
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Term
Opiates:
Heroin
Morphine
Meperidine
Codeine
Opium
Methadone
Withdrawal Side Effects (8): |
|
Definition
-Watery eyes, runny nose, dilated pupils
-Anxiety
-Diaphoresis, fever
-N/V/D
-Achiness
-Abx cramps
-Insomnia
-Tachycardia |
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Term
Opiates:
Heroin
Morphine
Meperidine
Codeine
Opium
Methadone
Overdose Side Effects (4): |
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Definition
-Respiratory depression leading to respiratory arrest
-Circulatory depression leading to cardiac arrest
-Unconsciousness leading to coma
-Death |
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Term
Opiates:
Heroin
Morphine
Meperidine
Codeine
Opium
Methadone
Effect (3): |
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Definition
-General physcial & mental deterioration
-Rapid tolerance
-Impaired judgement |
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Term
Opiates:
Cocaine
Withdrawal Side Effects (5): |
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Definition
-Depression
-Fatigue
-Disturbed sleep
-Anxiety
-Psychomotor agitation |
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Term
Opiates:
Cocaine
Overdose Side Effects (6): |
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Definition
-Tachycardia
-Pupillary dilatation
-Increase BP
-Cardiac arrhythmias
-Perspiration, chills
-N/V |
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Term
Opiates:
Cocaine
Effect (2): |
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Definition
-Psychological Dependence
-Tolerance w/in hrs or days |
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Term
Opiates:
Amphetamines
Withdrawal Side Effects (3): |
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Definition
-Depression
-Fatigue
-Disturbed Sleep |
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Term
Opiates:
Amphetamines
Overdose Side Effects (7): |
|
Definition
-Restlessness
-Tremors
-Rapid respiration
-Confusion
-Assaultive behaivor
-Hallucinations
-Panic |
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Term
Opiates:
Amphetamines
Effect (1): |
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Definition
|
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Term
Opiates:
Hallucinogenic
Withdrawal Side Effects (1): |
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Definition
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Term
Opiates:
Hallucinogenic
Overdose side effects (2): |
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Definition
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Term
Opiates:
Hallucinogenic
Effect (2): |
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Definition
-Flashbacks
-Impaired judgement |
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Term
Antianxiety Drugs
Benzodiazepines:
Valium
Serax
Ativan
Withdrawal side effects (5): |
|
Definition
-Tremors
-Agitation
-Anxiety
-Abx cramps
-Grand mal seizures |
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Term
Antianxiety Drugs
Benzodiazepines:
Valium
Serax
Ativan
Overdose side effects (4): |
|
Definition
-Drowsiness
-Confusion
-Hypotension
-Coma-leads to death |
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Term
Antianxiety Drugs
Benzodiazepines:
Valium
Serax
Ativan
Effect (2): |
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Definition
-W/drawal occurs if there's abrupt cessation.
-Temporary psychosis |
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Term
Alcohol
Withdrawal Side Effects (8):
|
|
Definition
-Begin shortly after drinking stops, as early as 4-6hrs after.
-Anxiety, nausea, insomina, tremors, hyper-alertness, restlessness
-Sudden or gradual increase in all VS
-Delirium tremens (DT's) may appear 12-36hrs after last drink
-Tachycardia, tachypnea, diaphoresis
-Hallucinations
-Paranoia
-Grand Mal Seizures |
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Term
Alcohol
Overdose side Effects (2): |
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Definition
-Inoxication as determined by blood alcohol level.
0.10% is considered intoxication.
-May result in death |
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Term
Alcohol
Nursing Interventions (9): |
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Definition
-Monitor VS, I&O, electrolytes
-Observe for impending delirium tremens.
-Prevent aspiration, implement seizure precautions
-Reduce environmental stimuli
-Medicate w/ antianxiety medication: Librium or Ativan
-Provide high protein diet & adequate fluid intake. Limit caffeine.
-Provide vit supplements (B1 & B complex)
-Provide emotional support
-Identify availability of support systems |
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Term
Unlabeled Uses
Anxiety
Class: Betablocker
Drug: |
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Definition
|
|
Term
Unlabeled Uses
Anxiety
Class: Betablocker
Drug: Inderal
Indications (medical (5) & Psychiatric (7): |
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Definition
Medical: Cardiac arrhythmias, MI, tachyarrhythmias a/w digitalis intoxication, anesthesia, angine pectoris
Psychiatric/Other: Antianxiety, Drug-induced tremors, scizophrenia, tardive dyskinesia, acute panic symptoms, agression & rage, migrane prophylaxis |
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Term
Unlabeled Uses
Anxiety
Class: Betablocker
Drug: Inderal
Adverse Reactions (10): |
|
Definition
-**Hyper or hypo glycemia
-Reduces heart rate, myocardial irritability, force of contraction
-Hypotensive effect is a/w decreased CO
-Cold extremities
-Bronchial constriction
-Weight gain
-Leg fatigue
-Steven johnsons syndrome
-Reversible Alopecia
-Drug induced psychosis |
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Term
Unlabeled Uses
Anxiety
Class: Betablocker
Drug: Inderal
Nursing Implications (6): |
|
Definition
-**monitor apical pulse & BP (biweekly), respiration, & circulation to extremities closely thruout period of dosage adjustment.
-Obtain period hematologic, kidney, liver, & cardiac functions when inderal is given for prolonged periods
-Daily weight (fluid retention; HF)
-Teach pt to change positions slowly
-Dont discontinue abruptly
-Check circulation of extremities freq. |
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