MHA
Antipsychotic
100

Your patient has been certified x1 under the mental health act. What forms need to be completed? 

Form 4, 5, 13, 15, 16

100

What is the difference between typical and atypical antipsychotics? 

The main difference between the two types of antipsychotics is that the first generation drugs block dopamine and the second generation drugs block dopamine and also affect serotonin levels.

2nd generation have less side effects (EPS) 

200

Your patient was admitted under the MHA on April 1/21. It is now April 28/21 and they are being discharged. What forms will you send to their mental health outpatient team?

Form 4s, 5, newly done 6, and 20 (13, 15, 16)

200

Name 3 1st generation 

Name 3 2nd generation 

First: Chlorpromazine, Droperidol, Fluphenazine, Haloperidol, Loxapine, Perphenazine, clopixol

Second:Aripiprazole, Asenapine, Clozapine, lurasidone, Olanzapine, Paliperidone, Quetiapine, Ziprasidone, risperidone 

300

Your patient is under 16 and is not suitable for admission. Can they be certified? What is the process? 

Parents can say yes to admission. Doctor to complete admission. Form 3 - medical report under 16 

300

Clozapine: 

- how to start

- side effects

- ongoing tests and how often

Titration: reduce the risks of adverse events such as seizures, hypotension, agranulocytosis, and myocarditis.

side effects: weight gain; dizziness, tremor; fast heart rate; headache, drowsiness; nausea, constipation; dry mouth, or increased salivation; AGRANULOCYTOSIS/NEUTROPENIA; NMS (neuroleptic malignant syndrome); vision problems; fever, increased sweating

- blood work q1 week x26weeks; q2 week x26weeks; q4weeks ongoing 

400

Name the 4 criteria of involuntary admission

  • Has a mental health disorder that seriously impairs their ability to live in the community
  • Requires psychiatric treatment in a designated facility
  • Requires care and supervision to prevent deterioration or protect themselves or others
  • Cannot safely or adequately be treated in a community-based facility
400

S/S of NMS and nursing considerations if you believe your pt has this condition in the community

HOSPITALIZE. Treat fever and fluids. Antiparkinsonianism drugs and stop the medication  


NMS symptoms usually last for 7 to 10 days. They may include:

  • High fever (102 to 104 F)
  • Muscle stiffness
  • Sweating a lot
  • Anxiety or other changes in mental state
  • Fast or abnormal heartbeat
  • More saliva than usual
500

Your client was discharged from hospital on august 21, 2020 on extended leave. They are recalled from leave due to decompensation on sep 2, 2021. What form was filled out for recall? Who does this form get sent to? Upon admission to hospital what happens to your clients extended leave documentation? 

Form 21, police and pes, resets form 6 with new admission date 

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