Parmacology
What is the primary (class) of medications used to tx s/s of Tourette’s
-Anti psychotics (1st & 2nd Gen)
What is the definition of Tourette’s syndrome?
Characterized by motor (tics) paired with at least one (vocal tic)
What does NAMI stand for?
National Alliance on Mental Illness
Which x2 neurotransmitters are (elevated) in a person with Schizophrenia?
Dopamine, Serotonin
What are the x3 major conditions (side effects) of long term use of Antipsychotic medications (1st Gen)?
EMS, TD, NMS
Which gender is most affected by Tourette’s?
Males
What age must you be to attend a NAMI (family support) meeting?
18 years
What is a 5150?
a 72 hour involuntary hold
What are the signs and symptoms of EMS?
DOPA: Dystonia, Oculogyric crisis, Parkinsonism, Akathisia
Name x2 (motor) tics and x2 (verbal) tics you might expect to observe in a patient with Tourette’s?
Motor: eye blinking, neck jerking, coughing, shoulder shrugging, involuntary facial movements, twirling when walking, retracing steps, deep knee bends, squatting
-Vocal: repeating the words of others or repeating their own words, coughs, snorts, grunts, and uttering obscenities
Name x2 therapeutic techniques used in NAMI meetings.
active listening, being non-judgemental, accepting, giving recognition
What are grounds for an involuntary hold?
gravely disabled, a danger to others, a danger to self
How can EMS be pharmacologically tx and what do each medication tx specifically?
CABI: Cogentin-Parkinsonism, Artane-Parkinsonism, Benadryl-Dystonia, Inderol-Akathisia
Name x2 potential Nursing Diagnosis for a pt. With Tourette’s
-Risk for other/self inflicted violence
-Impaired social interaction
-low self-esteem
What are the (first) & (last) guidelines in the NAMI principles of support?
-1st- We will see the individual first, not the illness.
-Last-We will never give up hope
What is a Riese hearing and what does it mean if it is (passed/accepted)?
-a hearing to determine is a pt. Can refuse treatment medication
-the pt CAN be given their (scheduled) meds if they refuse