Meds (I know your fav!)
Meds II (Hate me yet??)
Meds III (Just getting started)
Schizophrenia
Anything goes
100

These medications are dopamine antagonists as opposed to their newer counterparts that are dopamine  and serotonin antagonists.

What are 1st generation or typical antipsychotics?

100

Most severe and fatal side effect of clozapine? 

What is agranulocytosis? ( bone marrow doesn't produce enough white blood cells)

100

Starting client on valproic acid.  Monitor these levels before starting therapy and at frequent intervals.

What is liver function tests?

100

Nurse states, "How are you?"

Client states, "How are you....you...you...you...?"

What is echolalia?

100

What to monitor return of after electroconvulsive treatment.

What is the gag reflex?

200

This medication will diminish positive signs of schizophrenia and lessen negative signs. 

What is a 2nd generation or atypical antipsychotic medication. 

200

Temperature of 104.6 F, muscle rigidity, leukocytosis, elevated creatine phosphokinase.

What is neuroleptic malignant syndrome (NMS)

200

Time release form of IM med for maintenance therapy in schizophrenia.

What is a depot injection?

200

The client states, "I have no joy or pleasure in my life."

What is anhedonia? 

200

May experience this after electroconvulsive therapy.

What is short term memory loss?

300

Acute dystonia, akathisia, and parkinsonism.

What is extrapyramidal side effects?

300

Avoid foods that contain tyramine when taking this medication.

What are monoamine oxidase inhibitors (MAOIs)?

300

Nurse gives Zyprexa Relprevv 210 mg to a client.  This is the priority action by the nurse.

What is direct observation for 3 hours after the injection?

300

Delusions, hallucinations, disordered thought process

What are positive signs of schizophrenia?

300

Priority intervention for the client with suicidal tendencies?

What is safety?

400

Late appearing side effect of antipsychotic meds with abnormal involuntary movements (lip smacking, tongue protrusion, etc.)

What is tardive dyskinesia? 

400

This may happen if you take an MAOI with a SSRI.

What is serotonin syndrome?

400

Client on antipsychotic medications- experiences an oculogyric crisis.  Priority action by the nurse.

What is administer diphenhydramine or benztropine?

400

The nurse can provide education, role modeling, and practice. 

How to help the client develop social skills?

400

Hypomania is associated with this disorder.

What is bipolar II disorder?
500

Dry mouth, blurred vision, constipation, and urinary retention.

What are anticholinergic symptoms?

500

Carbamazapine, topiramate, gabapentin, lamotrigine.

What are mood stabilizing drugs?

500

Client experiencing akathisia and will stop taking meds.  These meds can be prescribed to help with the symptoms.

Beta blocker and/or benzodiazepine

500

Best response for a client that is having hallucinations and states, "Do you see the spiders covering the wall?"

"I do not see spiders on the wall."

500

Onset of action for lithium.

What is 5-14 days?

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