Phases and predisposing factors
What phase of schizophrenia would you be in if you were having social issues, withdrawal, irritability and antagonistic thoughts and behaviors?
Premorbid
What do you treat Catatonia with?
Ativan.
What is this Disorder?
* Erotomanic, grandiose, jealous, persecutory, somatic, mixed
* Usually unable to fix with medications
Delusional disorder
What are some examples of treatment modalities for Schizophrenia?
- Individual therapy, group therapy, behavior therapy, skills training, milieu therapy, family therapy, assertive community treatment (ACT) psychopharmacology, education and understanding for the client
What is a metabolic change that can occur from some typical medications?
Development of metabolic syndrome or DM II.
Change in functioning. Changes in sleep, anxiety, irritability, poor concetration, fatigue, behavioral deficits. Decrease in ADL.
What is an example of a persecutory delusion?
Example: The FBI is trying to get me!!! my wife is trying to poison me!!!
What is this disorder?
* Goes into schizophrenic break after using drugs or mind-altering substances?
Substance/medication-induced psychotic disorder
What type of symptoms do these medications help help with?
* Chlorpromazine, haloperidol, fluphenazine, loxapine, perphenazine, molindone, thiothixene, trifluoperazine, prochlorperazine
They all treat POSITIVE symptoms.
What is the AIMS test?
The AIMS test is the abnormal involuntary movement scale.
To do this test you ask them if their face feels tight, have them stick their tongue out, and have them put their arms out up and down and touch their fingers and see if they have abnormal trunk movements.
What is the residual phase of schizophrenia?
What is an example of inferential thinking?
Donald Trump is talking about ME in his tweets!!! We need to flee the country and get away from the president!!!
What is this disorder?
* Sudden onset after psychological stress last 1 day but no more than 30
* Example: High fever, lack of sleep causes Psychosis.
Brief Psychotic disorder
Name 5 Side effects of Typical Medications
Dry mouth, blurred vision, constipation, urinary retention, nausea, GI distress, skin rash, sedation, skin rash, sedation, orthostatic hypotention, photosensitivity, hormonal effects, WEIGHT GAIN, ECG changes, prolonged QT, decreased the seizure threshold, agranulocytosis, hypersalivation, EPS, Pseudoparkinsonism, akithesia, dystonia, oculogytic crisis, TD, NMS, Hyperglycemia, Diabetes, amenorrhea, gynecomastia, increased mortality for elderly.
Can TD be a reversible?
Long term use increases the risk.
What are some common predisposing factors for schizophrenia?
Genetics, dopamine hypothesis, viral infection, anatomical abnormalities childhood trauma, stressful life events, cannabis, environmental influences.
Example of Grandiose Delusion?
I am the son of Jesus, Elvis Presley, Michael Jackson, etc. Full of themselves.
What is this disorder?
* Exact symptoms as schizophrenia except more than 1 month and less than 6 months
* Prognosis is much better
Schizophreniform disorder
Tremors, chorea, dystonia, akinesia, akathesia
TX with: anticholinergic such as benzotropine. Antihistamine and dopaminergic agonists such as amantadine.
What are some examples of nursing Dx for schizophrenia?
* Disturbed sensory perception: auditory/visual, disturbed thought process, social isolation, risk for violence, impaired verbal communication, self-care deficit, disabled family coping, ineffective health maintenance, impaired home maintenance.
What kinds of symptoms might a person experience in Stage III: Schizophrenia Phase?
Positive: Delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behaviors
Negative: Or social/occupational dysfunction for 6 MO or longer.
Alogia Poverty of thought, affective blunting, anhedonia, avolition, attentional impairment.
What is Schizoaffective disorder?
* Schizophrenic behavior with strong mood component (depression or mania)
* Presence of hallucinations and or delusions that occur for 2 weeks in absence of mood episode
What is Neuroleptic malignant syndrome and what should the nurse do?
Rapid progression of symptoms including:
Severe parkinsonian muscle rigidity, high fever, high HR, BP fluctuations, diaphoresis, rapid decrease in mental status.
The nurse should: do frequent VS, stop the med, I&O, LOC, degree of rigidity, pump them full of IV fluids to try and rid the med from the system.
What are the s/sx of TD?
* bizarre facial and tongue movements, stiff neck, swallowing difficulties, abnormal trunk movements.