"Childhood tantrums and unneutralized aggressions may lead to psychosis" "Inadequate maternal nurturance in early infancy." (name the theory)
What is Psychoanalytic (Freud and followers) (pg 236)
100
Two main approaches to tx
What are:
1. PSYCHOSOCIAL
2. PHARMACOLOGICAL (h/o)
100
Antipsychotic drugs are admin to control the sx of ____________.
What is psychosis. (hallucinations, bizarre or paranoid behavior.) (pg 684)
100
The most common s/e; subjective sense of restlessness w/ perceived need to pace / move continuously.
What is AKATHISIA (PG 689)
100
Drugs often used to treat medication-related movement disorders.
What is ANTICHOLINERGICS (pg 690)
200
Genetics: risk for developing schizophrenia
1. Monozygotic twins ___________%
2. Both parents have schizophrenia ___________%
What is 50%, 45% (pg 237)
200
3 catagories of psychosocial tx
What are:
1. clinical/family support services (educating / stress mgt)
2. rehab (vocational training)
3. Humanitarian Aid/public safety (h/o)
200
Common first-generation antipsychotic drugs.
What are Haldol, Thorazine, Mellaril, Prolixin, Stelazine. (pg 685)
200
Sustained, involuntary muscle spasm; most commonly head / neck.
What is DYSTONIA (pg 689)
200
S/e of anticholinergic drugs
What are dry mouth, nasal congestion, urinary hesitancy, vlur vision, ortho hypoHTN, decr sweat, constipation, sedation.
300
1970 CT showed males w/ schizophrenia have enlarged ___________.
What is lateral ventricles of the brain (unknown if this is a result of the disease, or the disease a result of the enlgment) (pg 238)
300
Pharmacological / physical tx
What are:
1. antipsychotic meds (1st generation)
2. second generation antipsychotic meds
300
Common second-generation antipsychotic drugs.
What are Abilify, Risperdal, Clozaril, Zyprexa, Seroquel, Geodon. (pg 685)
300
One of the most dramatic dystonic reactions; which extraocular muscle spasm forces the eyes into a fixed, usually upward gaze.
What is OCULOGYRIC CRISIS (pg 689)
300
Anti-parkinsonian drug
What is Symmetrel (pg 690)
400
The functional abnormalities in schizophrenia are due to excessive activity of brain dopamine.
What is The Dopamine hypothesis (highly controversial) (pg 238- h/o)
400
Treatment of Neuroleptic Malignant Syndrome
What is d/c antipsychotics and poss give anti-parkinson, bromocriptine, dntrolene and benzo's
400
This OTC drug, used widely in the treatment of dyspepsia, can reduce the effects of antipsychotic meds.
What is TAGAMET (pg 688)
400
Tremor and an unsteady shuffling gait.
What is DRUG-INDUCED PARKINSONISM (pg 689)
400
Sudden fever, rigidity, tachycardia, HTN, decreased levels of consciousness.
What is NEUROLEPTIC MALIGNANT SYNDROME (pg 690)
500
Name the some key words that eliminate an answer on an exam.
What are ALWAYS, NEVER, ONLY!!
500
Antipsychotic s/e that cannot be reversed by withdrawing medication.
What is Tardive dyskinesia (pg 243)
500
NEVER give ______________ to a pt taking phenothiazines (i.e., Thorazine) because of the risk of severe hypotension.
What is EPINEPHRINE. (pg 689)
500
Neurological disorder characterized by involuntary movements, most commonly tongue / lips; grimacing, sucking movements, lip smacking.
What is TARDIVE DYSKINESIA (pg 690)
500
Nursing Dx associated with Schizophrenia
What are:
1. disturbed thought process
2. impaired verbal communication
3. disturbed role performance.
4. disturbed thought process
5. disturbed sensory perception (pg 244 Table 13-1)