Oh my nerves
For better effectiveness these meds should be used before benzodiazepines for anxiety- give an example
What are Non-benzo anti-anxiety agents. Buspirone (Buspar) or Hydroxyzine (Vistaril)
Two types of drug classes used primarily in the treatment of Schizophrenia.
What are First and Second Generation Antipsychotics
Two nursing Interventions implemented when a person is experiencing severe to panic levels of anxiety.
What are 1. Stay with the patient 2. Remain calm and non-judgmental 3. Set limits for safety 4. Attend to physical needs- food and drink 5. Minimize environmental stimuli
Identify FGA side effect; which may be permanent?
What are Extrapyramidal symptoms- akathisia, dystonia, parkinsonism, tardive dyskinesia (this one may be irreversible)
Nursing actions implemented for suicide precautions.
What are 1. 1-on-1 supervision 2. Remove potentially harmful items 3. Ensure all meds are swallowed, 4. Document mood, statements, & behaviors?
Describe two positive symptoms of schizophrenia
Hallucinations, Personal boundary difficulties, Delusions, Associative looseness, Concrete thinking, Neologisms, Echolalia, Clang Association, Word salad, Automatic obedience, Waxy flexibility, Eccentric dress grooming or other rituals
The complication when the level of serotonin gets too high.
What is Serotonin Syndrome?
Defense mechanism where there is transfer of emotions from one thing/person to another.
What is Displacement?
Describe 2 manifestations of severe anxiety
1. What is a reduced perceptual field? - cannot learn or problem solve, - confusion,
2. physical symptoms- dizziness, insomnia, GI upset, trembling, hyperventilation
Describe a negative affect that may be displayed in a person with schizophrenia.
Negative symptoms: What is? *Flat Affect - immobile or blank look *Blunted- minimal emotional response *Inappropriate- response doesn't match the situation *Bizarre- grimacing, giggling, mumbling to oneself.
Neurotransmitters that are affected with the dual action reuptake inhibitors? Give an example of a medication in the SNRIs.
What is Serotonin and Norepinephrine. Duloxetine (Cymbalta), Venlafaxine (Effexor)
Which types of schizophrenia symptoms have a favorable response to antipsychotic medications?
What are Positive Symptoms?
The nursing determination needed when a patient is experiencing auditory hallucinations.
What is discern whether the voice is commanding them to do harm?
Describe the type of schizophrenia that has intense strongly defended irrational suspicions and it's usual age of onset.
What is Paranoid schizophrenia- onset is later usually 20's to 30's
Describe concerns to consider when taking benzodiazepines.
What is Dependence, Tolerance, Sedation, Withdrawal?
Length of time it takes for noticeable improvement in symptoms from FGAs and SGAs
What is 2-4 weeks?
Four pieces of information needed when assessing for suicidal ideation.
What is 1. Are you thinking of killing yourself? 2. determine the plan, 3. the method, and 4. the availability to the means?