Typical Antipsychotics from the Golden Oldies
What type of symptoms do typical antipsychotics treat?
Positive
What type of symptoms do atypical treat
positive and negative
what two meds can be prescribed to counteract EPS
benztropine (cogentin)
diphenhydramine (Benadryl)
what is a common side effect of this medication
agranulocytosis
what metabolic lab changes might you see with use of antipsychotics
hyperglycemia
hypercholesterolemia
hypertriglyeridemia
Typical antipsychotics are associated with what extrapyramidal symptom?
Tardive Dyskinesia
what is the generic name for Geodon
Ziprasidone
what is the antidote for anticholinergics
physostigmine (antilirium)
what should you monitor in a patient on this med
WBC and ANC
which antipsychotic has the highest risk of NMS
zyprexa
What is the generic name for Haldol?
Haloperidol
what is the generic name for zyprexa
olanzapine
what group does acute dystonia occur in the most
males under 25
when should a patient get labs while on this med
weekly - first 6 months
every other-second 6 months
monthly- after a year
which med has the highest risk of metabolic disturbances such as weight gain
zyprexa
What is the generic name for Thorazine?
Chlorpromazine
what is the generic name for Abilify
aripiprazole
what are the 6 traits of pseudoparkinsonism
mask like face
excessive drooling
stooped posture
bradykinesia
shuffling gate
rigidity
what is this med NOT used to treat hint: think bipolar 1
acute mania
name five side effects of antipsychotics
anticholinergic effects
nausea
gi upset
skin rash
sedation
orthostatic hypotension
photosenitivity
hormonal effects
ekg changes
weight gain
hyperglycemia
reduction of seizure threshold
EPS
What are the contraindications
comatose
Hypotensions
cardiac and kidney issues
old people
parkinsons
what is the generic for risperdol
risperidone
what is the priority action of the nurse if a pt has s/s of TD?
notify provider
what kind of psychotic is this med
atypical
name 3 EPS symptoms
acute dystonia
pseduoparkinsonism
akathesia
oculogyric crisis
tardive dyskinesia