Classification of medications
"And you want me to take these?"
(Side effects of antipsychotic medications)
What's the value of this?
(LABS/MISC)
Facts you need to know
More facts you need to know
100
Aripiprazole (Abilify) Quetiapine (Seroquel) Asenapine (Saphris) Olanzapine (Zyprexa) Lurasidone (Latuda) Risperidone (Risperdal) *Clozapine (Clozaril) Ziprasidone (Geodon) Paliperidone (Invega)
What are the Atypical antipsychotic medications?
100
Akathisia Parkinsonian Symptoms Dystonia Oculogyric crisis
What the symptoms of Extrapyramidal Symptoms (EPS)?
100
Baseline white blood cell count (WBC) and absolute neutrophil count (ANC).
What are the baseline labs that must be taken before the initiation of treatment with Clozapine and regularly thereafter?
100
weight gain orthostatic hypotension nausea sedation photosensitivity PROLONGED QT INTERVAL
What are some of the side effects of antipsychotic medications?
100
Circumstantiality Confabulation Flight of ideas Looseness of association Thought blocking
What are some the the altered thought processes of Schizophrenia?
200
Haloperidol (Haldol) Fluphenazine (Prolixin) Chlorpromazine (Thorazine) Thiothixene (Navane) Perphanzine (Trilafon) Pimozide (Orap)
What are theTypical antipsychotic medications?
200
A chronic medication-related disorder characterized by: repetitive, involuntary, irregular movements of: - the face including the mouth and tongue (rapid eye movement, chewing, lip smacking, chewing) - abnormal movements of trunk and/or extremities.
What is the definition of Tardive Dyskinesia (TD)
200
Fasting blood sugar and lipid panel.
What are some of the labs required to screen for metabolic syndrome for patients taking antipsychotic medications?
200
Delusions, Hallucinations, Disorganized thinking, Religiosity, Associative looseness
Name some of the Positive Symptoms of Schizophrenia.
300
Benztropine (Cogentin) Diphenhydramine (Benadryl)
What are the medications used to treat the extrapyramidal side effects (EPS) of antipsychotic medications?
300
Dry mouth Blurred vision Constipation Sedation
What are the symptoms known as anticholinergic side effects?
300
"Treatment of elderly patients with dementia-related psychosis with antipsychotic medications are at increased risk of death."
What is the black-box warning for all antipsychotic medications?
300
This type of therapy consists of a structuring of the environment in order to effect behavioral changes and to improve the individual's psychological health and functioning.
What is milieu therapy (also called therapeutic community or therapeutic environment?
300
Long acting forms of antipsychotic medications that are stored in body fats/tissues with a gradual release of the medication over several days. Beneficial for patients with problems with medication adherence. Name 2
What are Haloperidol decanoate (Haldol[D]) Fluphenazine decanoate (Prolixin[D])
400
Haloperidol decanoate Fluphenazine decanoate Risperidone consta Invega Sustenna
What are the long acting injectible forms of antipyschotic medications?
400
Agranulocytosis
What is the potentially fatal blood disorder in which the client's white blood cell (WBC) count can drop to extremely low levels that usually occurs within the first 3 months of treatment?
400
propranolol (Inderal) Tenormin (atenolol) lopressor (metoprolol)
What are examples of commonly prescribed beta adrenergic blocking agents that will have an additive effect of orthostatic hypotension when give concurrently with antipsychotic medications?
400
Affective flattening Alogia Avolition Anhedonia Social isolation
What are the negative symptoms of schizophrenia?
400
Neologism Echolalia Clang association Word salad
What are examples of alterations in speech patterns in Schizophrenia?
500
A relatively rare, but potentially fatal complication that can occur within hours or even years after drug initiation. Symptoms include severe muscle rigidity, very high fever, tachycardia, tachypnea, fluctuations in Blood pressure, diaphoresis and rapid deterioration of mental status from stupor to coma.
What is Neuroleptic malignant syndrome (NMS)?
500
Labs that demonstrate - WBC = 3500 and ANC = 2000 every week for 6 months, then every 2 weeks for 6 months. Then every 4 weeks while on medication.
What is the list of requirements for the Clozaril National Registry (CNR) ?
500
To decrease the patient's anxiety and to increase trust.
What is the primary goal in working with an actively psychotic, suspicious client?
500
Assess physical needs, Set limits on behaviors as needed, maintain a safe environment, spend time with client, Reorient client as necessary, maintain boundaries, monitor for altered thought processes,
What are 4 nursing interventions for patients with Schizophrenia?
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