Medications
What is an EPS?
Extrapyramidal Symptoms which are usually associated with taking 1st generation antipsychotics. EPS can present in patients taking 2nd generation antipsychotics as well.
Which type of medication would be contraindicated for a patient with substance abuse disorder?
Benzodiazepine
A patient with insomnia, labile mood, and grandiose thinking is most likely experiencing what?
Mania
A less intense form of mania is hypomania. This can be managed as an outpatient if the support system is given education such as to monitor the patient's mood, spending habits, eating, sleeping, and keep the patient in a non-stimulating environment.
Restlessness, agitation, sweating, yawning, piloerection, and GI symptoms are associated with what condition?
Withdrawal from opioids
"The people are watching me through the window."
Delusion
What teaching should the nurse implement for the patient that is taking 2nd generation antipsychotics?
Watch for s/s metabolic syndrome including diabetes, weight gain, dyslipidemia, CVD, etc.
If a patient with Bipolar and has poor symptom control, which class of medications may be added to the regimen?
Anticonvulsants and/or antipsychotics
What are the 2 most important interventions for a patient who has bipolar disorder?
Sleeping
Nutrition
Individuals who use drugs at an early age are more likely to develop an addiction-true or false
True
Hallucination is a __________ symptom.
positive
What side effects are more likely to present when a patient is taking a first generation antipsychotic?
Extrapyramidial symptoms (EPS)
Tongue and lip smacking may be a side effect of this class of drugs and is called?
First generation antipsychotics
Tardive dyskinesia
When would ECT be warranted for a patient with bipolar disorder?
If the depressive symptoms are poorly controlled with medications
Dilated pupils, elevated HR, and euphoria are effects of what drug class?
CNS Stimulants
What therapeutic technique is most effective with hallucinations?
observation
presenting reality
What two things should a nurse monitor for a patient who is taking olanzapine?
Weight gain and CMP
How does a nurse monitor for side effects of EPS?
AIMS
Abnormal Involuntary Movement Scale
What is the most important thing a nurse a should do during the orientation phase of working with a patient who has a depressive disorder?
Establish trust
The best way to determine a patient's alcohol withdrawal severity is to do what?
Use a standardized scoring tool such as the CIWA-Ar
If a patient is experiencing delusions, hallucinations and anhedonia, what category of medication would you expect and why?
Atypical, second generation
because patient has positive and negative symptoms
Which of the following labs would be concerning for a patient taking Lithium?
Na 130
K 3.6
WBC 8,000
Na 135
Na 130
The patient is taking haloperidol and is restless and pacing. How would the nurse document this finding?
Akathesia
Assess
A patient has a CIWA score of 47, what signs and symptoms are likely to be present?
Agitation, N/V, tremor, head fullness, etc. See CIWA scale.
Seclusion or restraint is warranted when?
A patient is becoming aggressive and is a danger to themselves and/or others.