Legal
3 day involuntary hold
What is a 5150?
Class of medication most effective to treat positive symptoms of schizophrenia
What is 1st generation antipsychotics.
This class of medications can cause weight gain,orthostatic hypotension, can be used for both positive and negative symptoms of schizophrenia.
What are 2nd generation Atypical antipsychotics.
Patient attempted to overdose on medication and wants to end her life.
Risk for self harm
14 day involuntary hold
What is a 5250?
This medication requires monitoring of ANC,due to risk of agranulocytosis (low level of neutrophils).
What is Clozapine?
This class of medication has a higher risk of EPS
What are 1st generation typical antipsychotics
Patient reports she hears voices telling her she is not worth anything and to hurt herself.
Disturbed Thought process
Only used as a last resort when a patient is an imminent danger to self or others.
What is restraint or physical hold
This anticholinergic medication is used to treat EPS.
What is Benztropine?
Involuntary muscle spasms, such as twisting of the neck, akathisia and parkinsonism. Acute adverse reaction to antipsychotic medications especially 1st generation.
What is EPS?
Patient has not showered in weeks and has had very poor appetite. She is unable to care for herself.
Self care deficit
Court mandated medication administration.
What is a Reise?
This combination of 3 drugs is often used to relax a combative patient.
Haldol 10mg, Benadryl 50mg, Ativan 2mg
This serious side effect includes fever, encephalopathy, unstable vitals, elevated CPK and rigidity.
What is Neuroleptic Malignant syndrome?
Patient reports drinking 750 ml of Vodka daily x 30 years. Last drink was 8/28. This has caused him to lose his job and marriage.
Substance Use
Risk for withdrawals
After being placed on which hold is the patient entitled to a WRIT with a judge?
What is 5250?
Name 4 1st generation typical antipsychotics.
Chlorpromazine
Haloperidol
fluphenazine
loxapine
Late onset syndrome characterized by repetitive involuntary movements of face , tongue and other body parts, often occuring with long term antipsychotic use.
What is tardive dyskinesia?
Ineffective coping skills
Risk for harm
safety