Hodgepodge
The 3 Meds used in this IM for Acute Agitation/aggression
What is Diphenhydramine, Lorazepam, Haloperidol
The patient has a false belief that someone is tracking their movements & out to get them
What is positive symptom of delusion
The patient is complaining of a stiff neck & thick tongue
What is a Dystonic reaction
This medication is often prescribed with 1st generation antipsychotics to prevent EPS
What is benztropine or Cogentin
Seroquel is commonly used for this problem
What is sleep difficulty
A baseline EKG is sometimes ordered before starting Antipsychotic Medications for this side effect
What is prolonged Q-T interval
The patient has lack of emotional & facial expression
What is the negative symptom of affect flattening or blunted affect
The inability to sit or stand still, may be manifested by continual pacing and agitation
What is akathisia
Typical Antipsychotics block this neurotransmitter
What is dopamine
Atypical Antipsychotics block these neurotransmitters
What is dopamine & serotonin
Dystonic reaction, tardive dyskinesia, akathisia, and parkinsonism describe this group of side effects that happens with all neuroleptics
What is EPS
(Extrapyramidal effects)
The patient has difficulty communicating and often does not make sense
What is the positive symptom of disorganized thinking
Mad as a hatter, blind as a bat, red as a beet, hot as a hare, dry as a bone is referring to what type of issue
What is an anticholinergic crisis
lip & mouth movement, eye blinking, & grimacing are early signs of this potential permanent side effect
What is TD
Tardive Dyskinesia or Tardive Dystonia
300-500 calories is the amount of food needed to be consumed when taking this po medication
What is ziprasidone (Geodon)
Sudden high fever, muscle rigidity & blood pressure fluctuations are symptoms of this potentially life threatening complications of anti-psychotic meds
What is Neuroleptic Malignant Syndrome (NMS)
This is the loss of interest or pleasure in nearly all activities
What is negative symptom of anhedonia
Placing your hand on a patients elbow or shoulder & moving their arm is the best way to check for this
What is cogwheeling
This High potency Antipsychotic is also a LAI
What is haloperidol
This 2nd generation antipsychotic increases prolactin and can cause spontaneous lactation in females, or gynecomastia in males
What is risperidone
(Risperdal)
A dystonic reaction of the eye muscle is called
What is an oculogyric crisis
The patient has very little speech even when encouraged to interact
What is the negative symptom of alogia
The Provider may order this IM medication to treat a dystonic reaction
What is diphenhydramine
(Benadryl)
1st generation antipsychotics can have this side effect, patient education is needed so patients can protect themselves, especially in the summer
What is photosensitivity
It is important to assess for history of diabetes when this med gets started on our patients
What is olanzapine
(Zyprexa)