Medications
What is Clozapine? WBC <3000, flu-like symptoms
Stop medication and notify provider.
Dry mouth, constipation, urinary retention
What is Anticholinergic side effects.
Delusions, hallucinations, disorganized speech, bizarre behavior and motor
What is positive symptoms?
Command auditory hallucinations
What is asking what the voice is telling you? what is high priority assessment?
History of violence, mental illness with psychosis, agitation, mania.
What is high risk for violence?
Cause metabolic syndrome
What is 2nd gen antipsychotics. -pine and -dones
AdAPT
What is mnemonic for EPS symptoms Acute dystonia, Akathisia, Parkinsonism, Tardive dyskinesia
Asociality, alogia, anergia, avolition, anhedonia
What is negative symptoms?
"You seems frustrated, tell me what is going on?"
What is therapeutic de-escalation first nurse response?
Nonthreatening posture, open arms, maintain personal space, talk calm, slowly, direct
what is de-escalation techniques?
Have less or no EPS, Improve compliance, treat +ve and -ve symptoms
What is 2nd generation antipsychotics
Weight gain, hyperlipidemia, hyperglycemia
What is metabolic syndrome? caused by 2nd gen
Inability to recognize one is sick
What is Anosognosia?
"Take a walk with me"
What is de-escalation for client pacing and getting agitated?
ID trigger
What is first step in preventing escalation of anger to violence?
What is 2st generation antipsychotics.
Neck muscle spasms, facial muscle spasm and pain, laryngeal spasm
Acute dystonia- give Benadryl
Very high fever, encephalopathy, unstable vital signs, muscle rigidity, elevated CPK and wbc
What is F.E.V.E.R? mnemonic for neuroleptic malignant syndrome.
stop meds, initiate ICU protocol, give bromocriptine.
I see FBI watching me through the window.
What is " It must be frightening. although you see FBI, I do not see anyone"
Self-awareness, cultural awareness, desire
What is key nursing competency for effective culture care?
Known to cause weight gain most
What is Olanzapine?
Lip smacking, tongue rolling, eye blinking
What is tardive dyskinesia
The CIA are in my thoughts and are forcing me to do things
What is delusion of control? ask "what you are being asked to do?"
Monitor BO, weight, blood sugar, exercise and eat healthy
What is client education for metabolic syndrome?
Mood and affect
What is MSE component that assess anger as an emotion?