2nd/3rd generation
Pt teaching Agranulocytosis
Monitor CBC
Automatic Obedience
Responding in a robotic way
Neuroleptic Malignant Syndrome
Sudden high fever, BP fluctuations, diaphoresis, tachy, muscle rigidity, decreased LOC
Life Threatening Emergency
Ideas of reference
Misconstrues trivial events and attaches personal significance to them-example people discussing their next meal, client thinks they are talking about them
Associative looseness
Unconscious inability to concentrate on a single thought.
Metabolic Syndrome
New onset DM, or loss of glucose control in diabetics, weight gain (Monitor BS, labs thru treatment)
Negativism
Doing the opposite of what is required
Neuroendocrine Effects
Gynecomastia, weight gain, menstrual irregularities
Grandeur
Believes they are all powerful and important
Clang Association
Meaningless rhyming of words, often forceful
pt teaching Sexual Dysfunction
Notify MD for possible dose decrease, or medications to improve sexual function
Catatonia
Decrease or increase in the amount of movement . Muscular rigidity may be so severe that the limbs remain in place
Pt teaching for skin effects
Avoid sunlight, use sunscreen
Being controlled
Believes a force outside their body is controlling them
Word Salad
Words jumbled together with little meaning or significance to the listener
How do we know the medication is effective?
Improvement in ADLS, social interaction, sleeping and eating habits, absence of hallucinations, delusions, and anxiety
Impaired impulse control
Reduced ability to resist impulses
Pt teaching for sedation
Effects should go away in a few weeks, take at HS to avoid sleepiness, don’t drive
Magical Thinking
Believes their actions or thoughts are able to control a situation or affect others. Ex- wearing a certain hat makes them invisible to others
Echolalia
The client repeats words spoken to them
Which one can be given in depot injection?
Risperidone
Stupor
Motionless for long periods of time, coma like
Pt teaching for anticholinergic effects
Hard candy, high fiber foods, increased fluid intake if possible, voiding before taking meds, exercise
Thought broadcasting
Believes their thoughts are being heard by others
Tangentiality
Starts talking abut trivial information rather than focusing on the main topic of conversation