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nsg215 Schizophrenia

Ambivelance? Holding seemingly contradictory beliefs or feelings about the same person, event or situation.
Associative looseness? Fragmented or poorly related thoughts and ideas.
Delusions? Fixed false beliefs that have no basis in reality.
Echopraxia? Imitations of the movements and gestures of another person whom the client is observing.
Flight of ideas? Continuous flow of verbalization in which the person jumps rapidly from one topic to another.
Hallucinations? False sensory perceptions or perceptual experiences that do not exist in reality.
Ideas of reference? False impressions that external events have special meaning for the person.
Perseveration? Persistent adherence to a single idea or topic and verbal repetition of a sentence, word or phrase.
Alogia? Tendency to speak very little or to convey little substance of meaning.
Anhedonia? Feeling no joy or pleasure from life or any activities or relationships.
Apathy? Feeling of indifference toward people, activities and events.
Blunted affect/ Restricted range of emotional feeling, tone or mood.
Flat affect? Absence of any facial expression that wood indicate emotions or mood.
Lack of Volition? Absence of will, ambition, or drive to take action or accomplish tasks.
When is Schizophrenia usually Dx? And when is the peak incidence of onset? Usually in late adolescence or early adulthood. Peak incidence is 15-25 for M and 25-35 for F.
What are the two kinds of symptoms of Schizophrenia? Positive or hard signs and Negative or soft signs.
What are the pos or hard signs? Delusions, hallucinations and grossly disorganized thinking, speech and behavior.
What are the Neg or soft signs? Flat affect, lack of volition and social withdrawal or discomfort.
Medication can help control which of these symptoms if any? Meds help control the + signs but frequently do nothing foe the - signs.
What is Schizophrenia paranoid type? Characterized by grandiose delusions(feeling victimized or spied om) hallucinations and on occaisionally excessive religiosity or hostile and aggressive behavior.
Schizophrenia disorganized type? Grossly inappropriate or flat affect, incoherence, loose associations, and extremely disorganized behavior.
Schizophrenia catatonic type? Marked psychomotor disturbance, either motionless or excessive motor activity waxy flexability you see in this.
Schizophrenia undifferentiated type? Mixed schizophrenic symptoms along with disturbances of thought, affect and behavior.
Schizophrenia residual type? characterized by at least one previous, though not a current episode of social withdrawal, flat affect and looseness of association.
when is Schizoaffective disorder Dx? Dx when the client has the psychotic symptoms of schizophrenia and meets the criteria for a major affective mood disorder.
In schizophrenia we notice a decrease in these 2 things? Brain tissue and CSF.
What area of the brain are these diff. noted? Temporal, frontal and limbic areas.
What two neurotransmitters have been associated with schizophrenia? Dopamine and serotonin.
in schizophrenic pts what are these levels? Increased.
What cells are thought to play a role in schizophrenia? Cytokines.
How do cytokines do this? Signalling the brain to produce behavioral and neurochemical changes needed in the face of physical or psychological stress to maintain homeostasis?
Bouffee delirante? Found in west Africa and Haiti sudden outburst of agitated and aggressive behavior with marked confusion and psychomotor excitement. sometimes with auditory and visual hallicinations.
ghost sickness? preoccupation with death symptoms include bad dreams, feelings of danger, weakness, loss of appettite, fainting, dizziness, fear, anziety and hallucinations.
Locura? Latinos, symptoms include incoherence agitation, visual and auditory hallucinations, inability to follow social rules.
Qi qong? Chinesse, dissociative, paranoid especially in those that become over involved in the practice.
Zar north african and middle eastern, banging head against the wall.
What are the advantages of prolixin in decanoate and haloperidal in decanoate? they are injections that last for 2-4 weeks for uncooperative pts.
What are Extrapyramidal side fx? Dystonic reactions, parkinsonism and akathisia.
Dystonic reactions? spasms in discrete muscle groups such as neck and eye muscles.
What is Akathisia? restless movement inabillity to remain still and usually develops when the antipsychotic is started or when the dose is increased.
what drugs are good for reducing akathisia? Beta-blockers.
What is tardive dyskinesia? lip smacking,tongue pertrusion, chewing, blinking and grimacing and choreoform movements(think hunnigtons).
The one medication that does not cause Tardive dyskinesia? Clozapine.
Neuroleptic Malignant Sydrome? Sx of meds Muscle rigidity,high fever and increased muscle enzymes(creatine phosphokinase)and leukocytosis. Give dantrium.
Agranulocytosis? what med associated with? decreased production of white blood cells, Clozapine.
Anhedonia? Having no pleasure or joy in life.
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