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TD Meds 2
Effects/ Complications
Term | Definition |
---|---|
High Potency Neuroleptics | Low Sedation Low Anticholinergic Effects High Extrapyramidal Symptoms |
Low Potency Neuroleptics | High Sedation High Anticholinergic Effects Low Extrapyramidal Symptoms |
Extrapyramidal Symptoms | Acute Dystonia - Rigid Movements Akathisia - Fidgity Pseudo Parkinsonism Masklike Faces - Tremors Drooling Pill Rolling Shuffling Gait |
Tardive Dyskinesia | Involuntary Muscle Spasms Periorbital Movements (Oculogyric Crisis) Tongue Protrusion Rocking Abnormal Invouluntary Movement Scale (Aims) |
Dystonia | Retrocollis or Torticollis Trismus - Gaping Or Grimacing Dysphagia - Laryngeal/Pharyngeal Spasm Or Dysphonia Macroglossia Tongue Protrusion or Tongue Dysfunction Abnormal Positioning Of Distal Limbs Or Trunk |
Atypical/Noval Antipsychotics | Tx Positive Symptoms |
Neuroleptic Malignant Syndrome (NMS) | Acute Decrease In Brain Dopamine Severe Muscle Rigidity Hyperpyrexia - fever Labile Hypertension - fluctuating BP Tachycardia (>130 Bpm) Tachypnea (>25 Rpm) Diaphoresis, Pallor Delirium …Change In Mental Status |
NMS Treatment | Discontinuation Of Neuroleptic Creatine Kinase (CK) To Determine Muscle Injury Maintain Hydration Decrease Temperature Arrhythmias Should Be Treated Bromocriptine May Relieve Rigidity Dantrolene May Decrease Spasms |
Atypical Antipsychotics: Metabolic Syndrome Risk Increase with... (Except Aripiprizole and Ziprasidone) | fasting glucose fasting lipid profile abdominal girth, weight, NI: BP monitored at least quarterly during the first year and yearly thereafter |
Second Gen or Atypical Antipsychotics Challenges | Weight gain and metabolic abnormalities |