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TD Meds 2

Effects/ Complications

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
Created by: Slacker