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Psych
| Question | Answer |
|---|---|
| Side effects include muscular rigidity and cramping, a stiff or thick tongue with difficulty swallowing. usually occurs in the 1st week of treatment, in pt under 40yo, males, drugs involved Haloperidol & Thiothixene | Dystonia |
| twisted head and neck | torticollis |
| tightness in the entire body with the head back and an arched neck | opisthotonus |
| eyes rolled back in a locked position | oculogyric crisis |
| loss of coordination of muscles especially those of the extremities | ataxia |
| what medications are used to treat Acute Dystonia | IM benztropine mesylate or IM/IV diphenhydramine |
| intense need to move about | akathisia |
| a potentially fatal idiosyncratic reaction to an antipsychotic drug. often occurs in the first 2 weeks of treatment or after a increase in dosage. | Neuroleptic malignant syndrome |
| S/S rigidity, high fever, autonomic instability such as unstable BP, diaphoresis, pallor, delirium, and elevated levels of enzymes | NMS neuroleptic malignant syndrome |
| TX immediate discontinuance of all antipsychotic medication and the institution of supportive medical care to treat dehydration and hyperthermia | NMS neuroleptic malignant syndrome |
| S/S involuntary movement of the tongue, facial and neck muscles, upper/lower extremities. tongue thrusting & protruding, lip smacking, blinking, grimacing after it develops it is irreversible. Tx includes Atypical antipsychotic drugs | Tardive dyskinesia |
| S/S stiff stooped posture, mask-like-facies, decreased arm swing, a shuffling, festinating gait (small steps), cogwheel rigidity (ratchet like movements of joints), drooling, tremor, bradycardia, pill rolling | pseudoparkinsonism |
| ziprasidone is contraindicated in pt with a known HX of QT prolongation, recent MI, or uncompensated heart failure. it should not be used with other QT-prolonging drugs | FYI |
| acute dystonia, pseudoparkinism, akathisia | extrapyramidal symptoms |
| clients taking anticholinergic agents for EPS may have problems with anticholinergic side effects. Side effects usually decrease within 3-4 weeks but don't entirely remit | FYI |
| this drug may cause agranulocytosis, which may not show up for 24 weeks after TX is started. It also causes pt to have a baseline WBC count & differential before initiation of TX and Q weekly for 6 months and 4 weeks after discontinuation | Clozapine (Atypical antipsychotic) |
Created by:
jackie_ridley
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