Expressed anhedonia, decreased interest in activities or beliefs that would otherwise be interesting

Poverty of speech, reduction in speech

Reduced in range or intensity, i.e showing only sadness or anger and nothing else

The inability to recognize that one is ill

Altered experience and expression of emotions. Mood may change rapidly.

Should you debate delusional content?

Never debate delusional content

Name the first generation antipsychotics

Haloperidol, fluphenazine, chlorpromazine, decanoate

Side effects of first generation antipsychotics

Can cause anticholinergic side effects and extrapyramidal effects, along with tardive dyskinesia, weight gain, and sexual dysfunction.

What are the second generation antipsychotics?

ripiprazole, risperidone, clozapine, olanzapine, anything that ends in pine or one.

Second generation antipsychotics MOA, what it treats, and sx

Serotonin and dopamine receptor antagonists, treats both positive and negative symptoms, has minimal to no EPS or tardive dyskinesia. Tendency for metabolic syndrome.

What are third generation antipsychotics?

Aripiprazole, bexipiprazole, cariprazine.

Anticholinergic toxicity side effects

Reduced bowel peristalsis, can lead to obstruction, urinary retention, hyperpyrexia without diaphoresis, and delirium.

Side effects of QT prolongation caused by antipsychotics

Tachycardia, syncope, seizures, sudden death. Liver impairment occurs in the first few weeks of therapy.

Extrapyramidal side effects (Mild)

Akinesia, akathisa, pseudoparkinsonism.

Extrapyramidal side effects (Severe)

Acute dystonia, oculogyric crisis.

What is the presentation, risks, scale used for tardive dyskinesia?

Presents as bizarre facial and tongue movements, can cause permanent damage to voluntary muscles, use the AIMS scale

Treatment of tardive dyskinesia

Valbenazine and deutetrabenazine

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Psych 3.3

Question	Answer
Affective blunting	Reduced or constricted affect
Apathy	Expressed anhedonia, decreased interest in activities or beliefs that would otherwise be interesting
Alogia	Poverty of speech, reduction in speech
Constricted	Reduced in range or intensity, i.e showing only sadness or anger and nothing else
ANosognosia	The inability to recognize that one is ill
Affective sx	Altered experience and expression of emotions. Mood may change rapidly.
Should you debate delusional content?	Never debate delusional content
Name the first generation antipsychotics	Haloperidol, fluphenazine, chlorpromazine, decanoate
Side effects of first generation antipsychotics	Can cause anticholinergic side effects and extrapyramidal effects, along with tardive dyskinesia, weight gain, and sexual dysfunction.
What are the second generation antipsychotics?	ripiprazole, risperidone, clozapine, olanzapine, anything that ends in pine or one.
Second generation antipsychotics MOA, what it treats, and sx	Serotonin and dopamine receptor antagonists, treats both positive and negative symptoms, has minimal to no EPS or tardive dyskinesia. Tendency for metabolic syndrome.
What is the most used drug for resistant schizophrenia?	Clozapine
What are third generation antipsychotics?	Aripiprazole, bexipiprazole, cariprazine.
Anticholinergic toxicity side effects	Reduced bowel peristalsis, can lead to obstruction, urinary retention, hyperpyrexia without diaphoresis, and delirium.
Side effects of QT prolongation caused by antipsychotics	Tachycardia, syncope, seizures, sudden death. Liver impairment occurs in the first few weeks of therapy.
Extrapyramidal side effects (Mild)	Akinesia, akathisa, pseudoparkinsonism.
What is akathisa?	Restlessness
Mild extrapyramidal side effects can be treated by	Benztropine or diphenhydramine
Extrapyramidal side effects (Severe)	Acute dystonia, oculogyric crisis.
Severe extrapyramidal side effects should be treated by	IV benztropine
What is the presentation, risks, scale used for tardive dyskinesia?	Presents as bizarre facial and tongue movements, can cause permanent damage to voluntary muscles, use the AIMS scale
Treatment of tardive dyskinesia	Valbenazine and deutetrabenazine

Created by: nursing2studysets

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