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Schizophrenia Drugs
Psychopharmacology for Schizophrenia Spectrum
| Question | Answer |
|---|---|
| Haldol | Haloperidol |
| Thorazine | Chlopromazine |
| Loxapine | Loxitane |
| Fluphenazin | Prolixin |
| What type of drug is Haldol? | Typical |
| What type of drug is Haloperidol? | Typical |
| What type of drug is thorazine? | Typical |
| What type of drug is Chlopromazine? | Typical |
| What type of drug is Loxapine? | Typical |
| What type of drug is Loxitane? | Typical |
| What type of drug is Fluphenazin? | Typical |
| What type of drug is Prolixin? | Typical |
| Which side effect is more prevalent in typical as opposed to atypical drugs? | Extrapyramidal EPS |
| What is EPS | Abnormal movements we don't normally have |
| Acute Dystonic Reaction | Muscle Spasms of the neck and face |
| Antidote for Acute dystonic reaction | Benadryl or Benzotropine |
| Pseudoparkinsonism | Shuffling gait,mask like face, cogwheeling rigidity |
| Akathasia | Inability to sit still |
| Tardive Dyskinesia | Irreversible involuntary movement |
| When is Tardive Dyskinesia most likely to happen with a antipsychotic medication? | After the start of the medication |
| What do Typical Antipsychotics do? | Blocks attachment of dopamine positive symptoms |
| What are 5 significant side effects of typical antipsychotics? | 1. Weight gain 2. Sedation 3. Orthostatic hypotension 4. EPS 5. Worsening depression symptoms |
| Clozapine | Clozaril |
| Risperidone | Risperal |
| Quentiapine | Seroquel |
| Paliperidone | Invega |
| Lurasidone | Latuda |
| Abilify | Ariprazole |
| What type of drug is Clozapine? | Atypical |
| What type of drug is Risperidone? | Atypical |
| What type of drug is Quentiapine? | Atypical |
| What type of drug is Paliperidone? | Atypical |
| What type of drug is Lurasidone? | Atypical |
| What type of drug is Abilify? | Atypical |
| What type of drug is Clozaril? | Atypical |
| What type of drug is Risperal? | Atypical |
| What type of drug is Seroquel? | Atypical |
| What type of drug is Invega? | Atypical |
| What type of drug is Latuda? | Atypical |
| What type of drug is Ariprazole? | Atypical |
| Which side effect is more prevalent in atypical as opposed to typical drugs? | Metabolic syndrome Issues |
| What type of metabolic syndrome issues might you see with the use of atypical drugs? | Heart Failure, Stroke, Cardiovascular Disease Orthostatic Hypotension Cardiac dysrrhythmias |
| Why do Atypical drugs increase a persons risk for metabolic related symptoms? | Because they increase a persons -lipids -cholesterol -weight -blood glucose |
| What do Atypical antipsychotics do? | Blocks attachment of dopamine and serotonin addressing both positive and negative symptoms |
| Which type of drug is better tolerated? | Atypical |
| Side effects of Clozapine (Clorazil) | -Lowers WBC and Absolute neutrophil count -Has Anticholinergic effects -Increased Weight gain |
| What does one have to be aware of when dealing with a patient who is on Clozapine and experiencing anticholenergic effects? | Bowel blockages that could potentially rupture |
| Side effects of Risperidone (Risperdal) | Glucomastia |
| Gynomastia | Growth of breast tissues that can occur in men and women |
| What does Quetiapine (Seroquel) treat? | Depression |
| What can low does of Quetiapine (Seroquel) treat? | PTSD and sleep problems |
| Side effect of Quetiapine (Seroquel) | A lot of weight gain |
| What does Lurasidone (Latuda) treat? | Type I and II bipolar disorder |
| What nursing intervention must you keep in mind with Latuda (Lurasidone) | Give with at least 300 calories of food for absorprtion |
| Which Atypical drug can be taken during pregnancy? | Latuda (Lurasidone) |
| Which Atypical drug is used as first line? | Abilify (Ariprazole) |
| When does Abilify (Ariprazole) become unaffective? | When patients are experiencing a lot of positive symptoms |
| Antipsychotic Neurological Side effects | -EPS -Neuroleptic Malignant Syndrome |
| Neuroleptic Malignant Syndrome | Life threatening can look like serotonin syndrome the biggest differences is stiffness and effects the autonomic system which causes vital fluctuations |
| Treatment for NMS | Dantrium (Dantrolene) |
| What is Dantrium (Dantrolene)? | Strong muscle relaxer |