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Antipsychotics
Typical and Atypical drugs used to treat psychosis
Question | Answer |
---|---|
Typical/Traditional Antipsychotic Nursing Considerations | Target only positive symptoms. Heavily sedate. Increased EPS (dystonia, akathesia, pseudoparkinsonism, & tardive diskensia) |
Haloperidol | Typical (Haldol) |
Thioxene | Typical (Navane) |
Thioridazine | Typical (Mellaril) |
Fluphenazine | Typical (Prolixin) |
Trifluoperazine | Typical (Stelazine) |
Chlorpromazine | Typical (Thorazine) |
Loxapine | Typical (Loxitane) |
Haldol D | Long-acting typical |
Prolixin D | Long-acting typical |
Risperdal Consta | Long-acting atypicals |
Clozaril | Atypical- can stop bone marrow from WBC production. Heavily sedates. Last choice drug. |
Risperidone | Atypical (Risperdal) |
Atypical Antipsychotic Nursing Considerations | First choice drugs. Less sedating. Decreased EPS. |
Olanzapine | Atypical (Zyprexa)- Wt. gain. |
Quetiapine | Atypical (Seroquel) |
Ziprasidone | Atypical (Geodone)- GI upset, take w/ food |
Apriprozole | Atypical (Abilify) |
Paliperidone | Atypical (Invega) |
More side effects for antipsychotics | Anticholinergic, hypotension, agranulocytosis, jaundice, NMS (fever, tachy., diaphoresis, increased muscle rigidity), wt. gain, sexual dysfunction, photosensitivity ('zines' are worst), decreased seizure threshold, black box warning for gerians |