nsg215 Schizophrenia
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| Ambivelance? | Holding seemingly contradictory beliefs or feelings about the same person, event or situation.
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| Associative looseness? | Fragmented or poorly related thoughts and ideas.
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| Delusions? | Fixed false beliefs that have no basis in reality.
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| Echopraxia? | Imitations of the movements and gestures of another person whom the client is observing.
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| Flight of ideas? | Continuous flow of verbalization in which the person jumps rapidly from one topic to another.
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| Hallucinations? | False sensory perceptions or perceptual experiences that do not exist in reality.
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| Ideas of reference? | False impressions that external events have special meaning for the person.
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| Perseveration? | Persistent adherence to a single idea or topic and verbal repetition of a sentence, word or phrase.
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| Alogia? | Tendency to speak very little or to convey little substance of meaning.
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| Anhedonia? | Feeling no joy or pleasure from life or any activities or relationships.
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| Apathy? | Feeling of indifference toward people, activities and events.
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| Blunted affect/ | Restricted range of emotional feeling, tone or mood.
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| Flat affect? | Absence of any facial expression that wood indicate emotions or mood.
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| Lack of Volition? | Absence of will, ambition, or drive to take action or accomplish tasks.
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| When is Schizophrenia usually Dx? And when is the peak incidence of onset? | Usually in late adolescence or early adulthood.
Peak incidence is 15-25 for M and 25-35 for F.
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| What are the two kinds of symptoms of Schizophrenia? | Positive or hard signs and Negative or soft signs.
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| What are the pos or hard signs? | Delusions, hallucinations and grossly disorganized thinking, speech and behavior.
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| What are the Neg or soft signs? | Flat affect, lack of volition and social withdrawal or discomfort.
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| Medication can help control which of these symptoms if any? | Meds help control the + signs but frequently do nothing foe the - signs.
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| What is Schizophrenia paranoid type? | Characterized by grandiose delusions(feeling victimized or spied om) hallucinations and on occaisionally excessive religiosity or hostile and aggressive behavior.
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| Schizophrenia disorganized type? | Grossly inappropriate or flat affect, incoherence, loose associations, and extremely disorganized behavior.
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| Schizophrenia catatonic type? | Marked psychomotor disturbance, either motionless or excessive motor activity
waxy flexability you see in this.
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| Schizophrenia undifferentiated type? | Mixed schizophrenic symptoms along with disturbances of thought, affect and behavior.
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| Schizophrenia residual type? | characterized by at least one previous, though not a current episode of social withdrawal, flat affect and looseness of association.
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| when is Schizoaffective disorder Dx? | Dx when the client has the psychotic symptoms of schizophrenia and meets the criteria for a major affective mood disorder.
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| In schizophrenia we notice a decrease in these 2 things? | Brain tissue and CSF.
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| What area of the brain are these diff. noted? | Temporal, frontal and limbic areas.
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| What two neurotransmitters have been associated with schizophrenia? | Dopamine and serotonin.
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| in schizophrenic pts what are these levels? | Increased.
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| What cells are thought to play a role in schizophrenia? | Cytokines.
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| How do cytokines do this? | Signalling the brain to produce behavioral and neurochemical changes needed in the face of physical or psychological stress to maintain homeostasis?
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| Bouffee delirante? | Found in west Africa and Haiti sudden outburst of agitated and aggressive behavior with marked confusion and psychomotor excitement. sometimes with auditory and visual hallicinations.
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| ghost sickness? | preoccupation with death symptoms include bad dreams, feelings of danger, weakness, loss of appettite, fainting, dizziness, fear, anziety and hallucinations.
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| Locura? | Latinos, symptoms include incoherence agitation, visual and auditory hallucinations, inability to follow social rules.
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| Qi qong? | Chinesse, dissociative, paranoid especially in those that become over involved in the practice.
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| Zar | north african and middle eastern, banging head against the wall.
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| What are the advantages of prolixin in decanoate and haloperidal in decanoate? | they are injections that last for 2-4 weeks for uncooperative pts.
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| What are Extrapyramidal side fx? | Dystonic reactions, parkinsonism and akathisia.
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| Dystonic reactions? | spasms in discrete muscle groups such as neck and eye muscles.
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| What is Akathisia? | restless movement inabillity to remain still and usually develops when the antipsychotic is started or when the dose is increased.
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| what drugs are good for reducing akathisia? | Beta-blockers.
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| What is tardive dyskinesia? | lip smacking,tongue pertrusion, chewing, blinking and grimacing and choreoform movements(think hunnigtons).
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| The one medication that does not cause Tardive dyskinesia? | Clozapine.
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| Neuroleptic Malignant Sydrome? | Sx of meds Muscle rigidity,high fever and increased muscle enzymes(creatine phosphokinase)and leukocytosis. Give dantrium.
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| Agranulocytosis? what med associated with? | decreased production of white blood cells,
Clozapine.
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| Anhedonia? | Having no pleasure or joy in life.
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