Effects/ Complications
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| High Potency Neuroleptics | Low Sedation
Low Anticholinergic Effects
High Extrapyramidal Symptoms
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| Low Potency Neuroleptics | High Sedation
High Anticholinergic Effects
Low Extrapyramidal Symptoms
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| Extrapyramidal Symptoms | Acute Dystonia - Rigid Movements
Akathisia - Fidgity
Pseudo Parkinsonism Masklike Faces - Tremors
Drooling
Pill Rolling
Shuffling Gait
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| Tardive Dyskinesia | Involuntary Muscle Spasms
Periorbital Movements (Oculogyric Crisis)
Tongue Protrusion
Rocking
Abnormal Invouluntary Movement Scale (Aims)
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| Dystonia | Retrocollis or Torticollis
Trismus - Gaping Or Grimacing
Dysphagia - Laryngeal/Pharyngeal Spasm Or Dysphonia
Macroglossia
Tongue Protrusion or Tongue Dysfunction
Abnormal Positioning Of Distal Limbs Or Trunk
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| Atypical/Noval Antipsychotics | Tx Positive Symptoms
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| Neuroleptic Malignant Syndrome (NMS) | Acute Decrease In Brain Dopamine
Severe Muscle Rigidity
Hyperpyrexia - fever
Labile Hypertension - fluctuating BP
Tachycardia (>130 Bpm)
Tachypnea (>25 Rpm)
Diaphoresis, Pallor
Delirium
…Change In Mental Status
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| NMS Treatment | Discontinuation Of Neuroleptic
Creatine Kinase (CK) To Determine Muscle Injury
Maintain Hydration
Decrease Temperature
Arrhythmias Should Be Treated
Bromocriptine May Relieve Rigidity
Dantrolene May Decrease Spasms
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| Atypical Antipsychotics: Metabolic Syndrome Risk Increase with... (Except Aripiprizole and Ziprasidone) | fasting glucose
fasting lipid profile
abdominal girth, weight,
NI: BP monitored at least quarterly during the first year and yearly thereafter
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| Second Gen or Atypical Antipsychotics Challenges | Weight gain and metabolic abnormalities
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