Medications for Psychoses
Help!
|
|
||||
|---|---|---|---|---|---|
| Conventional Antipyschotic Medications are used to control/treat which symptoms of psychosis? | Positive Symptoms (agitation, delusions, hallucinations, tangential speech patterns)
🗑
|
||||
| Atypical Anti-psychotic Agents are used to control/treat which symptoms of psychosis? | Positive and Negative Symptoms
(Negative symptoms: social withdrawal, lack of emotion, lack of energy, flattened affect, decreased motivation, decreased pleasure in activities)
🗑
|
||||
| What are the Conventional Anti-psychotics? | Chlorpromazine (Thorazine); Haloperidol (Haldol); Fluphenazine (Prolixin); Molindone (Moban); Loxapine (Loxitane); Thioridazine (Mellaril); Thiothixene (Navane)
🗑
|
||||
| What are the therapeutic uses of Conventional Anti-psychotics? | Acute and chronic psychosis; schizophrenia; bipolar disorder (manic phase); tourette's syndrome; delusional and schizoaffective disorder; dementia; prevention of nausea/vomiting
🗑
|
||||
| What are the side/adverse effects of Conventional Anti-psychotics? | Acute Dystonia (spasm of tongue, neck, face, and back); Parkinsonism (bradykinesia, rigidity, shuffling gait, drooling, tremors); Akathisia (inability to sit or stand still)
🗑
|
||||
| Side/adverse effects of Conventional Anti-psychotics continued... | Late Extrapyramidal side effects (Tardive Dyskinesia--involuntary movements of the tongue and face, such as lip smacking. Involuntary movements of the arms, legs, and trunk)
🗑
|
||||
| Side/adverse effects of Conventional Anti-psychotics continued... | Neuroleptic Malignant Syndrome (high fever, BP fluctuations, dysrhythmias, muscle rigidity, changes in level of consciousness, coma); Anticholinergic Effects; Orthostatic Hypotension; Sedation
🗑
|
||||
| Side/Adverse effects of Conventional Anti-psychotics continued... | Neuro-endocrine effects (gynecomastia, galactorrhea, menstrual irregularities); Seizures; Sexual dysfunction; Skin effects (photosensitivity, contact dermatitis); Agranulocytosis; Severe dysrhythmias
🗑
|
||||
| Contraindications of Conventional Anti-psychotics | Contraindicated in older adult clients with dementia
🗑
|
||||
| Interactions with Conventional Anti-psychotics | Anticholinergic angents (avoid OTC meds such as sleep aids)
CNS Depressants (ETOH, opioids, antihistamines)
Levodopa
🗑
|
||||
| What are the Atypical Anti-psychotics? | Risperidone (Risperdal); Olanzapine (Zyprexa); Quetiapine (Seroquel); Aripiprazole (Abilify); Ziprasidone (Geodon); Clozapine (Clozaril)
🗑
|
||||
| What are the therapeutic uses for Atypical Anti-psychotics? | Negative and positive symptoms of schizophrenia, psychosis induced by levodopa therapy, relief of psychotic symptoms in other disorders (bipolar)
🗑
|
||||
| What are the side/adverse effects of Atypical Anti-psychotics? | Onset of Diabetes Mellitus or loss of glucose control in clients with diabetes.
Weight gain;
Hypercholesterolemia (increased risk for hypertension);
Orthostatic Hypotension;
Anticholinergic Effects;
Symptoms of agitation;
Mild EPS (tremor)
🗑
|
||||
| Contraindications for Atypical Anti-psychotics | Not used for dementia-related psychosis
Avoid concurrent use of ETOH
🗑
|
||||
| Clozapine (Clozaril): Specific side/adverse effects: | Risk for Agranulocytosis (baseline and weekly monitoring of WBC recommended)
High risk of weight gain, diabetes, and dyslipidemia.
🗑
|
||||
| Interactions with Atypical Anti-psychotics | Immunosuppressive meds (anticancer meds)
Avoid CNS depressants (ETOH, opioids, antihistamines)
Levodopa
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
j_bressette
Popular Nursing sets