atyp typ antipsych
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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| Aripiprazole (Abilify) | Third generation
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| clozapine (Cloziril) | Second generation
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| olanzapine (Zyprexa) | Second generation
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| paliperidone (Invega) | Second generation
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| quetiapine (Seroquil) | Second generation
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| resperidone (Risperdal) | Second generation
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| ziprasdone (Geodon) | Second generation
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| chlorpromazine (Thorazine) | First generation
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| thioridazine (Mellaril) | First generation
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| loxapine (loxitane) | First generation
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| molindone (Moban) | First generation
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| perphemazine (trilaphon) | First generation
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| trifluoperazine | First generation
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| thiothixene (Navene) | First generation
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| fluphenazine (Prolixin) | First generation
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| haloperidol (Haldol) | First generation
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| pimozide (Orap) | First generation
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| chlorpromazine (Thorazine)potency | Low potency
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| thioridazine (Mellaril)potency | Low potency
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| loxapine (loxitane)potency | Medium potency
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| molindone (Moban)potency | Medium potency
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| perphemazine (trilaphon)potency | Medium potency
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| trifluoperazine potency | high potency
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| thiothixene (Navene)potency | high potency
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| fluphenazine (Prolixin)potency | high potency
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| haloperidol (Haldol)potency | high potency
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| pimozide (Orap)potency | high potency
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| Low potency = | high sedation + high Ach + low EPS
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| High potency = | low sedation + low Ach + high EPS
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| anticholorinergic effects | blurred vision dry mouth decreased tearing dry nasal passages tachycardia constipation urinary hesitency
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| pisa syndrome | leaning to one side elderly particularly susceptible
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| EPS | dystonia, dyskinesia, akathisia, tardive dyskinesia
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| antiadrenergic effects | hypotension postural hypotension tachycardia decreased cardiac output
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| cardiac effects | longer qt interval fatal arrhytmias
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| endocrine effects | amenorrhea, loss of labido, galactorrhea, inc risk osteoporosis impotence, gynecomastia, low sperm count, fiminazation
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| metabolic syndrome | reduced metabolism glucose, resistance to insulin, DM2, obesity, inc lipid levels, hypertension, coagulation abnormalities
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| Neuroleptic Malignant Syndrome | hypterpyrexia, muscular ridgity, tremors, alt conciousness, autonomic dysfux, HTN, tachycardia, tachypnea, diaphoresis, incontinence. Elev CPK, myglobinurea, elv WBC. Metabolic acidosis.
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| Treatment for NMS | stop drug, administer bromocriptine mesylate (Parlodel), Dantrium, treat fever, maintain hydration, maintain vital fx
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| pseudoparkinsonism | mask like, stiff/stoop posture, shuffling gait, drooling, tremor, pill rolling
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| dystonia | contractions of tongue, face, neck, back, jaw
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| akethesia | motor inner drive restlessness tapping foot, rocking foward/backward in chair, shifting weigh
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| tardive dyskensia | protruding/rolling tongue, blowing, smaking, licking, spastic facial distortions.
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