Anti-psychotic Drugs

Question 1

Antipsychotic medication is given to patient with?

Answer 1

Patient with altered sense of reality

Question 2

2 Types of classification for antipsychotic medication

Answer 2

Typical

Atypical

Question 3

2 types of classification for Typical medications

Answer 3

Phenothiazine

Non-phenothiazine

Question 4

Antipsychotic drugs indicated for schizophrenia

Answer 4

Phenothiazine

Question 5

Positive s/s of schizophrenia

Answer 5

Hallucination
Delusion
Disorganized thinking (neologism, echolalia, flight of ideas)
Disorganized behavior (agitation, aggression,echopraxia, regressed childlike behavior)

Echopraxia - imitation of another gestures

Question 6

Negative signs of schizophrenia

Answer 6

Mute, flat affect, catatonic, suicidal, homicidal

Question 7

Example of Phenothiazine

“Remember No Cee,Pee,Triflou,Theori”

Answer 7

Chlorpromazine
Perphenazine
Triflouperazine
Thioridazine

“ Ends in ZINE”

Question 8

Ideal route for Phenothiazine

Answer 8

IM

“ other PO, IV”

Question 9

Side effects of Phenothiazine

Answer 9

Anticholinergic +

Tardive dyskinesia

Question 10

Form of movement that is drug induced, toungue potruding, rocking back and forth

Answer 10

Tardive dyskinesia

“Extrapyramidal effect”

Question 11

Nursing assessment when giving phenothiazine, monitor for:

Answer 11

Tardive dyskinesia

Question 12

Specific v/s to monitor for phenothiazine

Answer 12

Increase in temperature

Orthostatic hypotension

Question 13

Position after administration of phenothiazine

Answer 13

Lay flat for 1 hr

Question 14

How many weeks for phenothiazine to work?

Answer 14

2 weeks

Question 15

Example of non-phenothiazine

Answer 15

Haloperidol

Question 16

Side effects of Haloperidol

Answer 16

Anticholinergic +
Severe tardive dyskinesia
Severe EPS

Question 17

Antidote for antipsychotic drugs

Answer 17

Benztropine

“Parkinson’s drug”

Question 18

Teaching points regarding the side effects of antipsychotic drugs. Do you need to report to HCP?

Answer 18

No,Side effects are normal and expected

Continue taking the drugs or the psychotic symptoms will return

Question 19

What is the adverse reaction to antipsychotic drug? Medical emergency

Answer 19

Neuroleptic malignant syndrome (NMS)

Question 20

S/S of NMS

Answer 20

Anticholinergic +
Tardive dyskinesia +
Extreme vital signs ( increase HR, RR, T, rigid body, sweating, seizure)

Question 21

Immediate nursing action for NMS

Answer 21

Notify HCP
Stop the meds
Provide supportive care ( acetaminophen and cooling blanket for increase temperature, beta-blocker to decrease BP, IVF)

Question 22

Antipsychotic drug classification, used to treat psychotic symptoms but newer medication

Answer 22

Atypical antipsychotic

Question 23

Examples of Atypical antipsychotic drugs

“Remember CORA”

Answer 23

Clozapine
Olanzapine
Risperodone
Aripiprazole

“Less EPS symptoms”

Question 24

What to monitor for patients taking atypical antipsychotic drugs?

Answer 24

Metabolic changes

Question 25

What are those metabolic changes for taking atypical drugs?

Answer 25

Obesity
DM
Hyperlipidemia - inc. cholesterol 200mg/dl

Question 26

Other name for Typical Antipsychotic drugs

Answer 26

1st Generation

Question 27

Other name for Atypical Antipsychotic drugs

Answer 27

2nd Generation

Question 28

Rare condition in which there is lack of WBC production when taking antipsychotic meds

Answer 28

Agranulocytosis

Question 29

Signs of agranulocytosis

Answer 29

Fever, cough (flu-like)
Septic shock ( rapid pulse, hypotension)
Swollen painful gums

Question 30

Immediate nursing care for agranulocytosis

Answer 30

Notify HCP first sign of fever