ANTIPSYCHOTIC UNIT 3

Question 1

Which of the following medications are Anti- Psychotic medications?SELECT ALL THAT APPLY
A. Phenobarbital
B. Furosemide
C. Phenytoin
D. Arirpaprazole
E. Haloperidol
F.Morphine

Answer 1

E. Haloperidol

D. Arirpaprazole

Question 2

What is Haloperidol a Typical or Atypical Anti-Psychotic medication

Answer 2

Typical - HAS GREATER SIDE EFFECTS THAN Atypical Anti-Psychotics

Haloperidol
•Side effects
•Drowsiness, headache
•photosensitivity
•Urinary retetention, sexual dysfunction
•orthostatic hypotension

•Adverse reactions
•Tachycardia, Blood dyscrasias
•EPS( EXTRAPYRAMIDAL SYNDROME) MORE SEVERE, NMS (NEUPOLEPTIC MALIGNANT SYNDROME)

Question 3

What are the 3 CATEGORIES OF EPS(EXTRAPYRAMIDAL SYNDROME)

Answer 3

Acute dystonia(REVERSIBLE)- benztropine
•Muscle spasms of face, tongue, neck, and back
•Facial grimacing
•Involuntary upward eye movements
•Laryngeal spasms

Akathisia( REVERSIBLE) – benztropine or benzodiazepine
•Constant motion (pacing)

Tardive dyskinesia( NONREVERSIBLE) (TD) Can be permanent– benztropine does not work. Have to change antipsychotic
•Protrusion and rolling of tongue, chewing action

Question 4

What are the symptoms of EPS ( EXTRAPYRAMIDAL SYNDROME)

Answer 4

Extrapyramidal syndrome
•Stooped posture, masklike facies, rigidity, tremors at rest
•Shuffling gait, pill-rolling motion of hands, bradykinesia

Question 5

Is NMS( Neuroleptic Malignant Syndrome) LIFE THREATENING

Answer 5

YES

Key sign 🔺 INCREASED TEMPERATURE 105•FARENHEIGHT

•Rare, potentially fatal condition
•Symptoms
•Altered mental status, seizures
•Muscle rigidity, sudden high fever
•BP fluctuations, tachycardia, dysrhythmias
•Rhabdomyolysis(A breakdown of muscle tissue),
•acute renal failure
•Respiratory failure, coma

Question 6

TREATMENT FOR NEUROLYPTIC MALIGNANT SYNDROME

Answer 6

Treatment
•Immediate withdrawal of antipsychotics,STOP THE ANTIPSYCHOTICS
• hydration, hypothermic blankets, antipyretics,
• START USING benzodiazepines, muscle relaxants

Question 7

Does Antipsychotic meds takes weeks to achieve full clinical Affect ( Patient Teaching)

Answer 7

Teaching
•Take the drug exactly as ordered
•Inform patients that medication may take 6 weeks or longer to achieve full clinical effect.
•Encourage smoking cessation (puts them at higher risk of tardive dyskinesia)
•Warn patient not to combine drug with alcohol, narcotics, or other CNS depressants.
•Do not drive
•Warn against sudden discontinuation of antipsychotics to avoid sudden recurrence of psychotic symptoms.