Antipsychotics Flashcards
name the 4 extrapyramidal side effects of first grade antipsych
- parkinsonism
- acute dytonia
- akathisia
- tardive dyskinesia
what is tardive dyskinesia
abnormal involuntary movements
what is akathisia
severe restlessness
what is parkinsonsim? (3)
tremor
bradykinesia
stiffness
what is acute dystonia
contractions of extremities, face, neck
what are 2 fga symptoms for eldery pt
- stroke
- vte
name 2 antimuscarinic side effects of fga
- dry mouth
- blurred vision
- constipation
what may be seen in an ECG of someone using fga?
prolonged QT interval
what happens to prolactin levels of someone on fga?
increases
what may happen regarding glucose regulation for pt on fga? what may this lead to
impaired
- weight gain
- DMT2
what mx is used to treat acute dystonia?
IV procycline
REMEMBER - PROfessionals CYCLe and have good TONE
what is the mx for tardive dyskinesia?
tetrabenazine
name 3 symptoms that can be experienced with pt on sga (atypical)
- weight gain
- hyperprolactinaemia
- glucose dysregulation
- DMT2
- agranulocytosis
what atypical antipsychotic causes agranulocytosis
clozapine
which atypical antipsych is the most tolerable
apiprazole
for pt newly on clozapine, how regularly should their bloods be monitored
every week for 18 weeks
what occurs if a clozapine dose is missed for 48h
restart slowly
what are 3 side effects for someone on clozapine
- agranulocytosis
- neutropenia
- hypersalivation
- seizures
- constipation
how should dose bc adjusted if a pt smokes and is on clozapine?
dose increased
smoking cessation = ^ clozapine blood levels
what may be done for pt on antipsych that have poor oral compliance
monthly IM depot
