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PSYCH > Antipsychotics > Flashcards

Antipsychotics Flashcards

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1
Q

name the 4 extrapyramidal side effects of first grade antipsych

A
  • parkinsonism
  • acute dytonia
  • akathisia
  • tardive dyskinesia
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2
Q

what is tardive dyskinesia

A

abnormal involuntary movements

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3
Q

what is akathisia

A

severe restlessness

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4
Q

what is parkinsonsim? (3)

A

tremor
bradykinesia
stiffness

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5
Q

what is acute dystonia

A

contractions of extremities, face, neck

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6
Q

what are 2 fga symptoms for eldery pt

A
  • stroke

- vte

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7
Q

name 2 antimuscarinic side effects of fga

A
  • dry mouth
  • blurred vision
  • constipation
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8
Q

what may be seen in an ECG of someone using fga?

A

prolonged QT interval

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9
Q

what happens to prolactin levels of someone on fga?

A

increases

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10
Q

what may happen regarding glucose regulation for pt on fga? what may this lead to

A

impaired

  • weight gain
  • DMT2
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11
Q

what mx is used to treat acute dystonia?

A

IV procycline

REMEMBER - PROfessionals CYCLe and have good TONE

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12
Q

what is the mx for tardive dyskinesia?

A

tetrabenazine

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13
Q

name 3 symptoms that can be experienced with pt on sga (atypical)

A
  • weight gain
  • hyperprolactinaemia
  • glucose dysregulation
  • DMT2
  • agranulocytosis
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14
Q

what atypical antipsychotic causes agranulocytosis

A

clozapine

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15
Q

which atypical antipsych is the most tolerable

A

apiprazole

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16
Q

for pt newly on clozapine, how regularly should their bloods be monitored

A

every week for 18 weeks

17
Q

what occurs if a clozapine dose is missed for 48h

A

restart slowly

18
Q

what are 3 side effects for someone on clozapine

A
  • agranulocytosis
  • neutropenia
  • hypersalivation
  • seizures
  • constipation
19
Q

how should dose bc adjusted if a pt smokes and is on clozapine?

A

dose increased

smoking cessation = ^ clozapine blood levels

20
Q

what may be done for pt on antipsych that have poor oral compliance

A

monthly IM depot

PSYCH (5 decks)

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