antipsychotics Flashcards

1
Q

Antipsychotics

A

Typical -blocks dopamine
Atypical- blocks dopamine and serotonin
*blocks dopamine receptors
depresses reticular activator system

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2
Q

indications for antipsychotics

A

schizophrenia, psychotic disorder, hyperactive, combative behavior, bipolar, myrad of disorders.

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3
Q

CI for antipsychotics

A
Underlying disease
CNS depression (parkensons CAD)
Elderly with dementia
pt who cant tolerate anticholingeric effects
pregnancy 
under 12
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4
Q

AE of antipsychotics

A

Sedation, antichoingeric, hypotension, arrhythmias, dystonia, akathisia, pseudoparkensons, tardive dyskinesia, diabetes, weight gain

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5
Q

Dystonia

A

muscles to one side

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6
Q

Akathisia

A

restlessness walking

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7
Q

Cultural considerations

A

African americans metabolize differently
asians smaller body mass
arab americans metabolize more slow

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8
Q

D-D antipsychotics

A

Beta blockers, alcohol, drugs with anticholingeric effects

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9
Q

NI

A
medications in evening
measures for dry mouth
dont crush or chew
monitor CBC
Change position slowly
pink red urine
check blood sugar
gradual discontinuation
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