antipsychotics Flashcards
Antipsychotics
Typical -blocks dopamine
Atypical- blocks dopamine and serotonin
*blocks dopamine receptors
depresses reticular activator system
indications for antipsychotics
schizophrenia, psychotic disorder, hyperactive, combative behavior, bipolar, myrad of disorders.
CI for antipsychotics
Underlying disease CNS depression (parkensons CAD) Elderly with dementia pt who cant tolerate anticholingeric effects pregnancy under 12
AE of antipsychotics
Sedation, antichoingeric, hypotension, arrhythmias, dystonia, akathisia, pseudoparkensons, tardive dyskinesia, diabetes, weight gain
Dystonia
muscles to one side
Akathisia
restlessness walking
Cultural considerations
African americans metabolize differently
asians smaller body mass
arab americans metabolize more slow
D-D antipsychotics
Beta blockers, alcohol, drugs with anticholingeric effects
NI
medications in evening measures for dry mouth dont crush or chew monitor CBC Change position slowly pink red urine check blood sugar gradual discontinuation