Antipsychotics: FGAs

Question 1

common uses of FGAs

Answer 1

schizophrenia
agitation/aggression
nausea & vomiting
intractable hiccups

Question 2

FGAs to know

Answer 2

Haloperidol

Chlorpromazine

Question 3

What are the mental disorders

Answer 3

1. distress
2. danger
3. deviant
4. dysfunction

Question 4

what are some positive symptoms of schizophrenia

Answer 4

hallucinations
delusions
disorganized speech
bizarre behavior

Question 5

negative symptoms of schizophrenia

Answer 5

affective flattering
alogia- not sitting just sitting
avoliton- no drive
social isolation

Question 6

How do FGAs work?

Answer 6

block dopamine receptors in the brain since there is to much.

Question 7

dopamine pathways and which one do we want the medication to go to and what do they do

Answer 7

Mesolimbic- we want the medication here/ decrease positive symptoms of schizophrenia
mesocortical- make negative symptoms worse
nigrostriatal-
tuberionfundibular- endocrine problems such as gynecomastia

Question 8

major side effects

Answer 8

anticholinergic effects
orthostatic hypotension
sedation
neuroendocrine effects
photosensitivity

Question 9

extrapyramidal symptoms

Answer 9

acute dystonia
akathisia
parkinsonism
tardive dyskinesia

Question 10

Neuroleptic Malignant syndrome

Answer 10

F- fever
E- elevated WBCs and CPK
V- vitals signs unstable
E- encephalopathy
R- rigidity ( lead pipe)

Question 11

what does a brand new nurse need to know about FGAs

Answer 11

work by blocking dopamine
have lots of serious side effects
notorious for causing EPS
Don't treat EPS with antipsychotic 
know the signs and symptoms of NMS
watch out for orthostatic hypotension
wear sunscreen

Question 12

common uses of SGAs

Answer 12

Schizophrenia
bipolar disorder
dementia with psychotic features

Question 13

SGAs to know

Answer 13

clozapine
risperidone
olanzapine
aripiprazole

Question 14

how do SGAs work?

Answer 14

block dopamine and serotonin receptors in the brain

Question 15

Comparison to FGAs

Answer 15

lower risk of EPS
Really high risk of metabolic syndrome
super expensive
probably equally effective

Question 16

metabolic syndrome signs and symptoms

Answer 16

central obesity
hypertension
higher blood sugar
dyslipidemia 
leads to diabetes

Question 17

What does a new nurse need to know about SGAs

Answer 17

lower risk of EPS
high risk for metabolic syndrome
watch for signs of infection if a client is taking clozapine
watch for signs of neuroleptic malignant syndrome

Question 18

is clozapine effective?
what can it cause?
what does it require?

Answer 18

yes
agranulocytosis
weekly WBC monitoring