Antipsychotics/Neuroleptics

Question 1

What is the primary reason for the admin of antipsychotic meds?

Answer 1

Schizophrenia spectrum disorders

Question 2

Positive Symptoms

Answer 2

Agitation, bizarre behavior, delusions, hallucinations, flight of ideas, loose associations

Question 3

Negative Symptoms

Answer 3

Social w/drawal, lack of emotion, lack of energy, flattened affect, decreased motivation, decreased pleasure in activities

Question 4

Goals of Treatment

Answer 4

1) Suppression of acute episodes
2) Prevention of acute recurrence
3) Maintenance of the highest possible level of functioning

Question 5

1st Gen Antipsychotics

Answer 5

Used mainly to control the positive symptoms

Reserved for clients who:
- Used successfully & can tolerate adverse effects
- Concerned about cost associated w/ 2nd gen antipsychotics

Advantages:
- Reduces (+) symptoms
- Reduce anxiety & agitation
- Cost-effective

Disadvantages:
- High risk for adverse events
- High risk for EPS
- High risk for side effects

Question 6

List of 1st Generation Antipsychotics

Answer 6

Chlorpromazine (Thorazine)
Haloperidol (Haldol)
Loxapine
Perphenazine
Thiothixene (Navane)
Trifluoperazine (Stelazine)

Question 7

2nd Generation Antipsychotics

Question 8

List of 2nd Gen Antipsychotics

Question 9

Special Considerations: Clozapine

Answer 9

Risk for agranulocytosis: Decreased WBC
- Clients MUST have