Ch. 24 - Meds for psychotic disorders

Question 1

first gen/conventional antipsychotic meds are used to mainly control what

Answer 1

positive s/s of psychotic disorders

Question 2

which class are first line psychotic meds

Answer 2

second gen antipsychotic meds

Question 3

clozapine has a high incidence of ____ effects

Answer 3

anticholinergic

Question 4

antipsychotics - first gen drug names

3

Answer 4

1. chlorpromazine
2. haloperidol
3. fluphenazine

Question 5

chlorpromazine is to

Answer 5

1st gen antipsy

Question 6

haloperidol is to

Answer 6

1st gen antipsy

Question 7

fluphenazine is to

Answer 7

1st gen antipsy

Question 8

blocks dopamine, acetylcholine, histamine, and norepinephrine receptors

Answer 8

1st gen antipsy

Question 9

1st gen antipsy complications

6

Answer 9

1. agranulocytosis
2. anticholinergic effects
3. extrapyramidal adverse effects
4. pseudoparkinsonism
5. akathisia
6. TD

Question 10

second and 3rd gen antipsy

8

Answer 10

1. risperidone
2. asenapine
3. clozapine
4. iloperidone
5. lurasidone
6. olanzapine
7. paliperidone
8. aripiprazole (3rd gen)

Question 11

sublingual tablets only

3

Answer 11

asenapine
iloperidone
lurasidone

Question 12

clozapine therapeutic uses

3

Answer 12

1. tx negative and positive s/s of schizo
2. tx psychosis induced by levodopa therapy
3. relief from nonpsychotic disorders, such as bipolar disorder

Question 13

clozapine s/e

7

Answer 13

1. weight gain
2. DM
3. dyslipidemia
4. agranulocytosis
5. sedation
6. OH
7. anticholinergic effects

Question 14

antipsy med for pt that has difficulty swallowing oral tablets and has agitation from IM meds
4

Answer 14

orally disintegrating tablets - aripiprazole, olanzapine, clozapine, asenapine (subling)

Question 15

involuntary arm movements is to

Answer 15

tardive dyskinesai - EPS

Question 16

drooling is to

Answer 16

pseudoparkinsonism - EPS

Question 17

continual pacing is to

Answer 17

akathisia - EPS