Chapter 22 - Antipsychotic Agents

Question 1

Antipsychotic SE that causes restless pacing, and rocking back and forth

What should you treat it with ?

Answer 1

Akasithisia

Treat with : beta blocker or benzodiazepines

Question 2

Antipsychotic SE that occurs in pt. Who has taken the drug for > 1 year. Includes tongue rolling , chewing motion , involuntary movements.

Answer 2

Tardive dyskinesia

Question 3

Rare antipsychotic SE that involves muscle rigidity, high fever , blood pressure fluctuations

How to treat it ?

Answer 3

Neuroleptic malignant syndrome. (NMS)

Treat it : immediately stop meds
Hypothermic blankets
Hydration

Question 4

Antipsychotic SE involving facial grimacing, upward eye movements and muscle spasms

Answer 4

Acute dystonia

Question 5

Name 3 atypical antipsychotics

Answer 5

Clozapine
Risperidone
Aripiprazole

Question 6

What should you monitor while pt is on antipsychotic?

Answer 6

• WBC count
• vital signs [BP]
• watch client swallow pill

Question 7

With Lithium ( bipolar disorder) what are you assessing ?

Answer 7

Fluid intake
Urine output
Electrolytes