Chapter 23 Flashcards

Schizophrenia

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1
Q

this will cover chapter 23 with lecture and study guide notes

A
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2
Q

notes
schizophrenia may
See things/hear things that other don’t see/hear
Feel people are out to get them
Have ideas that no amount of evidence to the contrary can dislodge
Have trouble maintaining employment or school
Appear lazy, unmotivated and uninterested
May look like they are experiencing dementia
Lose the ability to get and keep friends
Talk to “voices”
Make odd movements or gestures
Fail to bathe or take care of personal hygiene

A
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3
Q

what is the age of onset of schizo?

A

18-25 years old

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4
Q

what does psychosis mean?

A

state in which a person experience hallucination, delicious or disorganized thinking, speech or behavior

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5
Q

what is delusions ?

A

grandiose, nihilistic, somatic

you believe of yourself

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6
Q

what is hallucinations?

A

you believe youre seeing something there

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7
Q

what is disorganized thinking ?
what is speech ?
what is behavior ?

A

concrete, ideas of reference
pressured speech
aggression, agitation

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8
Q

what are the 4 negative symptoms ?

A

decreased emotional expression
avolition
anhedonia ( lack of interest )
difficult making decision

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9
Q

its important that we as care givers do what?

A

dont challenge their distorted thinking or delusions

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10
Q

instead what are the 3 things we want to do ?

A
  1. acknowledge
    2,. find out if they are commending them to hurt
  2. present reality to them
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11
Q

what is the main treatment for theses patients?

A

antipsychotic

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12
Q

what are your first generation medications?

A

haloperidol
chlorpromainze

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13
Q

what are your first generation symptoms antipsychotic medications ?

A

eps symptoms
tardive dyskinsea
qt prolongation

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14
Q

how do you treat patients with eps symptoms ?

A

Benadryl / anticholinergic medications

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15
Q

how do you treat tar dive dyskinesia?

A

ingrezza ( valbenazine )

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16
Q

overall what is the main side effects for antipsychotics ?

A

orthostatic hypotension
hyperorlactinemia
sedation
weight gain
diabetes
cardiac arrhythmias
agranulocytosis

NMS main issues

17
Q

first generation treats
second generation treats

A

positive

positive and negative symptoms

18
Q

clozapine ( clozaril ) is a second generation medication
that we need to constant be checking what 2 things ?

A

weight gain
agranulocytosis
( weekly cbc )