Chp 10 Psychotic Disorder

Question 1

What’s the dif between first and second generation of antipsychotic meds?

Answer 1

First generation control positive symptoms like: hallucination, delusion, bizarre behavior. Used on people who can tolerate adverse effects.
Second generation used on initial treatment and breakthrough treatment. There’s more effects with fewer adverse effects.

Question 2

What are the advantages of second generation drugs?

Answer 2

It treats positive and negative symptoms.

Fewer EPS effects, tardive dyskinesias and less dopamine blockade.

Question 3

What are 5 first generation meds?

Answer 3

1. Chlorpromazine
2. Haloperidol
3. Fluphenazine
4. Thiothixene
5. Perphenazine

Question 4

What are first generation meds used to treat? (3 spec illnesses)

Answer 4

1. Schizophrenia
2. Bipolar Disorder
3. Tourette’s disorder
4. Prevent N/V
5. Tx acute/chronic psychotic disorders

Question 5

What are 4 extrapyramidal side effects (EPS)?

Answer 5

1. Acute dystonia
2. Pakinsonism
3. Akathisia
4. Tardive dyskinesia

Question 6

def Acute Dystonia

Answer 6

Client experiences severe spasms of tongue, neck, face or back. NEEDS rapid treatment. PRIOIRTY HERE

Question 7

def Parkinsonism

Answer 7

bradykinesia, rigidity, shuffling gait, drooling, and tremors

Question 8

def Akathisia

Answer 8

Client is unable to stand still or sit and is continually pacing and agitated

Question 9

def Tardive dyskinesia

Answer 9

involuntary movements of tongue, and face i.e lip smacking, which causes speech and eating disturbances

Question 10

What is neuroleptic malignant syndrome?

Answer 10

It includes high-grade fever, BP fluctuations, dysrhythmias, muscle rigidity, and chance in LOC.

STOP antipsychotic med immediately. Switch to atypical (2nd gen) med

Question 11

What are anticholinergic effects?

Answer 11

Dry mouth, blurred vision, photophobia, urinary hesitancy, constipation, tachycardia

Question 12

Neuroendocrine effects

Answer 12

Effects include gynecomastia (breast enlargement), galactorrhea (excessive produc of milk), and menstrual irregularities )

Question 13

What are some atypical (2nd gen) psych meds? (5/10)

Answer 13

1. Risperidone
2. Olanzapine
3. Aripiprazole
4. Ziprasidone
5. Clozapine
6. Asenapine
7. Lurasidone
8. Paliperidone
9. Iloperidone
10. quetiapine

Question 14

Therapeutic uses of atypical anti-psychotic (3)

Answer 14

1. pos and neg symptoms of schizo spectrum disorders
2. Psychotic episodes r/t levodopa therapy
3. Relief of psychotic manifestations in other disorders like bipolar

Question 15

What is agranulocytosis?

Answer 15

A deficiency in WBC.Monitor for infections.