FINAL MED CARDS Flashcards
Name the conventional (1st generation) antipsychotics
Haldol Navane Prolixin Stelazine Thorazine Trilifon
Name the A-typical (2nd and 3rd generation) Meds
Abilify Clozaril Geodon Latuda Risperdal Seroquel Zyprexa
Name Antiparkinsonian drugs
Artane
Cogentin
Benadryl
Side/Adverse effects of Antipsychotic medications?
- Anticholinergic effects
- Extrapyramidal effects
- Dystonias
- Akathisia
- Tardive Dyskinesia
- Neuroleptic Malignant Syndrome
Other: Drowsiness, photosensitivity, increased blood glucose level, increased weight, lactation, impaired body temp. regulation, pruritus, blood dyscrasias, gynecomastia
Describe anticholinergic effects?
Dry mouth Increased HR Urinary retention Constipation Hypotension
Extrapyramidal effects?
Parkinsonism Tremors Masklike facies Rigidity Shuffling gait Drooling Dysphagia
Describe Dystonias?
Abnormal or involuntary eye movements, including oculogyric crisis
Facial Grimacing
Twisting of the torso or other muscle groups
Whats Akathisia?
Restlessness
Constant moving about
Describe Tardive Dyskinesia
Protrusion of the tongue
Chewing motion
Involuntary movements of the body and extremities
Things to monitor in patient taking antipsychotics?
Sx's of tardive dyskinesia Sx's of Neuroleptic malignant syndrome Urine output Serum glucose level Weight Orthostatic Hypotension Syncope
Which antipsychotic drugs need blood level monitoring during therapy?
Latuda Clozapine Prolixin Thorazine Navane Stelazine Trilifon
Which drug do you need to administer with at least a 350 calorie meal?
Latuda
Which drugs may increase Prolactin levels?
Latuda Zyprexa Risperdal Thorazine Navane Stelazine Trilifon
S/S of Neuroleptic Malignant Syndrome?
Fever Diaphoresis muscle rigidity altered mental status irregular pulse and bp cardiac arrhythmias
When can full therapeutic effect of antipsychotics be evident?
3-6 weeks after therapy initiation, however therapeutic response may apparent after 7-10days.
