It's psycHOTic in hurr Flashcards
Which of the following is an atypical antipsychotic?
A) Phenothiazines
B) Sulfonamides
C) Serotonin antagonist
D) Dopamine agonist
C)
Serotonin antagonists and dopamine antagonists are atypical psychotic drugs.
What are positive symptoms of psychosis?
A) Loss of contact with reality
B) Withdrawal
C) Depression
D) Delusions
E) Aggression
F) Violent behaviors
G) Poor self-care
H) Catatonia
A, D, E, F
The other options are all negative symptoms of psychosis.
True or False: Antipsychotic drugs are also used for anxiety and depression
False.
Antipsychotics are NOT used for anxiety or depression.
What is an example of EPS?
A) Extreme sedation
B) Catatonia
C) Akasthisia
D) Myopia
C)
Akasthisia, pacing and rocking back and forth, is an extrapyramidal symptom.
Restless pacing back and forth is called:
A) Parkinsonism
B) Akasthesia
C) Tardive dyskinesia
D) Acute dystonia
B)
Akasthesia
Gum smacking, tongue rolling, involuntary movements, and repetitive chewing motions are called:
A) Parkinsonism
B) Akasthesia
C) Tardive dyskinesia
D) Acute dystonia
C)
Tardive dyskinesia
Facial grimacing, upward eye movement, altered mental status, blood pressure fluctuations, and muscle rigidity are called:
A) Parkinsonism
B) Akasthesia
C) Tardive dyskinesia
D) Acute dystonia
D)
Acute dystonia
Which med is used to treat acute dystonia?
A) Phenothiazines
B) Serotonin reuptake inhibitors
C) Cogentin
D) Benzodiazepines
C)
Cogentin (an anti-parkinson drug) is used to treat acute dystonia.
What is the biggest obstacle to treatment in patients with psychosis?
A) Affordability of medications
B) Treatments are ineffective
C) Length of time for treatment to begin working
D) Non-compliance
D)
Non-compliance is the largest issue with psychotic patients.
How is akathisia treated?
A) Beta blockers
B) Barbiturates
C) Restraints
D) Parkinson’s meds
A)
Beta blockers and benzodiazepines are used to treat akathisia.
How long does it take for some of the EPS symptoms to occur with treatment of psychosis?
A) Usually occurs within one week
B) Usually occurs within the first 5 months of treatment
C) A year or later after treatment begins
C)
Some of the EPS symptoms may take a year or longer to manifest!
What should be monitored when a patient is taking Non phenothiazines for psychosis?
A) Decreased urinary output
B) Jaundice
C) CBC
D) Blood in stool
C)
Blood dyscrasias can be caused by Non phenothiazines.
What is treated with atypical antipsychotics?
A) Positive symptoms of psychosis
B) Negative symptoms of psychosis
C) Both positive and negative symptoms of psychosis
D) Neither positive nor negative symptoms
C)
Atypical antipsychotics treat positive AND negative symptoms of psychosis.
What is the best treatment for dry mouth in psychiatric patients?
A) Water
B) Meds to increase salivation
C) Lozenges
D) Cough drops
C)
Lozenges and hard candy are effective for dry mouth related to medication.
Which medication can cause leukopenia?
A) Cogentin
B) Risperidone
C) Clozapine
D) Benzodiazepines
C)
Clozapine is an atypical antipsychotic and can cause leukopenia.
What is a major deterrent to patients when taking atypical antipsychotics?
A) Low energy
B) Headaches
C) Diarrhea
D) Weight gain
D)
EXTREME weight gain can occur with atypical antipsychotics such as Clozapine and Risperidone
How much fluid should the patient taking medication for bipolar affective disorder ingest per day?
A) <1 L
B) 1-2 L
C) 2-3 L
D) >3 L
B)
Bipolar disorder is frequently treated with lithium, which is a salt compound. The patients must maintain an intake of 1-2 L per day of water to prevent hyponatremia.
Which condition is Lithium used to treat?
A) Parkinson’s
B) Akathisia
C) Dementia
D) Bipolar disorder
D)
Lithium is frequently used to treat bipolar-affective disorder.
What is the correct range for Lithium?
A) 0.5-1.0 mEq/L
B) 0.5-1.5 mEq/L
C) 1.0-1.5 mEq/L
D) 2.0-3.5 mEq/L
B)
Lithium has a very narrow therapeutic range and must stay within 0.5-1.5 mEq/L
What is the best way to assess fluid overload?
A) Accurate I/O
B) 24 hour urinary collection
C) Daily weight
C)
Daily weight is the gold standard for measuring fluid retention. A patient can gain or lose pounds overnight!
