PRACTICE 1 Flashcards
Old term for schizophrenia
Dementia Praecrox
Who termed Schizophrenia?
Eugene Blueler
Fixed false Belief
DELLUSION
Sensorial
HALLUCINATION
Command Hallucination is also known as
AUDITORY HALLUCINATIONS
Disorganized mental state based on EXTERNAL stimuli
ILLUSION
3 Biologic Theories of Schizophrenia
Genetic
Neuroanatomic
Immunovirologic
The manual used in diagnostic in Psychiatric
DIAGNOSTIC MANUAL V
Base on DSM IV (DRCUP)
Disorganized
Residual
Catatonic
Undifferentiated
Paranoid
Four main symptoms of Schizophrenia
Ambivalence
Autistic thinking
Associative looseness
Affect
Reality vs. fantasy
Autistic Thinking
Thoughts are fragmented/ poorly organized
ASSOCIATIVE LOOSENESS
Two contradicting emotions
AMBIVALENCE
Pertains on how do you present yourself
AFFECT
Called positive sign (+) of Schizophrenia
Hard
Called negative sign (-) of Schizophrenia
Soft
Imitation of movements or gesture
ECHOPRAXIA
Continuous verbalization, jumps rapidly from one topic
FLIGHT OF IDEAS
Stick/Adherence to one topic
PERSEVERATION
Speak very little
ALOGIA
No pleasure
ANHEDONIA
No motivation
AVOLITION
No energy
ANERGIA
Other term for ANTIPSYCHOTIC
Neuroleptics
Major Tranquilizer
Major function of antipsychotic is to improve
THOUGHT PROCESS and
BEHAVIOR
Also known as Traditional or Conventional
TYPICAL
Potent: Dopamine only
TYPICAL
Used to treat positive signs
TYPICAL
Used to treat positive and negative signs
Atypical
NEW GEN (3rd Generation) drug
ABILIFY (ARIPIPRAZOLE)
Less potent: Dopamine and Serotonin
ATYPICAL
The only drug can be give in depot 2 combined with anxiolytics
HALOPERIDOL
Drug of choice for non compliant patients
FLUPHENAZINE
Drug that causes color blindness
CHLORPROMAZINE
Drug of choice for elderly due to its lesser effects
HALOPERIDOL
Term for low WBC
AGRUNOLOCYTOSIS
Low WBC, nursing diagnosis is…
Risk for infection
Antipsychotic drug that decreases WBC (AGRUNOLOCYTOSIS)
CLOZAPINE
Respiridone is given to patients that are…
Impulsive
Hyperactive
Inattention
Respiridone is given secondly to what type of mental illness
ADHD
Drug of choice for ADHD patients
RITALIN
What to prepare during nursing care/ Seizures Pre.
Suction
Oxygen (O2)
TRACH KIT/SET
Common side effects of antipsychotic drugs
Photosensitivity
Anticholinergic
Sedation
Anticholinergic effects….
GI
Eyes (blurry vision)
Dry mouth
Nursing care for anticholinergic in GI
FLUID
FIBER
AMBULATION
Nursing care for anticholinergic eyes
SAFETY!
Nursing care for dry mouth…
Ice chips
Chewing gum (SUGAR FREE!)
Nursing care for SEDATION
SAFETY! Raised side rails
7 Nursing Consideration
- Give milk of food
- Oral route (preferred as liquid)
- Avoid skin contact (contact dermatitis)
- Drugs effectivity is 3-6 weeks
- Avoid alcohol
- Monitor LFT,blood studies, physical ex.
- NEVER STOP ABRUPTLY!
Rationale for giving milk and food with drugs
Meds are GI IRRITANT
Observed for ________ 7-10 days
Rebound Effects
Effectivity of antipsychotic drugs
3-6 weeks
Other term for SIDE EFFECTS of antipsychotic drugs
Extrapyramidal Syndrome (EPS)
Long lasting contraction of spasm of musculature develops secondary to the use of antipsychotic drugs
ACUTE DYSTONIA
Shuffling gait and stiff posture develops secondary to the use of antipsychotic drugs
Pseudo Parkinsonism
Leaning gait develops secondary to the use of antipsychotic drugs
PISA
Lower extremities is restless. Describe as feeling of crawling ants
Akitishia
Spasm of the neck (lateral neck rotation)
TORTICOLLIS
Forceful eye deviations or upward drifting of the eye. Sclera turns all white
Oculogyric crisis
Arching of the back
OPISTHOTONOS
Spasm involving the airways.
LARYNGOSPASM
Give medications to counter EPS
Cogentin
Artane
Benadryl
Akinetone
Most fatal! Causes muscles rigidity. Unstable BP.
NEUROLEPTIC MALIGNANT SYNDROME
(NMS)
What type of medication given to NMS?
Muscle Relaxant
Dantrolene or parlodel
Fast acting muscle Relaxant for NMS
Dantrolene
Involuntary movements of tounge, jaw trunk or extremities due to long term effects of conventional (typical) antipsychotics
Tardive Dyskinesia
Developed ti measure dyskinetic symptoms in patients taking antipsychotic drugs
Abnormal Involuntary Movements
(AIMS)
Developed to MONITOR the effects of antipsychotic drugs.
SIMPSON-ANGUS rating scale for extrapyramidal effects
Sound and rhyming with no meaning…
CLANG ASSOCIATION
Invented new words
NEOLOGISM
Stereotype repetition of words or phrases with or without meaning
VERBIGERATION
Imitation of words or language
ECHOLALIA
Flowery or excessive words
STILTED WORDS
Jumbled words that are disconnected
WORD SALAD
How often must clients receiving CLOZAPINE get white blood cells counts drawn?
-Every week for the first 6 months and every two weeks thereafter