Psychosis Flashcards
1
Q
1st generation
A
Phenothiazines
2
Q
Phenothiazines
A
Chlorpromazine HCl
3
Q
Nonphenothiazines
A
Haloperidol (Haldol)
4
Q
2nd Generation
A
Clozapine (Clozaril)
Risperidone (Risperdal)
Aripirazole (Abilify)
5
Q
1st Generation
A
serious adverse effects
6
Q
2nd Generation nursing concerns
A
- fewer adverse effects
- Better patient adherence
- More effective
7
Q
Adverse Effects: All Psychosis Agents
A
Extrapyramidal Symptoms (EPS)
- Acute dystonia – severe muscle spasm on neck, back and face
- Akathisia – uncontrollable need to be moving
- Antipsychotic induced Parkinsonism – not distinguished
- Tardive dyskinesia – involuntary movement of tongue and face
8
Q
Administration for All Psychosis Agents
A
- Increase fluid intake and dietary sources of fiber
- Monitor EPS and anticholinergic adverse effects
- Assess skin conditions and lab results
9
Q
Assessment for All Psychosis Agents
A
- Baseline history, physical and vital signs
- Assess suicide risk, mental status and behavior
- Instruct about drug actions and adverse effects
- Patient support system
