Schizo Meds

Question 0

which med treats the negative symptoms of schizophrenia

Answer 0

atypical antipsychotics

Question 1

which antipsychotic blocks dopamine receptors, affects serotonin levels

Answer 1

atypical

Question 2

what are some of the s/e of all antipsychotics

Answer 2

wt gain, photosensitivity, orthostatic hypotension, galactorrhea/amenorrhea, EPS

Question 3

which type of med can cause extrapyramidal side effects & anticholinergic effects

Answer 3

all antispychotics

Question 4

why are cigarettes contraindicated in antipsychotics

Answer 4

⬇️ the concentration of the antipsychotic

Question 5

why are Beta Blockers contraindicated in antipsychotics

Answer 5

cause severe hypotension

Question 6

why are antidepressants contraindicated with antipsychotics

Answer 6

⬆️ blood concentration of the antidepressant

Question 7

why are SSRIs contraindicated with antipsychotics

Answer 7

may cause sudden onset of EPS

Question 8

which atypical antipsychotic must have CBC monitored frequently & why

Answer 8

Clozaril - bone marrow toxicity

Question 9

which atypical antipsychotic is available in depot form

Answer 9

Risperdal

Question 10

what type of med is Clozaril

Answer 10

atypical antipsychotic

Question 11

what type of med is Risperdal

Answer 11

atypical antipsychotic

Question 12

what type of med is Zyprexa

Answer 12

atypical antipsychotic

Question 13

what type of med is Seroquel

Answer 13

atypical antipsychotic

Question 14

what type of med is Geodon

Answer 14

atypical antipsychotic

Question 15

what type of med is Abilify

Answer 15

atypical antipsychotic

Question 16

which antipsychotic med blocks dopamine receptors only

Answer 16

typical antipsychotic

Question 17

which antipsychotic treats tics, vomiting, intractable hiccups

Answer 17

typical antipsychotics

Question 18

what is the toxic effect of antipsychotics

Answer 18

neuroleptic malignant syndrome

Question 19

with what antipsychotic should the doses be ⬇️ for the elderly

Answer 19

typical antipsychotics

Question 20

which 2 typical antipsychotics are available in depot form

Answer 20

Haldol

Prolixin

Question 21

what type of med is Haldol

Answer 21

typical antipsychotic

Question 22

what type of med is Prolixin

Answer 22

typical antipsychotic

Question 23

what type of med is Trilafon

Answer 23

typical antipsychotic

Question 24

which atypical antipsychotic is used as a last resort treatment for schizophrenia

Answer 24

Clozaril

Question 25

which atypical antipsychotic causes hypersalivation & early cardiac death

Answer 25

Clozaril

Question 26

what are the 4 extrapryamidal side effects

Answer 26

acute dystonia akathasia pseudoparkinsoninsm tardive dyskinesia

Question 27

which 3 EPS are reversible

Answer 27

pseudoparkinsonism akathasia acute dystonia

Question 28

how long after starting/increasing a med does an acute dystonic reaction occur

Answer 28

1 - 5 days

Question 29

an acute & painful spasm of the tongue, throat, face, neck, back, jaw

Answer 29

acute dystonic reaction

Question 30

which condition may include upward deviation of the eyeballs, neck muscle contraction that pulls the neck to one side, & difficulty swallowing

Answer 30

acute dystonic reaction

Question 31

how is acute dystonic reaction treated & what does it do

Answer 31

IM Benadryl, relieves & counteracts spasm

Question 32

inner motor restlessness that causes the arms & legs to move; pt is unable to stay still

Answer 32

akathasia

Question 33

how long after the start/increase of a med can akathasia occur

Answer 33

30-60 day

Question 34

which condt may be misinterpreted as agitation or anxiety resulting in an increase in dose

Answer 34

akathasia

Question 35

which condt has often resulted in suicide of gone unrecognized

Answer 35

akathasia

Question 36

what is the tx for akathasia

Answer 36

antiparkinsonian meds - Cogentin, Artane

Question 37

what s/e do antiparkinsonian meds have

Answer 37

anticholinergics

Question 38

what are the 2 antiparkinsonian drugs

Answer 38

Cogentin | Artane

Question 39

how long after the start/increase of the med does pseudoparkinsonism occur

Answer 39

30-60 days

Question 40

what condt has the s/s - hypersalivation, tremor, cog-wheeling, shuffling gait

Answer 40

pseudoparkinsonism

Question 41

what is the tx for pseudoparkinsonism

Answer 41

antiparkinsonian meds | Cogentin, Artane

Question 42

is pseudoparkinsonism reverisble or irreversible

Answer 42

reversible

Question 43

is akathasia reversible or irreversible

Answer 43

reversible

Question 44

is acute dystonic reaction reversible or irreversible

Answer 44

reversible

Question 45

is tardive dyskinesia reversible or irreversible

Answer 45

irreversible

Question 46

how long after the start of psych meds does tardive dyskinesia start

Answer 46

6 months - 2 years

Question 47

what are some of the beginning s/s or tardive dyskinesia

Answer 47

involuntary muscle contraction of mouth/face

Question 48

what are some of the advanced s/s of tardive dyskinesia

Answer 48

snakelike or jerking movements of the trunk/hips

Question 49

which condt will you see snakelike/jerking movements of the trunk/hips

Answer 49

tardive dyskinesia

Question 50

which condition is caused by a rapid drop in dopamine levels

Answer 50

neuroleptic malignant syndrome

Question 51

what is the cause of neuroleptic malignant syndrome

Answer 51

rapid drop of dopamine

Question 52

what is the first symptom of neuroleptic malignant syndrome

Answer 52

FEVER

Question 53

what condt has the s/s - diaphoresis, htn, ⬆️ pulse, ❤️ irregularities, muscle rigidity, incontinence, unconsciousness, coma, death

Answer 53

neuroleptic malignant syndrome

Question 54

what is the tx for neuroleptic malignant syndrome

Answer 54

IVF, cooling blankets, ❤️ meds, seizure meds, antihypertensives

Question 55

what condt is treated w/ IVF, cooling blankets, ❤️ meds, seizure meds, antihypertensives

Answer 55

neuroleptic malignant syndrome

Question 56

which adverse effect of psychotic meds is a medical emergency

Answer 56

neuroleptic malignant syndrome