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Mental Health - Exam 2 > Schizo Meds > Flashcards

Schizo Meds Flashcards

0
Q

which med treats the negative symptoms of schizophrenia

A

atypical antipsychotics

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1
Q

which antipsychotic blocks dopamine receptors, affects serotonin levels

A

atypical

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2
Q

what are some of the s/e of all antipsychotics

A

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

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3
Q

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

A

all antispychotics

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4
Q

why are cigarettes contraindicated in antipsychotics

A

⬇️ the concentration of the antipsychotic

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5
Q

why are Beta Blockers contraindicated in antipsychotics

A

cause severe hypotension

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6
Q

why are antidepressants contraindicated with antipsychotics

A

⬆️ blood concentration of the antidepressant

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7
Q

why are SSRIs contraindicated with antipsychotics

A

may cause sudden onset of EPS

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8
Q

which atypical antipsychotic must have CBC monitored frequently & why

A

Clozaril - bone marrow toxicity

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9
Q

which atypical antipsychotic is available in depot form

A

Risperdal

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10
Q

what type of med is Clozaril

A

atypical antipsychotic

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11
Q

what type of med is Risperdal

A

atypical antipsychotic

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12
Q

what type of med is Zyprexa

A

atypical antipsychotic

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13
Q

what type of med is Seroquel

A

atypical antipsychotic

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14
Q

what type of med is Geodon

A

atypical antipsychotic

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15
Q

what type of med is Abilify

A

atypical antipsychotic

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16
Q

which antipsychotic med blocks dopamine receptors only

A

typical antipsychotic

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17
Q

which antipsychotic treats tics, vomiting, intractable hiccups

A

typical antipsychotics

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18
Q

what is the toxic effect of antipsychotics

A

neuroleptic malignant syndrome

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19
Q

with what antipsychotic should the doses be ⬇️ for the elderly

A

typical antipsychotics

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20
Q

which 2 typical antipsychotics are available in depot form

A

Haldol

Prolixin

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21
Q

what type of med is Haldol

A

typical antipsychotic

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22
Q

what type of med is Prolixin

A

typical antipsychotic

23
Q

what type of med is Trilafon

A

typical antipsychotic

24
Q

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

A

Clozaril

25
Q

which atypical antipsychotic causes hypersalivation & early cardiac death

A

Clozaril

26
Q

what are the 4 extrapryamidal side effects

A

acute dystonia
akathasia
pseudoparkinsoninsm
tardive dyskinesia

27
Q

which 3 EPS are reversible

A

pseudoparkinsonism
akathasia
acute dystonia

28
Q

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

A

1 - 5 days

29
Q

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

A

acute dystonic reaction

30
Q

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

A

acute dystonic reaction

31
Q

how is acute dystonic reaction treated & what does it do

A

IM Benadryl, relieves & counteracts spasm

32
Q

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

A

akathasia

33
Q

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

A

30-60 day

34
Q

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

A

akathasia

35
Q

which condt has often resulted in suicide of gone unrecognized

A

akathasia

36
Q

what is the tx for akathasia

A

antiparkinsonian meds - Cogentin, Artane

37
Q

what s/e do antiparkinsonian meds have

A

anticholinergics

38
Q

what are the 2 antiparkinsonian drugs

A

Cogentin

Artane

39
Q

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

A

30-60 days

40
Q

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

A

pseudoparkinsonism

41
Q

what is the tx for pseudoparkinsonism

A

antiparkinsonian meds

Cogentin, Artane

42
Q

is pseudoparkinsonism reverisble or irreversible

A

reversible

43
Q

is akathasia reversible or irreversible

A

reversible

44
Q

is acute dystonic reaction reversible or irreversible

A

reversible

45
Q

is tardive dyskinesia reversible or irreversible

A

irreversible

46
Q

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

A

6 months - 2 years

47
Q

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

A

involuntary muscle contraction of mouth/face

48
Q

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

A

snakelike or jerking movements of the trunk/hips

49
Q

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

A

tardive dyskinesia

50
Q

which condition is caused by a rapid drop in dopamine levels

A

neuroleptic malignant syndrome

51
Q

what is the cause of neuroleptic malignant syndrome

A

rapid drop of dopamine

52
Q

what is the first symptom of neuroleptic malignant syndrome

A

FEVER

53
Q

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

A

neuroleptic malignant syndrome

54
Q

what is the tx for neuroleptic malignant syndrome

A

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

55
Q

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

A

neuroleptic malignant syndrome

56
Q

which adverse effect of psychotic meds is a medical emergency

A

neuroleptic malignant syndrome

Mental Health - Exam 2 (4 decks)

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