Schizophrenia Flashcards
List five symptoms of schizophrenia associated with though disorganization
Alogia Loosening of associating Tangentality Clanging (rhyming words) Word salad Perseveration
What are the DSM criteria for Schizophrenia
> 2 for most of the month
- Delusions
- Hallucinations
- Disorganized speech
- Disorganized behavior
- Negative symptoms
has to be going on for >6 months
If 1-6 months Schiophrniform and if <1 month brief psychotic disorder
With marked dysfunction and other things ruled out
List 3 things to include on ddx
Depression
Schizoaffective
Bipolar
Delusional disorder
Treatment for schizophrenia
2nd generation antipsychotic like Risperidone (lowest metabolic risks)
Oral and Depot are the saemb but depot reduces suidide and increases life expectancy
Side effect of schizophrenia treatment? List three symptoms and five treatments
Neuroleptic malignant syndrome
- Fever
Autonomic symptoms (HTN, Tachycardia, Sweating)
Regidity
Mental satus changes
1. Stop the neuroleptic IV fluids Cooling blankets Benzodiazepines Dantrolene (muscle relaxant Bromocriptine (dopamine agonist
List five non pharm things to discuss and review with patients
Housing Vocational rehab Social work referral Adherence to medication Substances Pregnangy status Family counseling Day programs
How long should someone be ont reatment for schizophrenia
At least 18 months likely life long
What blood work do you need to do for someone on an antipsychotic
Lipids
Fasting glucose
1 3 months for first 6 months and then yearly
List five side effects of antipsychotics
EPS (Dystonia, akathisia, parkinsonism, tardive dyskenisia) metabolic changes Sedation Anticholinergic symptoms Orthostatis hypotension
List four second generation antipsychotics and one first generation
Risperidone
Olanzapine
Quetiapine
Aripiprazole
Haloperidol
What drug would you reach to for treatment resistant psychosis type disorder
Clozapine
