schizophrenia Flashcards
flat affect
negative
bizarre behavior
positive
alogia ( speaks little)
negative
echopraxia (imitates movements)
positive
social withdrawal or discomfort
negative
flight of ideas
positive
delusions
positive
lack of volition (unmotivated)
negative
apathy ( feelings of indifference)
negative
inattention (the inability to focus or pay attention)
negative
catatonia
negative
limited speech
negative
associative looseness
positive
ideas of reference
positive
perseveration
positive
hallucinations
positive
avolition
negative
anhedonia
negative
asociality
negative
memory deficits
negative
impaired problem solving
negative
minimal self care
negative
decreased activity
negative
best first choice of treatment for schizoaffective disorder
atypical antipsychotics
dopamine antagonists
conventional/typical
dopamine and serotonin antagonists
atypical
chlorpromazine
conventional/typical
clozapine
atypical
perphenazine
conventional/typical
fluphenazine
conventional/typical
quetiapine
atypical
thioridazine
conventional/typical
paliperidone
atypical
asenapine
atypical
olanzapine
atypical
thiothixene
conventional/typical
thioridazine
conventional/typical
mesoridazine
conventional/typical
cariprazine
atypical
brexpiprazole
atypical
iloperidone
atypical
haloperidol
conventional/typical
ziprasidone
atypical
lurasidone
atypical
aripiprazole
atypical
cariprazine
atypical
trifluoperazine
conventional/typical
six LAI’s for maintenance therapy
-fluohenazine
-haloperidol
-risperidone
-paliperidone
-olanzapine
-aripiprazole
fluphenazine lai duration of action
7-28 days
haloperidol lai duration of action
4 weeks
acute treatment for dystonic reaction
-diphenhydramine (benadryl) IM or IV
-benztropine (cogentin) IM
recovery phase behaviors
-apologizing to staff
-decreased muscle tension
-lowered voice volume
-rational communication
which conventional meds cause increased sedation?
chlorpromazine, thioridazine, mesoridazine
which conventional meds cause hypotension ?
perphenazine
which conventional meds cause EPS’s
fluphenazine, thiothixene, haloperidol, trifluperazine
which conventional med rarely causes hypotension?
molindone
which conventional med rarely causes anticholinergic effects
haloperidol
atypical meds that rarely cause epss
clozapine
atypical meds cause increased sedation
clozapine, olanzapine
atypical meds that rarely cause sedation
quetiapine
atypical meds that increase risk for hypotension
quetiapine
atypical meds that rarely cause hypotension
ziprasidone
restless movement, pacing, can’t remain still
akathisia
what meds r effective for akathisia
bb like propranolol and benzos
treatment of tardive
valbenazine (ingrezza)
deutetrabenazine (austedo,teva)
which drug has not been found to cause tardive syndrome
clozapine
what is nms characterized by
-increased fever
-muscle rigidity
-increased muscle enzymes (creatine phosphokinase)
-leukocytosis (increase leukocytes)
-altered mental status
-autonomic dysfunction
agranulocytosis is characterized by
fever
malaise
ulcerative sore throat
leukopenia
rare psychiatric diagnosis characterized by aggressive impulses that result in serious assaults or destruction of property
intermittent explosive disorder
2 meds used to treat aggression associated with dementia, psychosis, and personality disorders
carbamazepine and valproate
three atypical meds have been effective in treating aggressive clients with dementia, brain injury, intellectual development, and personality disorders
clozapine, risperidone, olanzapine
2 meds commonly used in combination to decrease agitation and psychotic symptoms
haloperidol and lorazepam
clients who are agitated and aggressive but not psychotic benefit most from
lorazepam
EPSs can be quickly treated with
benztropine (cogentin)
sublingual tablet, clients must avoid food or drink for 10-15 min after the med dissolves
asenapine (saphris)
atypical
which lai has the potential to cause post injection delirium/ sedation syndrome
olanzapine
which med class is contraindicated in severe impairment of liver function and in MI
Tricyclics
amitriptyline
tryciclic
