Schizophrenia - EXAM II Flashcards

1
Q

a psychotic disorder that is characterized by:

  • Delusions
  • Depression
  • Hallucinations
  • Disorganized speech
  • Disorganized catatonic behavior
  • Psychotic symptoms more pronounced and disruptive
A

Schizophrenia

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2
Q

-clozapine
-quetiapine
-risperidone
-ziprasidone
-olanzapine
-aripiprazole
-lurasidone HCL new atypcial
used to treat schizophrenia

A

Antipsychotic medications

PINE wants to be DONE with antipsychotic medications

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3
Q

signs and symptoms that precede the acute (one month to a year) before fully manifested signs and symptoms of schizophrenia that is characterized by social withdrawal, deterioration in function, depressive mood, perceptual disturbances, magical thinking, peculiar behavior, appears a month to year before psychotic break. This shows increased stress, depression, anxiety, sleep disturbances and decreased functional ability.

A

Predromal Phase

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4
Q

periods of florrid (symptoms that are so obvious that everyone is aware that something is wrong), as well as positive and negative symptoms and cognitive symptoms.

  • inability to understand and process information and focus attention.
  • mood is that of depression, anxiety, dysphoria, suicide and demoralization
A

Acute phase of schizophrenia

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5
Q

delusions, hallucinations, perceptions not based in reality. These symptoms are the most obvious and capture your attention and is associated with acute onset

A

positive symptoms

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6
Q

loss of function or neurocognitive deficit.
-poverty of thought, loss of motivation, inability to experience pleasure (anhedonia), blunted affect. These symptoms are persistent and extremely destructive.

A

negative symptoms

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7
Q

phase of schizophrenia in which the acute symptoms decrease in severity but are still present and the remaining symptoms are considered positive (but they decrease the most)

A

stabilization phase of schizophrenia

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8
Q

phase of schizophrenia in which the symptoms are in remission but there may be a presence of milder and more persistent symptoms.

A

maintenance phase of schizophrenia

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9
Q

thoughts can be heard by others

A

thought broadcasting

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10
Q

thoughts of others are being inserted into one’s mind

A

thought insertion

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11
Q

thoughts have been removed from one’s mind by an outside agency

A

thought withdrawal

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12
Q

things are taking literally and there is an inability to think abstractly

A

concrete thinking

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13
Q

made up words

A

neologisms

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14
Q

repeating the same thing over and over and/or mimicking others

A

echolalia

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15
Q

forcefully singing in a rhyming manner

A

clang association

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16
Q

jumbling up words together that doesn’t make much sense

A

word salad

17
Q

______ are something that is real in the environment but ends up being a misinterpretation of what actually is, there is always some type of illness associated with an ____. it could be due to withdrawal from a medication or an impending UTI

A

illusions

18
Q

they are unaware of where you start and they begin

A

depersonalization

19
Q

something may seem larger or smaller than it actually is

A

derealization

20
Q

sensory perceptions with no external stimuli

A

hallucinations

21
Q

this subtype of schizophrenia is centered around suspicousness, and they mainly used projection as their DM when feeling self-critical. They often misinterpret messages from others. Onset is late (20s-30s) and their cognitive abilities are intact. B/c of their suspicions they are guarded and tense and reserved.

A

Paranoid

22
Q

this subtype of schizophrenia is displayed by abnormal behavior, and they are agitation, psychomotor agitation, they won’t eat or move. Stupor and mute.

A

Catatonic

23
Q

subtype of schizophrenia that is characterized by loose association, bizarre mannerism, incoherent speech, poorly organized delusions and hallucinations. Odd, giggly grimacing behavior and the onset is early.

A

Disorganized

24
Q

diminishes negative as well as positive symptoms

  • less side effects encourages patient compliance
  • improves symptoms of depression and anxiety
  • decreases suicidal behavior
  • does cause weight gain
  • metabolic abnormalities
A

atypical antipsychotics

PINE wants to DONE with antipsychotics

25
Q

targets positive symptoms of schizophrenia

  • less expensive than atypical antipsychotics
  • does not treat negative symptoms
  • extrapyramidal side effects
  • tardive dyskinesia
  • anticholinergic effects (ACH)
  • lower seizure threshold
A

traditional antipsychotics
H - haloperidol
T - trifluoperazine
F - fluephenazine

26
Q
a toxic effect that can result from inappropriate/inadequate use of antipsychotics. signs and symptoms include:
hyperpyrexia: 103 F
hypertension
tachycardia
diaphoresis
incontinence 
and extrapyramidal symptoms
A

neuroleptic malignant syndrome

27
Q

given to treat Parkinson’s and involuntary movements due to the side effects of antipsychotic medications.

A

Cogentin

28
Q

given to treat muscle spasms due to the side effects of antipsychotic medications

A

Dantrolene

29
Q

given to treat muscle stiffness, tremors, muscle spasms, and poor muscle control in response to antipsychotic medciations.

A

Parlodel

30
Q
  • severe extrapyramidal symptoms (EPS)
  • muscle rigidity
  • dysphasia
  • posturing
  • cog wheezing
  • temp 103 or greater
  • hypertension
  • tachycardia
  • diaphoresis
  • incontinence
A

signs and symptoms of NMS

31
Q

inner motor restless (foot tapping, rocking and weight shifting) that can have an onset from 2 hours to 60 days. In order to reverse this side effect decrease the dose or change prescription to a lower potent medication.

A

Akathisia

treated with benzo’s and beta blockers

32
Q

facial protruding, rolling tongue (facial)
neck and shoulder movement and pelvic thrusts.
Onset of these symptoms can be months to years after initial treatment. There is no known treatment.

A

Tardive Dyskinesia