Tx de esquizofrenia Flashcards

1
Q

tx en crisis (ep agudo) de esquizofrenia:

A
  • Antipsicóticos
  • Benzodiazepinas
  • Anti parkinsonianos
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2
Q

dx diferencial de esquizofrenia

A

uso de sustancias, crisis post epiléptica
*se hace HC, examen mental, físico y estudios lab para descartarlos

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3
Q

objetivos del tx de esquizofrenia

A

prevenir daños, controla conducta acelerada, suprimir sintomas +, retomar nivel de funcionamiento, desarollar alianza con fam y px, planes de tx a corto y largo plazo

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4
Q

antipsicóticos tipicos (tx agudo)

A

Haloperidol, flufenacina, clorpromacina, levomepromacina, tiridacina, sulpiride

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5
Q

antipsicoticos atipicos (tx agudo)

A

clozacina, risperidona, olanzapina, quetiapina

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6
Q

antipsicoticos via parenteral en tx agudo

A

haloperidol y olanzapina

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7
Q

benzodiacepinas de alta potencia

A

de corta vida: alpazolam y lorazepam
de vida larga: clonazepam

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8
Q

benzos de baja potencia

A

vida corta: clordiazepoxido, clorazepato, diazepam, oxazepam
vida larga: bromazeoam, clobazam, diazepam

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9
Q

efectos motores adversos de los antipsicóticos tipicos en tx agudo y cronico:

A

extrapiramidales (parkinsonismo, distonia aguda, disinecia aguda, akatisia)

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10
Q

tx de mantenimiento

A

antipsicoticos atipicos, estabilizantes del humor, antidepresivos, benzodiacepinas

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11
Q

antipsicóticos atípicos del tx de mantenimiento:

A

orales: quetiapina, olanzapina, risperidona, aripiprazol, clozapina
parenterales: risperidona LP, aripripazol LP, paliperidona LP

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12
Q

efecto adverso de los antipsicoticos atipicos en tx cronico

A

metabolicos (+ peso)

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13
Q

cual es el antipsicótico más típico de los atípicos (tx mantenimiento)

A

risperidona

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14
Q

tx de efectos adversos motores de los antipsicoticos

A

biperideno, difenhidramina, pramipexol, clonazepam, diazepam

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15
Q

sx positivos y negativos:

A

+: delirio alucinaciones
-: depresivo

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