Week 7 - Antipsychotics Flashcards
What are antipsychotics? (2)
- medication is given to people experiencing psychosis
- hallucinations, delusions, and agitation
When are antipsychotics prescribed for older adults? (3)
- history of schizophrenia and bipolar
- older adults LWD who have responsive behaviours
- experiencing a delirium
what are first line antipsychotics? (4)
- haloperidol
- perphenazine
- chlorpromazine
You might see these people with long-term psychiatric symptoms
what are second-generation antipsychotics? (3)
- risperidone
- olanzapine
- quetiapine (seroquel)
What are the risks of antipsychotic medications? (4)
- cause orthostatic hypotension
- anticholinergic effects
- Impacts the ability of the older adult to thermoregulate
- risk of Neuroleptic Malignant Syndrome
When are antipsychotic medications appropriate to administer in people with severe agitation and psychosis?
If the symptoms are interfering with care or treatments
why are antipsychotics often used inappropriately, especially in long-term homes, to control responsive behaviors?
Prescribing antipsychotics for a person with dementia as a first line of defense is not recommended because of adverse medication reactions
What are the benefits of taking older adults off of antipsychotics? This is from the video I did not watch, but is on the mentimeter. (4)
- reduce falls
- reduce delirium
- more awake and engaged
- less risk of depression
What are the components of a comprehensive review of medications that contribute to safe medication use? (4, 8)
- Review of all medications
- brown bag assessment - Matching medical diagnosis with prescribe medication
- formally done in the healthcare system: medication reconciliation
ex. older adult on antidepressants with no diagnosis of depression - Current health status
- need for medication - Older adults understanding the reason to take medication
Review of medications with older adult steps (picture, 4 steps)
