Memantine (Namenda)
Give this one a try later!
Anti-alzheimers agent
-vascular dementia, alzheirmer's disease
-monitor blood glucose control
-periodic H&H, serum sodium, phosphatase
Clozapine (Clozaril)
Give this one a try later!
, Antipyschotic
-used for schizophrenia uncontrolled by other agents
-also used for severe OCD, bipolar, and dementia related
behavioral disorders
-contraindicated in pts on chemotherapy, leukopenia,
neutropenia, leukemia, hepatitis
-increased mortality from severe hematologic,
cardiovascular, and respiratory adverse effects
-peak incidence of fevere may occur within first 3 weeks of
therapy
-carefully monitor blood glucose
-report flu like symptoms
Effective communication skills
Give this one a try later!
•Silence- allows time for reflection
•Listening- hear, observe and understanding of client
before offering feedback
•Open-ended questions- facilitates interactive discussion
•Offering general leads-facilitates communication
•Clarifying techniques- Restating, reflecting, paraphrasing,
exploring
•Showing acceptance or recognition-acknowledges interest
•Focusing - concentration on important issues
•Asking questions- to seek additional information
•Giving information- provides the client with details to make
decisions
•Presenting reality- to dispel delusions, hallucinations or
faulty beliefs
•Summarizing- emphasizing important points
•Offering self- demonstrates a willingness to spend time
with the client
•Touch- when appropriate, can provide comfort
,Bipolar Therapeutic Milieu
Give this one a try later!
•Therapeutic Milieu
•Safe AND SUDUED Simple Environment during Acute
Phase
•Evaluate for suicidal ideations
•Decrease stimulation without isolating the client
•Acute Mania Behaviors- Remove From Group Activities
•Follow agency protocols for restraints
•Frequent rest periods
•Monitor for escalating behaviors
•Provide outlet for physical activity
•Self-care needs
•Sleep, fluids and nutrition
•Choice of clothes
•Reminders for hygiene
•Communication
•Calm and matter-of-fact approach
VOCABULARY
Give this one a try later!
•Neologism - newly coined words (made up words)
•Idea of Reference -type of delusion
Associative looseness•A - jumbled thoughts
•Thought Broadcasting - one can read another's mind
•Agnosia -loss of sensory recognition of objects
•Aphasia - loss of language ability
•Alogia - inability to speak d/t mental defect or confusion
•Apraxia - loss of purposeful movements
•Anomia - can't remember words
•Avolition - lack of interest or engagement
•Apathy - feeling drained unable or start or follow through
, •Anhedonia - lack of able to feel pleasure in anything
•Preservation - refers to repeating a word or phrases over and over again
•Paranoia - unrealistic fear
•Poverty of content - inadequate foundation of information
-Extrapyramidal, (involuntary uncontrollable movements especially of the
mouth, tongue, trunk, and limbs involuntary uncontrollable movements
especially of the mouth, tongue, trunk, and limbs),
Schizophrenia (negative symptoms)
Give this one a try later!
•Negative Symptoms - clinical manifestations more difficult
to treat than positive symptoms
•Affect
• Blunted narrow range of normal expression
•Flat, little change in facial expression
•Alogia - Anergia - Apathy
•Avolition - Anhedonia
•SOCIAL WITHDRAWAL - **Poor personal Hygiene**
Fluphenazine (Prolixin)
Give this one a try later!
Antipyschotic
-schizophrenia
-contraindicated with renal or liver disease
-watch for EPS symptoms, tardive dyskinesia, impaired
thermoregulation
-photosensitivity
Give this one a try later!
Anti-alzheimers agent
-vascular dementia, alzheirmer's disease
-monitor blood glucose control
-periodic H&H, serum sodium, phosphatase
Clozapine (Clozaril)
Give this one a try later!
, Antipyschotic
-used for schizophrenia uncontrolled by other agents
-also used for severe OCD, bipolar, and dementia related
behavioral disorders
-contraindicated in pts on chemotherapy, leukopenia,
neutropenia, leukemia, hepatitis
-increased mortality from severe hematologic,
cardiovascular, and respiratory adverse effects
-peak incidence of fevere may occur within first 3 weeks of
therapy
-carefully monitor blood glucose
-report flu like symptoms
Effective communication skills
Give this one a try later!
•Silence- allows time for reflection
•Listening- hear, observe and understanding of client
before offering feedback
•Open-ended questions- facilitates interactive discussion
•Offering general leads-facilitates communication
•Clarifying techniques- Restating, reflecting, paraphrasing,
exploring
•Showing acceptance or recognition-acknowledges interest
•Focusing - concentration on important issues
•Asking questions- to seek additional information
•Giving information- provides the client with details to make
decisions
•Presenting reality- to dispel delusions, hallucinations or
faulty beliefs
•Summarizing- emphasizing important points
•Offering self- demonstrates a willingness to spend time
with the client
•Touch- when appropriate, can provide comfort
,Bipolar Therapeutic Milieu
Give this one a try later!
•Therapeutic Milieu
•Safe AND SUDUED Simple Environment during Acute
Phase
•Evaluate for suicidal ideations
•Decrease stimulation without isolating the client
•Acute Mania Behaviors- Remove From Group Activities
•Follow agency protocols for restraints
•Frequent rest periods
•Monitor for escalating behaviors
•Provide outlet for physical activity
•Self-care needs
•Sleep, fluids and nutrition
•Choice of clothes
•Reminders for hygiene
•Communication
•Calm and matter-of-fact approach
VOCABULARY
Give this one a try later!
•Neologism - newly coined words (made up words)
•Idea of Reference -type of delusion
Associative looseness•A - jumbled thoughts
•Thought Broadcasting - one can read another's mind
•Agnosia -loss of sensory recognition of objects
•Aphasia - loss of language ability
•Alogia - inability to speak d/t mental defect or confusion
•Apraxia - loss of purposeful movements
•Anomia - can't remember words
•Avolition - lack of interest or engagement
•Apathy - feeling drained unable or start or follow through
, •Anhedonia - lack of able to feel pleasure in anything
•Preservation - refers to repeating a word or phrases over and over again
•Paranoia - unrealistic fear
•Poverty of content - inadequate foundation of information
-Extrapyramidal, (involuntary uncontrollable movements especially of the
mouth, tongue, trunk, and limbs involuntary uncontrollable movements
especially of the mouth, tongue, trunk, and limbs),
Schizophrenia (negative symptoms)
Give this one a try later!
•Negative Symptoms - clinical manifestations more difficult
to treat than positive symptoms
•Affect
• Blunted narrow range of normal expression
•Flat, little change in facial expression
•Alogia - Anergia - Apathy
•Avolition - Anhedonia
•SOCIAL WITHDRAWAL - **Poor personal Hygiene**
Fluphenazine (Prolixin)
Give this one a try later!
Antipyschotic
-schizophrenia
-contraindicated with renal or liver disease
-watch for EPS symptoms, tardive dyskinesia, impaired
thermoregulation
-photosensitivity
