Questions and Answers
Psychotic symptoms: Positive
Ans- Agitation
Hyperactivity
Hallucinations
Paranoia
Incoherent speech
Psychotic symptoms: Negative
Ans- Poor self-care
Poverty of speech
Social withdrawal
Catatonia
,Flat affect
Typical antipsychotics
Ans- Phenothiazine ( Fluphenazine (Prolixin))
Non-phenothiazine (Haloperidol (Haldol))
Adverse reactions of typical antipsychotics
Ans- Sedation
Extra-Pyramidal symptoms
-Dystonia
-Akathisia
-Pseudoparkinsonism
-Tardive dyskinesia
Orthostatic hypotension
Dry mouth
Blurred vision
Urinary retention, constipation
,Decreased libido
Amenorrhea
Edema
Headache
-long term use
Blood dyscrasias - Agranulocytosis
Neuroleptic malignant syndrome
Neuroleptic malignant syndrome symptoms
Ans- Altered mental status
Sudden high fever
Muscle rigidity
Rhabdomyolysis
Renal and respiratory failure
Severe blood pressure fluctuations
Neuroleptic malignant syndrome
, Ans- Discontinue antipsychotics
Administer muscle relaxers and antipyretics
Typical antipsychotics caution
Ans- Narrow angle Glaucoma
Blood dyscrasias
Renal-liver damage
cardiovascular disease
Parkinson's disease
CNS depression
Bone Marrow Depression
Typical antipsychotics decreased effect
Ans- Caffine
Phenobarbitol
Carbamazepine