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Terms in this set (42)
Contraindicated in patients with a known history of QT
prolongation, recent myocardial infarction, or
Geodon (ziprasidone)
uncompensated heart failure, it should not be used with
other QT-prolonging drugs.
Can cause seizures at a rate four times that of other
antidepressants. The risk for seizures increases when
doses exceed 450 mg/day (400 mg SR); dose increases
are sudden or in large increments; the client has a
history of seizures, cranial trauma, excessive use of or
Buproprion
withdrawal from alcohol, or addiction to opiates,
cocaine, or stimulants; the client uses over-the-counter
(OTC) stimulants or anorectics; or the client has
diabetes being treated with oral hypoglycemics or
insulin.
-Use for control of manic episodes; mood stabilizer
*Normal level is 0.5-1.5
Lithium
*Toxicity/Overdose Signs & Symptoms: N/V, Anorexia,
Tremors, Ataxia
Can cause aplastic anemia and agranulocytosis at a rate
five to eight times greater than the general population.
Carbamazepine Pretreatment hematologic baseline data should be
obtained and monitored periodically throughout
therapy to discover lowered WBC or platelet counts.
Are phone calls ever If pt is making threatening phone calls to others outside
restricted for mental health the hospital they may be permitted only supervised
pmts more than a "general" phone calls until his/her condition improves.
med-surg population?
, Are certain items Suicidal pt may not keep a belt, shoe laces, or scissors
considered dangerous to b/c he or she may use these items for self harm.
the suicidal patient that
would be of no concern to
a "general" med-surg
population client?
-A group of severe disorders characterized by
disorganized and delusional thinking, disturbed
perceptions, and inappropriate emotions and actions
-Uknown cause: Combo of genetics and environmental
factors (experience in the womb, childhood
Schizophrenia experiences, abnormalities in the brain-can be seen on
scans)
-Nothing to do with multiple personalities
-Dx: clinical interview
-M/F mid to late 20's
-Tx: Meds, the whole med team, therapy
-Disorganized
-Catatonic
Types of Schizophrenia -Paranoid
-Undifferentiated
-Residual
Disorganized Inappropriate behavior: silly laughing and regression,
Schizophrenia transient hallucinations, disorganized behavior & speech
Sudden onset of mutism; bizarre mannerisms, remains in
Catatonic Schizophrenia stereotyped position with waxy flexibility; may have
dangerous periods of agitation and explosivity.
Late onset in life, characterized by suspicion and ideas
Paranoid Schizophrenia of persecution and delusions and hallucinations; may be
angry or hostile.
Undifferentiated General symptoms of schizophrenia; symptoms of more
Schizophrenia than one type of schizophrenia.
Residual Schizophrenia No longer exhibits overt symptoms.