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Exam (elaborations)

MENTAL HEALTH FINAL EXAM review study guide correct and verified

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MENTAL HEALTH FINAL EXAM review study guide correct and verified what are the MOST COMMON side effects of ANTIPSYCHOTIC? - - anticholinergic effects - sedation - orthostatic hypotension - weight gain - reduction in seizure threshold especially with CLOZAPINE - photosensitivity - hyperglycemia and diabetes - hormonal effects (gynecomastia, amenorrhea, low libido, retrograde ejaculation) - EKG changes - AGRANULOCYTOSIS especially with CLOZAPINE - EXTRAPYRAMIDAL - NEUROLEPTIC MALIGNANT SYNDROME - increased risk of mortality in elderly patients with NCD-related psychosis what is AGRANULOCYTOSIS side effect associated with CLOZAPINE? - - sore throat - fever - malaise what is NEUROLEPTIC MALIGNANT SYNDROME side effect of antipsychotic ? - - fever - muscle rigidity - diaphoresis - tachycardia HOLD THE MEDICATION IF ANY OF THESE SIGNS ARE PRESENTED HALOPERIDOL - - typical antipsychotic - high risk for EPS what are extrapyramidal side effects of antipsychotic ? - - pseudoparkinsonism such as tremors, shuffling gait, drooling, rigidity; symptoms appears 1 to 5 days occur in women, elderly and dehydrated patients - akinesia; muscular weakness - akathisia; continuous restlessness and fidgeting; more in women - dystonia is involuntary muscular movements spasms of face, arms, legs, and neck; more in men and younger than 25 year of age - oculogyric crisis; uncontrolled rolling back of the eye; it can be mistaken for seizure act; this side effect may appear as part of the syndrome described as dystonia DISTONIA AND OCULOGYRIC CRISIS SHOULD BE TREATED AS

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