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Exam (elaborations)

NP5 - PSYCHIATRIC NURSING (MEDICATIONS) EXAM LATEST UPDATE

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NP5 - PSYCHIATRIC NURSING (MEDICATIONS) EXAM LATEST UPDATE...

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NP5 - PSYCHIATRIC NURSING (MEDICATIONS) EXAM
LATEST UPDATE


ANTIPSYCHOTIC DRUGS

Formerly known as neuroleptics, used to treat the symptoms of psychosis - delusions
and hallucinations



Mechanism of Action of Antipsychotic drugs

Block receptors of dopamine



Which dopamine receptors are associated with mental illness?

D2, D3, D4



Clozapine (Clozaril)

Atypical Antipsychotic drug that is relatively weak blocker of D2 that can lower
incidence of EPS?



AKA "Dopamine System Stabilizer"

3rd Gen Antipsychotics



Sesame Oil

Depot Injection

A time-release form of intramuscular injection for maintenance therapy.

7 to 28 days (1 week - 4 weeks)

Duration of Decanoate Fluphenazine (Prolixin)

4 weeks

, Duration of Decanoate Haloperidol (Haldol)

Zyprexa Relprevv

Medication that has potential to cause postinjection delirium/sedation syndrome.

Atypical Antipsyhotics

Puts the older clients most at risk for death

Extrapyramidal Symptoms

Major side effects of Antipsychotic Drugs




Blockade of D2 receptors in Midbrain Region of Brain Stem

Responsible for the development of EPS



Ziprasidone (Geodon) - 2nd Gen / Atypical

Contraindicated in clients w/ a history of QT prolongation, recent MI or HF.



Anticholinergic drugs - IM Benztropine Mesylate (Cogentin) or IM / IV Dephenhydramine
(Bendryl)

Immediate treatment for Acute Dystonic Reactions



Propanolol (Inedral)

Type of Beta Blocker included in treatment of EPS



Pseudoparkinsonism

Referred as generic label of Extrapyramidal Symptoms



Prolactin Levels

Antipsychotic drugs increase this in blood serum that results to:

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