NRNP 6675 Final Exam 100%
correct and graded A+
Best tool for assessing TD?
AIMS
12 item test, takes approx 10 minutes. Best tool for monitoring the severity
of TD
What causes TD?
antipsychotics
but other medications (nausea and reflux meds) can cause TD as well:
reglan, compazine and other agents that block dopamine
Medications used to tx TD? (3)
FDA approved: Valbenazine (Ingrezza) + Deutrabenazine (Austedo)
Not FDA approved for TD, but FDA approved for HD: tetrazbenazine
(Xenazine)
Meds that cause severe weight gain?
,Antipsychotics- especially clozapine, olanzapine, quetiapine
Antidepressants- mirtazepine, TCAs, Paxil
Mood stabilizers- Lithium, Valproic Acid
meds that cause moderate weight gain?
risperidone and invega
meds that cause less weight gain?
ability, haldol, geodon, lurasidone
First line tx for weight gain for psych meds?
A. Topamax ----se: cognitive dulling
B. Metformin ER
C. Olanzapine/Samidorphan (Lybalvi)--used as an alternative to zyprexa to
help reduce weight gain
D. Orlistat (Xenical). ---se: diarrhea
E. Abilify--may be useful for olanzapine induced weight gain as an adjunct
Second line tx for weight loss?
A. Wellburin SR
,B. Any stimulant
C. Naltrexone/Bupropion (Contrave). --*antiobesity drug
D. Phentermine (Suprenza)-*antiobesity drug
E. Phentermine/topimate (Qsymia). ---*antiobesity drug
F. Glucagon like peptide agonists---such as Liraglutide or Ozempic
(Semaglutide)
G. Nizatidine (Axid) ---antacid OTC
H. Amantadine (symmetrel)
Tx of akathisia?
First line: propanolol, inderal LA, benzos
second line: cogentin, amandtadine, clonidine, gabapentin, trazodone,
mirtazepine, Cyproheptadine
Blocks D2 blockade?
decreases akathisia
high potency antipsychotics increase risk of?
Akathisia
ex. Haldol, Abilify, Invega, Risperidone, Brexipiprazole
, Akathisia typically has an onset of?
can be within a few hours, but normally takes days to weeks to appear
______ invol grinding of teeth
Bruxism
How to tx Bruxism?
1st line= Buspar
2nd line= benzos, gabapentin
Botox is another tx option that is effective (in the masseter)
Xerostomia?
Dry mouth
caused by antipsychotics, antidepressants, lithium, stimulants, and meds
used to tx EPS (cogentin, Artane, ect)
first line tx of Xerostomia?
A) Biotene line prouces
2nd line= Procholinergic drugs ex. Pilocarpine (Salagen)
correct and graded A+
Best tool for assessing TD?
AIMS
12 item test, takes approx 10 minutes. Best tool for monitoring the severity
of TD
What causes TD?
antipsychotics
but other medications (nausea and reflux meds) can cause TD as well:
reglan, compazine and other agents that block dopamine
Medications used to tx TD? (3)
FDA approved: Valbenazine (Ingrezza) + Deutrabenazine (Austedo)
Not FDA approved for TD, but FDA approved for HD: tetrazbenazine
(Xenazine)
Meds that cause severe weight gain?
,Antipsychotics- especially clozapine, olanzapine, quetiapine
Antidepressants- mirtazepine, TCAs, Paxil
Mood stabilizers- Lithium, Valproic Acid
meds that cause moderate weight gain?
risperidone and invega
meds that cause less weight gain?
ability, haldol, geodon, lurasidone
First line tx for weight gain for psych meds?
A. Topamax ----se: cognitive dulling
B. Metformin ER
C. Olanzapine/Samidorphan (Lybalvi)--used as an alternative to zyprexa to
help reduce weight gain
D. Orlistat (Xenical). ---se: diarrhea
E. Abilify--may be useful for olanzapine induced weight gain as an adjunct
Second line tx for weight loss?
A. Wellburin SR
,B. Any stimulant
C. Naltrexone/Bupropion (Contrave). --*antiobesity drug
D. Phentermine (Suprenza)-*antiobesity drug
E. Phentermine/topimate (Qsymia). ---*antiobesity drug
F. Glucagon like peptide agonists---such as Liraglutide or Ozempic
(Semaglutide)
G. Nizatidine (Axid) ---antacid OTC
H. Amantadine (symmetrel)
Tx of akathisia?
First line: propanolol, inderal LA, benzos
second line: cogentin, amandtadine, clonidine, gabapentin, trazodone,
mirtazepine, Cyproheptadine
Blocks D2 blockade?
decreases akathisia
high potency antipsychotics increase risk of?
Akathisia
ex. Haldol, Abilify, Invega, Risperidone, Brexipiprazole
, Akathisia typically has an onset of?
can be within a few hours, but normally takes days to weeks to appear
______ invol grinding of teeth
Bruxism
How to tx Bruxism?
1st line= Buspar
2nd line= benzos, gabapentin
Botox is another tx option that is effective (in the masseter)
Xerostomia?
Dry mouth
caused by antipsychotics, antidepressants, lithium, stimulants, and meds
used to tx EPS (cogentin, Artane, ect)
first line tx of Xerostomia?
A) Biotene line prouces
2nd line= Procholinergic drugs ex. Pilocarpine (Salagen)
