Nsg 552 psychopharmacology Exam 3- QUESTION AND CORRECT ANSWER

personality disorders psychological disorders characterized by inflexible and enduring behavior patterns that impair social functioning substance abuse Any unnecessary or improper use of chemical substances for nonmedical purposes sexual disfunction a problem that consistently impairs sexual arousal or functioning neurodevelopmental disorders neurologically based disorders that are revealed in a clinically significant way during a child's developing years neurocognitive disorders acquired (not lifelong) disorders marked by cognitive deficits; often related to Alzheimer's disease, brain injury or disease, or substance abuse. In older adults neurocognitive disorders were formerly called dementia neurocognitive disorders psychopathologies due to various forms of damage to the nervous system not arising until adulthood Dementia Treating comorbidities such as depression-consider the whole picture Rivastigmine (Exelon) -Anticholinesterse - increases ACh -Alzheimer disease Rivastigmine (Exelon) acetylcholinesterase inhibitor- treat symptoms of alzheimers Memantine (Namenda) NMDA receptor antagonist - Alzheimer's Donepezil (Aricept) acetylcholinesterase inhibitor - inactivates enzyme that breaks down acetylcholine - which increases available acetylcholine - which slows progression of AD; SIDE EFFECTS: think parasympathetic activation - bradycardia, hypotension, urination, defecation, GI upset, salivation, sweating Galantamine (Reminyl) Acetylcholinesterase Inhibitors for Alzheimer's stops progression of alzheimers delirium an acutely disturbed state of mind that occurs in fever, intoxication, and other disorders and is characterized by restlessness, illusions, and incoherence of thought and speech. Differences in delirium and dementia delirium is often reversible dementia is not Delirium treatment - identify and address the underlying cause - optimize brain condition (O2, hydration, pain, etc. - antipsychotics (haldol) delirium an acutely disturbed state of mind that occurs in fever, intoxication, and other disorders and is characterized by restlessness, illusions, and incoherence of thought and speech. Pharmacological treatment for IDD? none behavioral therapy may be implemented and if necessary, pharmacological options for behavioral control. Must be vigilant about monitoring for SE due to potential communication problems Treatment of Autism limited. only for agitation/ behavioral decontrol. Frequently