Psychiatric/Mental Health Nursing
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NCLEX Psychiatric/Mental Health D... Ch 33 Mood Stabilizers Module 10
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A nurse is administering medications to clients on a psychiatric
They combat the extrapyramidal unit. What does the nurse identify as the reason that so many
side effects of the neuroleptic psychiatric clients are given the drug benztropine or
drug. trihexyphenidyl in conjunction with the phenothiazine-derivative
neuroleptic medications?
acute dystonia that involves muscle spasms of the neck;
Torticollis develops within 1 to 5 days after beginning therapy with a
conventional antipsychotic
involuntary repetitious tonic muscular spasms that involve the
face, tongue, lips, limbs, and trunk; takes several months to years
to develop after the start of therapy with a conventional
Tardive dyskinesia
antipsychotic
d/c if observed, may be reversible
extrapyramidal tract response that includes masklike facies,
shuffling gait, pill-rolling tremors, stooped posture, and drooling;
Pseudoparkinsonism
develops within several days to 1 month after the start of therapy
with a conventional antipsychotic
severe, potentially fatal response to conventional antipsychotics
Neuroleptic malignant caused by acute reduction in dopamine activity, precipitating
syndrome hyperthermia/pyrexia, tachycardia, tachypnea, unstable blood
pressure, dyskinesia, incontinence, decreased level of
consciousness
, 2nd gen atypical antipsychotic drug that is more effective than
other second-generation antipsychotics
Seizures, sedation, and akathisia are common side effects
contraindicated in clients with bone marrow depression
Clozapine
may cause agranulocytosis, the client's white blood cell (WBC)
count should be monitored weekly. The drug should be
discontinued if the count falls below 3,000/mm 3
use with caution in clients with seizures
MAOI
Isocarboxazid
Circulatory collapse is associated with toxicity
typical antipsychotic
Acute dystonic reactions such as tremors, dyskinesia, and
fluphenazine
akathisia are observable side effects
decreased salivating
antipsychotic drug used in the long-term treatment of psychosis
Gynecomastia is one of the adverse effects of this drug
haloperidol
Potential adverse effects: pseudoparkinsonism and urinary
retention related to extrapyramidal syndrome
atypical antipsychotic
Ziprasidone
contraindicated in clients with a history of dysrhythmias
Motor restlessness
Akathisia
can be treated with an antiparkinsonian or anticholinergic drug
while the antipsychotic medication is continued
Acute, often painful, sustained contraction of muscles
typically occurs 2 to 5 days after the introduction of
acute dystonia antipsychotic medications
can be treated with an antiparkinsonian or anticholinergic drug
while the antipsychotic medication is continued
aversion therapy for alcohol addiction/abuse
cannot tolerate alcohol when on it
Disulfiram
consuming alcohol while taking it will cause a severe reaction:
nausea, vomiting, hypotension, headache, tachycardia,
tachypnea, and flushing
used to treat both generalized anxiety disorder and depression
Duloxetine
can worsen uncontrolled angle-closure glaucoma