MENTAL HEALTH EXAM 1 (CH 12
SCHIZOPHRENIA) Q&A
Antipsychotic Medication: (1st generation Depot formulation/Long acting) -
ANSWER-- haloperidol (Haldol Deconoate) every 4 wks, - fluphenazine (Prolixin
Decanoate) every 2-4 wks
Antipsychotic Medication: (2nd generation) - ANSWER-- clozapine (Clozaril), -
olanzapine (Zyprexa), - risperidone (Risperdal), - ziprasidone (Geodon)(changes in
EKG)
Antipsychotic Medication: (2nd generation oral disintegrating) - ANSWER--
olanzapine (Zyprexa Zydis), - risperidone (Risperdal M-tab), - clozapine (Fazaclo)
Antipsychotic Medication: (2nd generation depot formulation) - ANSWER--
olanzapine (Zyprexa Relprevve), - risperidone (Risperdal Consta)
Antipsychotic Medication: (3rd generation) - ANSWER-- aripiprazole (Abilify) :
"Dopamine System Stabilizer". -minimal sedation, - minimal EPS, - S.E.: Insomnia
and Akathisia
Antipsychotic Medication: (1st generation Low) Side effects - ANSWER-- sedation:
histamine blockade, -anticholinergic: dry mouth, constipation, blurred vision, urinary
retention, confusion, -EPS: EPS but less Vs High potency
Antipsychotic Medication: (1st generation High) Side effects - ANSWER-- Increased
EPS, - anticholinergic but less Vs low potency, - sedation but less Vs low potency,
weight gain
Antipsychotic Medication: (2nd generation) Side effects - ANSWER-**effective for
both + and - symptoms, - Fewer incidence of EPS, smoking may decrease efficacy, -
sedation (exclude ziprasidone), - orthostatic hypotension, - metabolic syndrome, -
increase prolactin
Common meds to treat side effects of high potency 1st generation meds -
ANSWER-- Artane, - Benedryl, -Cogentin, - Symmetryl
Tardive dyskinesia (TDK) - ANSWER-consists of involuntary choreoathetoid (worm
like movement of tongue and face, lip smacking, and in and out protrusions of the
tongue.
Four main symptom groups of schizophrenia - ANSWER-1. Positive Symptoms
(hallucinations, delusions, associative looseness, bizarre behaviour). 2. Negative
Symptoms (blunted affect, poverty of thought (alogia), loss of motivation (avolition),
inability to experience joy (anhedonia)). 3. Cognitive Symptoms (easily distracted,
impaired memory, poor problem solving, impaired judgement), 4. Affective
Symptoms (dysphoria, suicidality, hopelessness)
SCHIZOPHRENIA) Q&A
Antipsychotic Medication: (1st generation Depot formulation/Long acting) -
ANSWER-- haloperidol (Haldol Deconoate) every 4 wks, - fluphenazine (Prolixin
Decanoate) every 2-4 wks
Antipsychotic Medication: (2nd generation) - ANSWER-- clozapine (Clozaril), -
olanzapine (Zyprexa), - risperidone (Risperdal), - ziprasidone (Geodon)(changes in
EKG)
Antipsychotic Medication: (2nd generation oral disintegrating) - ANSWER--
olanzapine (Zyprexa Zydis), - risperidone (Risperdal M-tab), - clozapine (Fazaclo)
Antipsychotic Medication: (2nd generation depot formulation) - ANSWER--
olanzapine (Zyprexa Relprevve), - risperidone (Risperdal Consta)
Antipsychotic Medication: (3rd generation) - ANSWER-- aripiprazole (Abilify) :
"Dopamine System Stabilizer". -minimal sedation, - minimal EPS, - S.E.: Insomnia
and Akathisia
Antipsychotic Medication: (1st generation Low) Side effects - ANSWER-- sedation:
histamine blockade, -anticholinergic: dry mouth, constipation, blurred vision, urinary
retention, confusion, -EPS: EPS but less Vs High potency
Antipsychotic Medication: (1st generation High) Side effects - ANSWER-- Increased
EPS, - anticholinergic but less Vs low potency, - sedation but less Vs low potency,
weight gain
Antipsychotic Medication: (2nd generation) Side effects - ANSWER-**effective for
both + and - symptoms, - Fewer incidence of EPS, smoking may decrease efficacy, -
sedation (exclude ziprasidone), - orthostatic hypotension, - metabolic syndrome, -
increase prolactin
Common meds to treat side effects of high potency 1st generation meds -
ANSWER-- Artane, - Benedryl, -Cogentin, - Symmetryl
Tardive dyskinesia (TDK) - ANSWER-consists of involuntary choreoathetoid (worm
like movement of tongue and face, lip smacking, and in and out protrusions of the
tongue.
Four main symptom groups of schizophrenia - ANSWER-1. Positive Symptoms
(hallucinations, delusions, associative looseness, bizarre behaviour). 2. Negative
Symptoms (blunted affect, poverty of thought (alogia), loss of motivation (avolition),
inability to experience joy (anhedonia)). 3. Cognitive Symptoms (easily distracted,
impaired memory, poor problem solving, impaired judgement), 4. Affective
Symptoms (dysphoria, suicidality, hopelessness)
