NURS 5354 Exam 3 Psych questions with verified ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
detailed solutions ||\\//||
First Generation Antipsychotics ||\\//|| ||\\//||
Chlorpromazine, haloperidol, fluphenazine, thiothixene, and Thioridazine ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
adverse effects of FGA's ||\\//|| ||\\//|| ||\\//||
EPS:
Dystonia, Akathisia, parkinsonism, tardive dyskinesia ||\\//|| ||\\//|| ||\\//|| ||\\//||
neuroleptic malignant syndrome: ||\\//|| ||\\//||
"lead pipe" rigidity, sudden high fever, sweating, autonomic instability, dysrhythmias, and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BP fluctuations, changes in LOC, seizures, coma
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- more likely with high potency FGA's
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
low potency FGA ||\\//|| ||\\//||
Low potency: low prolactin elevation
||\\//|| ||\\//|| ||\\//|| ||\\//||
- Chlorpromazine
||\\//||
- Thioridazine
||\\//||
medium potency FGA ||\\//|| ||\\//||
Medium potency: ||\\//||
- Loxapine (moderate)
||\\//|| ||\\//||
- Perphenazine (low)
||\\//|| ||\\//||
High potency FGA ||\\//|| ||\\//||
High potency: moderate prolactin elevation ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Fluphenazine - Haloperidol- Pimozide- Thiothixene
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- trifluoperazine
||\\//||
how Acute dystonia is treated ||\\//|| ||\\//|| ||\\//|| ||\\//||
anticholinergic drugs (benztropine) IM or IV ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Parkinsonism treatment ||\\//||
, anticholinergic (benztropine, diphenhydramine), amantadine, or both. For severe ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
symptoms, switch to an SGA. ||\\//|| ||\\//|| ||\\//|| ||\\//||
Akathisia treatment ||\\//||
reduce dose or switch to a low-potency antipsychotic. Treat with a benzodiazepine, B
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
blocker, or anticholinergic agent. ||\\//|| ||\\//|| ||\\//||
Tardive dyskinesia treatment ||\\//|| ||\\//||
prevention; no reliable tx. d/c all anticholinergic drugs. Give benzodiazepines. Reduce ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
antipsychotic dosage. For severe, switch to a SGA. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
FGA overdose symptoms and treatment
||\\//|| ||\\//|| ||\\//|| ||\\//||
Hypotension, CNS depression, and extrapyramidal reactions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
antiparkinsonism drugs (sinemet, mirapex) ||\\//|| ||\\//|| ||\\//||
IVF
alpha-adrenergic drugs (phenylephrine) ||\\//|| ||\\//||
gastic lavage ||\\//||
postive symptoms of schizophrenia ||\\//|| ||\\//|| ||\\//||
delusions and hallucinations ||\\//|| ||\\//||
negative symptoms of schizophrenia ||\\//|| ||\\//|| ||\\//||
loss or diminution of normal function. Lack of motivation, poverty of speech, blunted affect,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
poor self-care, and social withdrawal.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
cognitive symptoms of schizophrenia ||\\//|| ||\\//|| ||\\//||
problems with working memory, attention, verbal and visual learning and memory, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
reasoning and problem solving, processing, and speech ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
second generation antipsychotics ||\\//|| ||\\//||
abilify, zyprexa, seroquel, risperdone, clozapine (clozaril), ziprasidone (Geodon),
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
paliperidone (invega) ||\\//||
side effects of second generation antipsychotics
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Metabolic syndrome(weight gain, blood glucose, triglyceride, insulin resistance increase) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
orthostatic hypotension, anticholinergic effects, tremors, agitation, sedation, dizziness, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
gynecomastia, sexual dysfunction ||\\//|| ||\\//||
detailed solutions ||\\//||
First Generation Antipsychotics ||\\//|| ||\\//||
Chlorpromazine, haloperidol, fluphenazine, thiothixene, and Thioridazine ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
adverse effects of FGA's ||\\//|| ||\\//|| ||\\//||
EPS:
Dystonia, Akathisia, parkinsonism, tardive dyskinesia ||\\//|| ||\\//|| ||\\//|| ||\\//||
neuroleptic malignant syndrome: ||\\//|| ||\\//||
"lead pipe" rigidity, sudden high fever, sweating, autonomic instability, dysrhythmias, and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BP fluctuations, changes in LOC, seizures, coma
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- more likely with high potency FGA's
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
low potency FGA ||\\//|| ||\\//||
Low potency: low prolactin elevation
||\\//|| ||\\//|| ||\\//|| ||\\//||
- Chlorpromazine
||\\//||
- Thioridazine
||\\//||
medium potency FGA ||\\//|| ||\\//||
Medium potency: ||\\//||
- Loxapine (moderate)
||\\//|| ||\\//||
- Perphenazine (low)
||\\//|| ||\\//||
High potency FGA ||\\//|| ||\\//||
High potency: moderate prolactin elevation ||\\//|| ||\\//|| ||\\//|| ||\\//||
- Fluphenazine - Haloperidol- Pimozide- Thiothixene
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
- trifluoperazine
||\\//||
how Acute dystonia is treated ||\\//|| ||\\//|| ||\\//|| ||\\//||
anticholinergic drugs (benztropine) IM or IV ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Parkinsonism treatment ||\\//||
, anticholinergic (benztropine, diphenhydramine), amantadine, or both. For severe ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
symptoms, switch to an SGA. ||\\//|| ||\\//|| ||\\//|| ||\\//||
Akathisia treatment ||\\//||
reduce dose or switch to a low-potency antipsychotic. Treat with a benzodiazepine, B
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
blocker, or anticholinergic agent. ||\\//|| ||\\//|| ||\\//||
Tardive dyskinesia treatment ||\\//|| ||\\//||
prevention; no reliable tx. d/c all anticholinergic drugs. Give benzodiazepines. Reduce ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
antipsychotic dosage. For severe, switch to a SGA. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
FGA overdose symptoms and treatment
||\\//|| ||\\//|| ||\\//|| ||\\//||
Hypotension, CNS depression, and extrapyramidal reactions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
antiparkinsonism drugs (sinemet, mirapex) ||\\//|| ||\\//|| ||\\//||
IVF
alpha-adrenergic drugs (phenylephrine) ||\\//|| ||\\//||
gastic lavage ||\\//||
postive symptoms of schizophrenia ||\\//|| ||\\//|| ||\\//||
delusions and hallucinations ||\\//|| ||\\//||
negative symptoms of schizophrenia ||\\//|| ||\\//|| ||\\//||
loss or diminution of normal function. Lack of motivation, poverty of speech, blunted affect,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
poor self-care, and social withdrawal.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
cognitive symptoms of schizophrenia ||\\//|| ||\\//|| ||\\//||
problems with working memory, attention, verbal and visual learning and memory, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
reasoning and problem solving, processing, and speech ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
second generation antipsychotics ||\\//|| ||\\//||
abilify, zyprexa, seroquel, risperdone, clozapine (clozaril), ziprasidone (Geodon),
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
paliperidone (invega) ||\\//||
side effects of second generation antipsychotics
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Metabolic syndrome(weight gain, blood glucose, triglyceride, insulin resistance increase) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
orthostatic hypotension, anticholinergic effects, tremors, agitation, sedation, dizziness, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
gynecomastia, sexual dysfunction ||\\//|| ||\\//||
