NSG 221 Mental Health Nursing Exam 4
|\ |\ |\ |\ |\ |\ |\
Prep LATEST UPDATE |\ |\
Cluster A: |\
- Paranoid:
|\
- Schizoid:
|\
- Schizotypal:
|\
Cluster B: Most common, most dangerous to treat, iratic
|\ |\ |\ |\ |\ |\ |\ |\ |\
emotional and dramatic behavior |\ |\ |\
- |\ Antisocial
- |\ Borderline
- |\ Histrionic
- |\ Narcissistic
Cluster C: |\
- Avoidant
|\
- Dependent
|\
- Obsessive
|\
1st gen antipsychotics (Typical) Dopamine Antagonist
|\ |\ |\ |\ |\
- |\ Haloperidol (Haldol) |\
- |\ Fluphenazine (Prolixin) |\
- |\ Thiothixene (Navane) |\
- |\ Chlorpromazine (Thorazine) |\
2nd gen antipsychotics (Atypical) Dopamine and Serotonin
|\ |\ |\ |\ |\ |\ |\
Antagonists
- Risperidone (Risperdal)
|\ |\
- Paliperidone (Invega)
|\ |\
- Olanzapine (Zyprexa)
|\ |\
, - Aripiprazole (Abilify)
|\ |\
- Clozapine (Clozaril)
|\ |\
- Quetiapine (Seroquel)
|\ |\
What symptoms do 1st gen antipsychotics treat
|\ |\ |\ |\ |\ |\
Positive or Hard symptoms Including:
|\ |\ |\ |\
- Delusions
|\
- Hallucinations
|\
- Disturbed Thinking
|\ |\
- Psychotic symptoms
|\ |\
1st gen antipsychotics NSG Care?
|\ |\ |\ |\
Baseline EKG before medication administration
|\ |\ |\ |\
What symptoms do 2nd Gen Antipsychotics (Atypical) treat?
|\ |\ |\ |\ |\ |\ |\
Treat Positive and Negative Symptoms
|\ |\ |\ |\
- Diminish positive (hard) symptoms
|\ |\ |\ |\
- Lesson negative (soft) symptoms: lack of volition, lack of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
motivation, social withdrawal, anhedonia |\ |\ |\
What Antipsychotic Medications are Injectable? (FHRAPO)
|\ |\ |\ |\ |\
Fluphenazine (Prolixin) |\
Haloperidol (Haldol) |\
Risperidone (Risperdal) |\
Aripiprazole (Abilify) |\
Paliperidone (Invega) |\
Olanzapine (Zyprexa) |\
2nd gen antipsychotics NSG Care?
|\ |\ |\ |\
Lab Draws: WBC, Neutrophils, Blood glucose
|\ |\ |\ |\ |\
Clozaril Med: Blood draws weekly for 1st 6 mo of tx then
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
biweekly, tx every 7-14 days. |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
Prep LATEST UPDATE |\ |\
Cluster A: |\
- Paranoid:
|\
- Schizoid:
|\
- Schizotypal:
|\
Cluster B: Most common, most dangerous to treat, iratic
|\ |\ |\ |\ |\ |\ |\ |\ |\
emotional and dramatic behavior |\ |\ |\
- |\ Antisocial
- |\ Borderline
- |\ Histrionic
- |\ Narcissistic
Cluster C: |\
- Avoidant
|\
- Dependent
|\
- Obsessive
|\
1st gen antipsychotics (Typical) Dopamine Antagonist
|\ |\ |\ |\ |\
- |\ Haloperidol (Haldol) |\
- |\ Fluphenazine (Prolixin) |\
- |\ Thiothixene (Navane) |\
- |\ Chlorpromazine (Thorazine) |\
2nd gen antipsychotics (Atypical) Dopamine and Serotonin
|\ |\ |\ |\ |\ |\ |\
Antagonists
- Risperidone (Risperdal)
|\ |\
- Paliperidone (Invega)
|\ |\
- Olanzapine (Zyprexa)
|\ |\
, - Aripiprazole (Abilify)
|\ |\
- Clozapine (Clozaril)
|\ |\
- Quetiapine (Seroquel)
|\ |\
What symptoms do 1st gen antipsychotics treat
|\ |\ |\ |\ |\ |\
Positive or Hard symptoms Including:
|\ |\ |\ |\
- Delusions
|\
- Hallucinations
|\
- Disturbed Thinking
|\ |\
- Psychotic symptoms
|\ |\
1st gen antipsychotics NSG Care?
|\ |\ |\ |\
Baseline EKG before medication administration
|\ |\ |\ |\
What symptoms do 2nd Gen Antipsychotics (Atypical) treat?
|\ |\ |\ |\ |\ |\ |\
Treat Positive and Negative Symptoms
|\ |\ |\ |\
- Diminish positive (hard) symptoms
|\ |\ |\ |\
- Lesson negative (soft) symptoms: lack of volition, lack of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
motivation, social withdrawal, anhedonia |\ |\ |\
What Antipsychotic Medications are Injectable? (FHRAPO)
|\ |\ |\ |\ |\
Fluphenazine (Prolixin) |\
Haloperidol (Haldol) |\
Risperidone (Risperdal) |\
Aripiprazole (Abilify) |\
Paliperidone (Invega) |\
Olanzapine (Zyprexa) |\
2nd gen antipsychotics NSG Care?
|\ |\ |\ |\
Lab Draws: WBC, Neutrophils, Blood glucose
|\ |\ |\ |\ |\
Clozaril Med: Blood draws weekly for 1st 6 mo of tx then
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
biweekly, tx every 7-14 days. |\ |\ |\ |\
