Mental Health: Test 2 Medications

Mental Health: Test 2 Medications What type of classification is Chlorpromazine (Thorazine)? - first generation typical What are positive and negative symptoms of Chlorpromazine (Thorazine)? - positive and negative: psychosis, mania, n/v, hiccups, tetanus, hyperactivity, surgery What are side affects of Chlorpromazine (Thorazine)? - seizures, NMS, dizziness, drowsiness, sedation, tardive dyskinesia, orthostatic hypotension, dry mouth, urine retention, constipation, thrombocytopenia, agranulocytosis, leukopenia, aplastic anemia, What routes are Chlorpromazine (Thorazine) given? - IM IV PO Patient teaching for the drug Chlorpromazine (Thorazine)? - -pregnancy risk category C -avoid activities requiring alertness -fall risk, report drowsiness and need for help -no alcohol -report urine retention or constipation Monitoring Needs of Chlorpromazine? - -monitor for overdose, CNS depression -obtain baseline BP for possible orthostatic hypotension -monitor for tardive dyskinesia What classification is the drug Fluphenazine (Prolixin)? - first generation typical What are positive and negative symptoms of Fluphenazine (Prolixin)? - positive and negative: psychotic disorders What are side affects of Fluphenazine (Prolixin)? - depression, seizures, sedation, dizzy/drowsiness, NMS, High risk for EPS, tardive dyskinesia, orthostatic hypotension, urinary retention, constipation, ocular changes, weight gain, photosensitivity What are the routes of Fluphazine (Prolixin) given? - Elixir IM/Sq Oral concent. Tablet, PO What are the patient teachings for the drug Fluphazine (Prolixin)? - -pregnancy risk category C -avoid activity requiring alertness -no alcohol -report s/s or urine retention or constipation, -sunblock -discolored urine common What are the monitoring needs of Fluphazine (Prolixin)? - -monitor for tardive dyskinesia, NMS, s/s of blood dyscrasia (imbalance of cellular components in the blood; pathologic condition), EPS -prevent abrupt withdrawal of medication What classification is the drug Haloperidol (Haldol)? - first generation typical What are the positive and/or negative symptoms of Haloperidol (Haldol)? - positive and negative symptoms: - psychotic disorders, chronic psychotic disorders with prolonged therapy, nonpsychotic disorders, Tourette syndrome, hiccups, prevent chemotherapy-induced n/v What are the side affects of Haloperidol (Haldol)? - - high risk for EPS - tardive dyskinesia - NMS - sedation (drowsiness) - dizziness - insomnia - confusion - Vertigo - lethargy - leukopenia - torsades de pointes - n/v What are the routes of Haloperidol (Haldol)? - IM PO (tab) What are some patient teachings for the drug Haloperidol (Haldol) - - pregnancy risk C - least sedating of the antipsychotic drugs but still avoid activities requiring alertness - no alcohol - dry mouth - Black Box: not approved for dementia-psychosis treatment What are monitoring needs for Haloperidol (Haldol)? - - overdose precautions - monitor tardive dyskinesia after prolonged use - do not withdraw abruptly - may contain tartrazine (yellow #5, allergic rxn) ..................