Answers
In schizophrenia, ______ medications are proven effective in treating acute psychosis and
reducing the risk of future psychotic episodes *** Antipsychotic
The treatment of schizophrenia has 3 main phases: *** 1. acute phase
2. stabilization
3. maintenance
Which stage of treatment of schizo?
The patient has the symptoms already, theyre all over the place and out of touch with reality.
*** Acute phase
Which stage of treatment of schizo?
The patient has the medications already, they are being aggressive with medications to stabilize
them and lessen the thoughts theyre having *** Stabilization
Which stage of treatment of schizo?
The patient has their routine medications to manage their symptoms. *** Maintenance
The large majority of schizophrenia patients experience the most improvement when treated with
___________ *** antipsychotic drugs
1st generation medications are also known as: (3 other names) *** Conventional, Typical,
Neuroleptic
What is a PRO of the 1st generation medications & what is a CON? *** PRO: they are very
effective
, CON: they have lots of side effects
1st generation medication is only effective on ________________ symptoms *** POSITIVE
The prototype 1st generation medication is: *** Haloperidol (Haldol)
"5,2,50 GI cocktail" What does each number refer to? *** The 1st number = Haldol
The 2nd number = Benzodiazepine
The 3rd number = Benadryl
MOA of 1st generation medications _____. Why? *** blocks activity of dopamine receptors;
because positive symptoms of schizo are thought to be due to overactivity of the dopaminergic
pathways
Name the 5 extrapyramidal symptoms ______.
When will you see these? *** 1. Parkinsonism
2. Akinesia (loss of voluntary movements)
3. Tardive dyskinesia
4. Akathisia (restlessness)
5. Dystonia
Sxs progress 2-3 days after meds
Name 5 groups of symptoms that can occur using 1st generation antipsychotics: *** 1.
Extrapyramidal symptoms (EPS)
2. Anticholinergic effects
3. Neuroendocrine effects
4. Serotonin syndrome
5. Neuroleptic management syndrome (NMS)
Your patient has spiked a fever and they are on Haloperidol. What do you suspect this pt has?
*** Neuroleptic malignant syndrome