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Exam (elaborations) Psych Meds

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Exam (elaborations) Psych Meds , Exam (elaborations) Psych Meds Exam (elaborations) Psych Meds

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PSYCH MEDS ASSIGNMENT WITH 100% CORRECT ANSWERS


Antipsychotics
ans: Drugs used to treat behavioral symptoms which indicate the patient
is out of touch with reality.
Disorders treated include psychotic disorders and delirium and dementia


Typical Antipsychotics
ans: Block Dopamine, Improve hallucinations & delusions, Do not target
specific dopamine pathways


Atypical Antipsychotics
ans:Block Dopamine (less blockade) and Serotonin, less extrapyramidal
effects


Typical Antipsychotic Meds
ans:Thorazine, Haldol, Mellaril, Trilifon, Stelazine, Prolixin, Navane


Atypical Antipsychotic Meds
ans:Risperdal, Zyprexa, Seroquel, Clozaril, Abilify, Geodon, Invega,
Fanapt, Saphris, Latuda


Antipsychotic Side Effects
ans:Extrapyramidal Side Effects, Tardive Dyskinesia, Dystonia, Pseudo
parkinsonism, Akathesia

, Tardive Dyskinesia/ EPS Side Effects
ans:Preventable, may not be reversible
Abnormal, involuntary, irregular movements
Ranges from minimal to grossly incapacitating
Occurs during first 6 months of tx
Caused by dopamine blockade


Test for Tardive Dyskinesia
ans:Abnormal Involuntary Movement Scale (AIMS)


Dystonia
ans:Uncontrollable and painful tightening of muscles often involving the
neck (torticollis), back, tongue, lateral eye muscles (oculargyric crisis),
laryngeal involvement can comprise the airway


Pseudo Parkinsonism Side Effects
ans:Caused by dopamine blockade (stooped posture, muscular
stiffness- cogwheel rigidity/lead pipe rigidity, shuffling gait, drooling,
tremor)


Akathesia
ans:Subjective feeling of restlessness (anxiety, inability to relax,
jitteriness, pacing, rocking motions while sitting, rapid alteration between
sitting and standing


Other Antipsychotic Side Effects
ans:Sedation, Light Sensitivity, Cardiac QT Prolongation, Metabolic
syndrome, Increases risk for CAD, T2DM, Stroke (High blood pressure,
high blood sugar, high triglycerides, low HDL Cholesterol), Requires lab
monitoring of glucose and lipid levels, Monitor weight/waist
circumference, Gynecomastia


Neuroleptic Malignant Syndrome
ans:Life threatening/Etiology Unknown, Can occur anytime during
treatment, muscular rigidity and dystonia, akinesia, mutism, obtundation,
agitation, Occasionally associated with renal failure

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