Nu664C/Nu664C Family Psychiatric Mental Health 1
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Know the route of administration for newer agent
asenapine (Saphris) and what instructions should be given
to the patient regarding administration. - Answer-
Sublingual
Know and describe the top atypical antipsychotic with
greatest incidence of prolonged QTc interval. - Answer-
Ziprasidone (Geodon).
Know which antipsychotics have specific instructions for
minimum food intake or diet restrictions. - Answer-
Lurasidone (Latuda)
Know an alternative atypical antipsychotic for a patient
who has developed diabetes and has a significant weight
gain from treatment with olanzapine. - Answer-Aripiprazole
(Abilify)
,2|Page
Know whether a patient is demonstrating efficacy to
clozapine 500 mg/day if this week's granulocyte count is
less than 500mm3. What is the most appropriate
recommendation for drug therapy? - Answer-Discontinue
and do not re-start
Know the common effects of smoking along with
antipsychotic drug therapy such as olanzapine. - Answer-
Decreases the plasma levels of Olanzapine (Zyprexa)
because of its metabolism at CYP450 enzyme.
Know what a painful muscle spasm with neck muscles
pulling a patient's head to the side called and Name a
common drug therapy to relieve this symptom. - Answer-
Dystonia
Know the role of buspirone in the treatment of anxiety and
the recommended dose and time for onset of action. -
Answer-Takes 3 to 4 weeks for full effect
Know what medication may be an option for patients
noncompliant on antipsychotics resulting in multiple
hospital stays. - Answer-Risperdal Consta (risperidone)
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Know baseline labs and vital measurements tests for the
patient who will be prescribed an antipsychotic such as
quetiapine (Seroquel). - Answer-Lipid, Fasting Blood
Sugar, Family History **NOT CPK**
Describe common side effects/disadvantages of
antihistamines. - Answer-anticholinergic effects
Identify 3-4 disorders/situations when benzodiazepines
may be indicated. - Answer-Alcohol withdrawal,
Benzodiazepine withdrawal, Acute Agitation, Panic Attack,
Sleep Disorder, Seizures
Describe 2-3 common side effects of atypical
antipsychotics. - Answer-Weight gain, Sedation, Metabolic
Syndrome
Know and describe the name of long-acting olanzapine
and a key adverse side effect. - Answer-Zyprexa Relprevv
**Post injection delirium syndrome**