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Terms in this set (66)
Asenapine (Saphris, Sycrest)
Long-Acting Antipsychotics (IM injections)
Antipsychotics are commonly used to treat the following psychiatric disorders:
· Schizoaffective Disorder
· Bipolar Disorder - Mania
· Mood stabilization
Antipsychotics are used to treat the following positive behaviors associated with mental illness:
Antipsychotics are used to treat the following negative behaviors associated with mental illness:
Apathy, lack of volition
Alogia, poverty of speech
Anhedonia, lack of pleasure in activities
Decreased spontaneity and gestures
Side effect profile antipyschotics (traditional and atypical)
Changes in libido
Changes in menstrual cycle
EPS (Extrapyramidal symptoms)
Major side effect of traditional antipsychotic medications. EPS can result with some atypical antipsychotics as well
-One of the classes of nontherapeutic effects caused by antipsychotic medications.
-Akathesia has both a subjective and objective component when assessing the patient.
-Signs and symptoms observed may include "restless legs" or inability to sit still, compelling need to shift positions and to keep pacing without a pattern, anxiety, and agitation.
-The patient may report a "feeling of uneasiness" or "jitteriness."
-Diagnosed early in treatment with antipsychotic medications and is reversible.
The most frequent serious untoward effect of antipsychotic therapy.
Usually an irreversible and late-onset complication.
It is characterized by the presence of abnormal, stereotyped, rhythmic movements of the limbs and torso; tongue protrusion, and chewing movements.
Neuroletpic Malignant Syndrome (NMS)
An infrequent yet extremely critical condition in-patient who are undergoing antipsychotic drug therapy.
Symptoms include diaphoresis, muscle rigidity, and hyperpryrexia.
This condition may be fatal.
Acute dystonic reactions
Irregular, involuntary spastic muscle movements, i.e. wryneck (the neck twists to one side in a distorted, abnormal fashion), facial grimacing, abnormal eye movements, or backward rolling of the eyes in their sockets.
May occur any time after the first dose of psychotic drug therapy.
Treatment for EPS symptoms associated with antipsychotics
medication therapies are reduction in the amount of medication being given and anticholinergic/antiparksonian agents such as Benztropine (Cogentin), Benadryl and Artane
Nursing Considerations for antipsychotics
· Watch for anticholinergic side effects. Encourage more frequent oral care, using gum or sugarless candy to relieve dry mouth. Have the patient increase their fluid intake, exercise moderately and regularly, and increase bulk/fiber in diet to help prevent constipation, that could lead to impaction and possible paralytic ileus. Certain combinations of medications may elevate the possibility of paralytic ileus, i.e. atropine-like agents or antiparkinson agents.
· Watch for drug induced liver dysfunction
· Warn against drinking alcohol as it may potentate the effects of medication, i.e. increased sedation
· Monitor for EPS by assessing the patient with the AIMS scale
· Antacids may inhibit oral absorption of antipsychotic medication. Space administration of antacids between doses.
· Geodon should be given with food. When given with food it increases the blood levels of the medication and increases the effectiveness.
Special considerations for traditional antipsychotics
· Take baseline blood pressure before medication is administered and monitor hypotension reactions during the time patient receives the medication
· In warm weather, watch for high temperatures and patients overheating: this group of medications may affect the body's temperature regulatory system
· Have patient wear long-sleeved shirts, sunscreen, and wide brimmed hats to avoid exposure to ultra-violet rays of the sun. Antipsychotics often have photosensitivity as a side effect
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