Schizophrenia
Bipolar mania
what conditions are treated with an anxiety
antipsychotic? incurable depression
psychosis
Tourette's syndrome
Indications
bipolar disorder, anxiety, neuropathic pain, partial seizures.
Nursing assessment:
Gabapentin
· Assessment of worsening thoughts of suicide and behavior
· Monitoring for respiratory depression or sedation if taking with other CNS medications
· If a seizure takes place assess the location, characteristics, intensity, and pain
what condition can SSRI and SNRI's cause? serotonin syndrome
what can happen if you abruptly stop taking disuse syndrome
an antidepressant?
tyramine restriction
to much can cause a hypertensive crisis
Restrictions when on MAOI's foods to avoid: aged cheese, cured or smoked meat, pickled or fermented foods,
sauce, soybeans, snow peas, dry or overripe fruit, yeast extract, alcohol, and spoiled
foods.
4 classes of antidepressants TCAs, MAOIs, SSRIs, SNRIs
mood stabilizer, Suicidal Ideation
common side effects: dry mouth, weight gain, n/v, tremors
stay hydrated 2500-300 ml a daily
Lithium
monitor sodium intake
avoid exccess sweating if you are sweating be mindful of your hydration
takes 5 to 7 weeks to work
therapeutic 0.6-1.2
lithium levels
toxicity >1.5 takes out the KIDNEYS
what medications will be utilized while a Antipsychotics and benzodiazapines
patient waits for lithium to take effect?
what can a patient take if they are unable to antipsychotics or anticonvulsants
have lithium?
what antianxiety medication cannot be buspirone because it takes 10-14 days to take effect
utilized PRN?
A mood disorder in which a person experiences, in the absence of drugs or a medical
major depressive disorder condition, two or more weeks of significantly depressed moods, feelings of
worthlessness, and diminished interest or pleasure in most activities.
a low-grade chronic depression with symptoms that are milder than those of severe
Dysthymia
depression but are present on a majority of days for 2 or more years
what are priority concerns for a manic safety, danger to self or others, cardiac issues
patient?
Crisis occurs in all individuals at one time or another and is not necessarily equated
with psychopathology
are precipitated by specific identifiable events
Crisis Theory Characteristics are personal by nature
are acute, not chronic, and are resolved in one way or another within a brief period.
A crisis situation contains the potential for psychological growth or deterioration
These characteristics are important
, atypical antipsychotic
Monitor WBC ANC and differential
clozapine class
causes agranulocytosis and myocarditis
cant be on the medication more than 30 days
haldol
Conventional atypical 1st generation
thorazine
antipsychotics
these cause more extrapyramidal side effects (assessed with AIMS)
Lurasidone (Latuda)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
atypical antipsychotics used for BPD
Quetiapine (Seroquel)
Risperidone (Risperdal)
Ziprasidone (Geodon)
Akinesia inability to initiate movement
Akathesia inability to remain still; motor restlessness and anxiety
a condition of abnormal muscle tone that causes the impairment of voluntary muscle
Dystonia
movement
Seroquel/quetiapine, Geodone/ziprasidone. Risperdal/risperidone, zyprexa
Second generation atypical antipsychotics
zydis/olanzapine.
involuntary movements of the facial muscles, tongue, and limbs; a possible neurotoxic
side effect of long-term use of antipsychotic drugs that target certain dopamine
tardive dyskinesia
receptors
hard to pull patients back once symptoms start.
increases med adherence
Long acting antipsychotics injection every 2-4 weeks
AIMS is important for this drug because it cannot be removed from the system
do not open or crush
fast acting antipsychotics
check for pocketing as this can effect absorption
psychosis mixed with depression and bipolar mania or bipolar depression
schitzoaffective disorder
treated with antipsychotics and anticonvulsants
Resolves: delirium, electrolyte imbalance, sepsis, diabetes, dehydration
Does not completely resolve: bipolar mania, schizophrenia, schizoaffective disorder
May or may not resolve: substance abuse
A severe mental illness in which there is:
Loss of contact or distortion of reality (psychosis)
psychosis
Disorganization of the personality
Deterioration in social functioning
May have hallucinationsand/or delusions
Can occur with or withoutorganic impairment
Can be associated with MDD,bipolar
if a patient is cleared for infection but still neuroleptic malignant syndrome
has a high fever what is the likely diagnosis antipsychotics
and what medications would cause it?
a sudden event in one's life that disturbs homeostasis, during which usual coping
crisis mechanisms cannot resolve the problem
a state of disequilibrium
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