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NUR 181 Antipsychotic 1st gen Medication Template
- Course
- NUR 181
- Institution
- Delaware Technical And Community College
ATI Medication Template on antipsychotics 1st generation. *Essential Study Material!!
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ACTIVE LEARNING TEMPLATEMedication
NAME Antipsychotics - 1st Generation
CONTENT REVIEW MODULE CHAPTER _
TOPIC DESCRIPTOR
MEDICATION _Haloperidol, Perphenazine
EXPECTED Block Dopamine, acetylcholine, histamine and norepinephrine receptors in the brain.
PHARMACOLOGICAL Inhibition of psychotic manifestations, believed to be a result of D2 blockade in the brain.
ACTION:
Therapeutic Uses
-Acute and chronic psychotic disorders -Tourettes syndrome
-Schizophrenia spectrum disorders -Agitation
-Bipolar disorders
Adverse Effects Nursing Interventions
-Acute dystonia -Use the AIMS to screen for the
-Akathisia(pacing)
-Parkinsonism presence of EPS
-Seizures -Assess client to differentiate
-Sexual dysfunction between EPS and worsening
-TDs
psychotic disorder
-Patients can be violent or
particuarly aggressive
Contraindications
-Clients in a coma, and clients who have Parkinson's disease
-Older clients who have dementia
- Use cautiously in clients who have glaucoma, heart disorders and seizure Client Education
disorders
-Antipsychotic medications do not
cause addiction.
-Some therapeutic effects can be
Medication/Food Interactions noticeable within a few days, but
-Concurrent use with over-the-counter sleep aids significant improvement can take
-Alcohol, opioids and antihistamines increase CNS 2-4 weeks
depressant effects
Medication Administration Evaluation of Medication
Effectiveness
PO (adults)- Bid then switch to bedtime dosing
-Ability to perform ADLs
-Positive and negative manifestations
-Ability to interact socially with peers
-Sleeping and Eating habits
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