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NR668 | NR 668 WEEK 4 Exam Study Guide | Psychiatric-Mental Health Capstone Practicum Midterm Exam Questions and Answers | Rated A+| 2024/2025 Guide $9.99
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NR668 | NR 668 WEEK 4 Exam Study Guide | Psychiatric-Mental Health Capstone Practicum Midterm Exam Questions and Answers | Rated A+| 2024/2025 Guide
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NR668 | NR 668 WEEK 4 Exam Study Guide | Psychiatric-Mental Health Capstone Practicum Midterm Exam Questions and Answers | Rated A+| 2024/2025 Guide NR668 | NR 668 WEEK 4 Exam Study Guide | Psychiatric-Mental Health Capstone Practicum Midterm Exam Questions and Answers | Rated A+| 2024/2025 Guide

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  • November 3, 2024
  • 16
  • 2024/2025
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NR 668 WEEK 4 Exam Study Guide |
Midterm Exam Questions and Answers
| Rated A+| 2024/2025 Guide

Akathisia
A known EPS side effect of antipsychotics (and other drugs)


Subjective feeling of restlessness
Objective restlessness
Pacing
Jittery
Rocking motion


Treatment includes; Reducing dosage, changing drug, anticholinergics,
benzo's, propranolol


Dystonia (Acute)
Prolonged involuntary contraction of muscles. More likely in first few
hours after giving anantipsychotic. Risk includes younger population,
males, High potency 1st generation antipsychotics.Located often in the
face and neck.


Tongue
Spasms
Torticollis
Oculogyric Crisis
Jaw (Trismus)

,Laryngospasm


Treatment includes; IM anticholinergics (Benadryl), Benztropine, Valium.


Tardive Dyskinesia
results from the chronic blocking of the D2 receptor (antipsychotics
andmetoclopramide). The D2 receptors in the Nigrostriatal pathway
increase in number or upregulate
and this ultimately results in motor problems.
Abnormal chewing


Tongue protrusions
Grimacing
Lip smacking
Excessive eye blinking
Irregular movement of the head and trunk


Treatment includes; Prevention, Atypical antipsychotics associated with
lower risk, monitoring,
drug reduction or cessation, clozapine trial


NMS (Neuroleptic Malignant Syndrome)
A life threatening emergency that can occur any time on an
antipsychotic. More likely to occur
when first starting on an antipsychotic . Can also occur when there is an
abrupt reduction in dopamine activity.


Hyperthermia
Muscle

, Rigidity
Diaphoresis
Autonomic instability
Elevated CPK
Elevated WBC


Treatment includes; Intensive Care Unit admission, stopping the
antipsychotic, treating the fever,
Dantrolene, bromocriptine for muscle rigidity, IVF hydration


Parkinsonism (Neuroleptic Induced)
Motor deficits mimicking the symptoms observed in those with
Parkinson's disease. This is also a
result of D2 blockade in the caudate nigrostriatal dopamine neurons.
Elderly patients receiving
antipsychotics are at elevated risk.


Muscle stiffness
Cogwheel rigidity
Stooped posture
Pill rolling
Drooling
Bradykinesia


Treatment includes; Anticholinergics such as Benztropine and
Amantadine or antipsychotic reduction/discontinuation


Serotonin Syndrome

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