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Exam (elaborations)

PsychPharm Quiz 1 Exam And Answers (Revised & Updated).

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  • Course
  • NURS 552
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  • NURS 552

Psychosis - Answer the core feature of schizophrenia and other conditions in the schizophrenia Agitation is a psychiatric emergency T/F - Answer True IM haloperidol should be administered with - or - to reduce the risk of severe EPS or dystonia - Answer benztropine or diphenhydramine...

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  • November 18, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 552
  • NURS 552
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PsychPharm Quiz 1 Exam And Answers
(Revised & Updated).
Psychosis - Answer the core feature of schizophrenia and other conditions in the schizophrenia



Agitation is a psychiatric emergency T/F - Answer True



IM haloperidol should be administered with - or - to reduce the risk of severe EPS or dystonia - Answer
benztropine or diphenhydramine



severely agitated patients, we suggest using a - in combination with the antipsychotic(e.g. Haldol + - +
Cogentin. - Answer benzodiazepine- ie Lorazepam



Cogentin is a benztropine or benzodiazepine? - Answer benztropine



FGA block ___ receptors - Answer D2



Effective for positive symptoms• Can worsen negative symptoms secondary to ↓DAin the Mesocortical
pathway - Answer FGA



Decanoate - Answer long acting form of FGA



SGA/Atypical are first line treatment antipsychotics T/F - Answer True



FGA or SGA:

Fewer neurological S/E• Effective for both positive and negative symptoms• Can cause EPS but at a lower
risk• ↓ incidence of Tardive dyskinesia - Answer SGA



Serotonin-Dopamine antagonist (D2/5HT2A) - Answer SGA

, Metabolic side effects of SGA - Answer weight gain, HLD,hyperglycemia, Diabetes, HTN, Cardiac and
respiratory S/E



How often to check LFT for SGAs? Are they elevated or decreased? - Answer Elevated Liver function
tests (LFTs)- check yearly



FGA can cause QTC Prolongation T/F - Answer False, SGA



Antipsychotics can take up to - weeks for response - Answer 6-8 weeks



Typical Antipsychotic side Effects blockade of : - Answer blockade of :

histamine,

acetylcholine

, alpha 1

and other receptors



Typical Antipsychotic side Effects - Answer High antiadrenergic, anticholinergic and antihistaminic s/e
(e.g. sedation, weight gain)

2. Elevated liver enzymes, jaundice

3. Seizures - all antipsychotics lower the seizure threshold

4. Orthostatic hypotension

5. QTC prolongation - obtain baseline EKG

6. Sexual dysfunction

7. Rashes, photosensitivity

8. Elevated liver enzymes, EPS (Akathisia, dystonia, Parkinsonism)

9. **Hyperprolactinemia (decreased libido, galactorrhea, gynecomastia, impotence,amenorrhea)

10. Tardive dyskinesia11. Neuroleptic Malignant Syndrome (FALTERED)



Hyperprolactinemia - Answer (decreased libido, galactorrhea, gynecomastia, impotence,amenorrhea)

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