schizophrenia Flashcards

1
Q

How are the symptoms of schizophrenia classified?

A

Positive - defined as symptoms that should not be present
Negative - defines as a lack of characteristics that should be present
Cognitive deficits

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2
Q

Give examples of positive symptoms

A

Hallucination
Delusions
Disorganised thoughts e.g. thoughts being put in their heads

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3
Q

Give examples of negative symptoms

A

o Reduced speech even when encourages to interact
o Lack of emotional and facial expression
o Diminished ability to begin and sustain activities (avolition)
o Decreased ability to find pleasure in everyday
o Social withdrawal

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4
Q

Give examples of cognitive deficits

A

o Memory
o Attention
o Panning
o Decision making

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5
Q

Is schizophrenia a rare illness?

A

No a rare illness is when its occurrence is 0.05% where as Schizophrenia is present in 1% of population

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6
Q

% wise how many people find AP helpful?

A

Medication only helps 60 - 80% of people.
1 in 4 people find it unhelpful

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7
Q

Do all people suffering from SP need medication?

A

No, people have recovered without medication.
Talking therapies can help some people

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8
Q

How many types of SP is there?

A

5 types

  • Paranoid schizophrenia
  • Disorganised schizophrenia
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9
Q

Is it true that men are more likely to develop SP then women

A

yes, 1.4 times.

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10
Q

One of Albert Einesein children developed SP

A

Yes

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11
Q

Does SP mean ‘split personality’?

A

No it means ‘split from reality’

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12
Q

Does SP mean that are dangerous to others?

A

No, but they are more likely to hurt themselves

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13
Q

Can smoking and drinking alcohol affect medication

A

Yes

esp smoking and is recommended you stop

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14
Q

What is the chemical in the brain that is thought to effect SP?

A

Having too much dopamine

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15
Q

When are people most likely to be diagnosed with SP?

A

18 and 35

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16
Q

Lifestyle advice for SP?

A

Try to get enough sleep.
Try to eat a balanced diet
Reduce stress
Do things you enjoy
Maintain relationships
Peer support
Look out for warning signs
Plan for more difficult times

17
Q

Apart from medication, what other therapies are available?

A

CBT
Family intervention
Art therapy

18
Q

Complication of SP?

A

An increased risk of premature death due to an increased risk of suicide, cardiovascular disease, and type 2 diabetes.
Difficulties in social functioning.
Substance misuse.

19
Q

What information should be provided to the patient of the drugs?

A

rovide information and discuss the likely benefits and possible side effects of each drug, including:

metabolic (including weight gain and diabetes)

extrapyramidal (including akathisia, dyskinesia and dystonia)

cardiovascular (including prolonging the QT interval)

hormonal (including increasing plasma prolactin)

other (including unpleasant subjective experiences)

20
Q

How to use AP medication?

A

Before starting antipsychotic medication, undertake and record the following baseline investigations:

weight (plotted on a chart)

waist circumference

pulse and blood pressure

fasting blood glucose, glycosylated haemoglobin (HbA1c), blood lipid profile and prolactin levels

assessment of any movement disorders

assessment of nutritional status, diet and level of physical activity.

ECG is the SPC says so or has CVD risk or inpatient

21
Q

How to trial AP?

A

Discuss and record the side effects that the person is most willing to tolerate.

Record the indications and expected benefits and risks of AP, and the expected time for a change in symptoms and appearance of side effects.

At the start of treatment give a dose at the lower end of the licensed range and slowly titrate upwards within the dose range given in the British national formulary (BNF) or SPC.

Justify and record reasons for dosages outside the range given in the BNF or SPC.

Record the rationale for continuing, changing or stopping medication, and the effects of such changes.

Carry out a trial of the medication at optimum dosage for 4–6 weeks