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Psychiatric Nursing > Schizophrenia > Flashcards

Schizophrenia Flashcards

1
Q

Used in treatment of schizophrenia

A

antipsychotic agents - major tranquilizers, neuroleptics

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2
Q

Chloropromazine (Thorazine) , Haldol (Haloperidol)

A

“Typical” / conventional antipsychotics ; first generation

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3
Q

Clozapine (Clozaril) , Risperidone (Risperdal)

A

“Atypical”, new generation

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4
Q

Contraindicated in clients with known hypersensitivity, comatose state, CNS depression, clients with Parkinson’s disease …

A

Typical antipsychotics

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5
Q

Contraindicated in patients with hypersensitivity, comatose, severe depression, dementia-related psychosis , lactation…

A

Atypical antipsychotics

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6
Q

exact mechanism is not known; thought to work by blocking postsynaptic dopamine receptors …

A

Antipsychotics action

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7
Q 
Extrapyramidal symptoms (EPS)
Tardive dyskinesia 
Neuroleptic malignant syndrome (NMS)
Agranulocytosis 
are side effects of ...
A

Typical antipsychotics and Clozarile (Clozapine ) - atypical

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8
Q

S/s: 1. Pseudoparkinsonism - tremor, shuffling gait, drooling, rigidity;
2. Akinesia - muscle weakness
3. Akathisia - restlessness
4. Dystonia - involuntary muscle movements
5. Oculogyric crisis - uncontrolling rolling back of the eyes
TX: antiparkinsonian drugs - Benztropine (Cogentin) - anticholinergic

A

EPS - extrapyramidal symptoms

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9
Q

Bizarre facial and tongue movements , stiff neck , difficulty swallowing

A

Tardive dyskinesia

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10
Q

Rare but potentially fatal
S/s: 1. severe parkinsonian muscle rigidity
2. high fever
3. Tachycardia, tachypnea
4. fluctuations in BP
4. mental deterioration, stupor, coma
TX: Dantrolene (Dantrium) - skeletal muscle relaxant

A

NMS - neuroleptic malignant syndrome

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11
Q

failure of bone marrow to make enough WBC

A

Agranulocytosis

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12
Q
  1. Reduced seizure threshold (tx: anticonvulsants)
  2. Onset DM
  3. ECG changes - HOT heart
    are side effects of …
A

Atypical antipsychotics

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13
Q

Planning of environment for therapeutic purposes ; stresses patients rights to goals and to have freedom of movement and informal relationship with stuff

A

Mileu Therapy

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14
Q

Symptoms that tend to reflect an excess or distortion of normal functions ;

  1. Content of though - delusions, paranoia
  2. Form of thought - associative looseness, concrete thinking , circumstantiality, perseveration
  3. Perception - hallucinations, illusions
  4. Sense of self - confusion regarding identity
A

Positive symptoms of schizophrenia

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15
Q

Speech in which idea shifts from one unrelated topic to another; unaware that topics are unconnected

A

Associative looseness

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16
Q

Missing point, too many details

A

Circumstantiality

17
Q

False sensory perceptions : auditory (most common), visual, tactile (touch), gastatory (taste), olfactory

A

Hallucinations

18
Q

Symptoms that reflect the diminution or loss of normal functions

  1. Affect - emotional tone - inappropriate, bland or flat, apathy
  2. Volition - emotional ambivalence (oposite emotions), impaired goal-directed activity
  3. Impaired interpersonal functioning and relationship to the external world (withdrawal) - autism, deteriorated appearence
  4. Psychomotor behavior - anergia, waxy flexibility, posturing, pacing and rocking.
A

Negative symptoms of schizophrenia

19
Q
  1. Disorganized
  2. Catatonic - stupor or excitement
  3. Paranoid - delusions, hallucinations …
A

Types of schizophrenia

20
Q

Disorganization of the personality, deterioration in social functioning, distortion of reality; hallucinations and delusional thinking - …

A

Psychosis - schizophrenia

21
Q
  1. Disturbed thought process
  2. Disturbed sensory perception
  3. Social isolation
  4. Risk for violence :self-directed or other-directed
  5. Impaired verbal communication
  6. Self-care deficit
A

Nursing diagnoses for schizophrenia

22
Q

Reissue new order every 4 hours for adults; 1-2 hours for children; observe every 15 min (check T, color, pulses)

A

JCAHO - restraints

23
Q
  1. Dry mouth
  2. Blurred vision
  3. Constipation
  4. Memory impairment
  5. Urinary retention
  6. Confusional states
A

Anticholinergic effects

Psychiatric Nursing (11 decks)

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