Psychotic Flashcards
Which drugs cause the most tardive?
Does it always involve the face and tongue?
FGAs
No it can sometimes only be trunk and extremties
Factors for poor prognosis in schizo (8)
- Early onset
- Insidious onset
- Lack of social support/ social isolation
- Family history of schizo
- Neurological signs
- Negative symptoms
- Lack of precipitating factor
- Poor pre dx function
Drug combo for acute mgmt of agitation (that gets bad)
Haloperidol and lorazepam IM
What percentage of patients with schizophreniform completely resolve?
About 1/3
What is catatonia?
Perching, freezing in a weird position with negative symptoms or not responding. Happens with psychotic and mood disorders rarely
What are somatic delusions?
Believing something is wrong with your body (like emitting a foul odor)
Why would a patient with schizophrenia be very thirsty?
Psychogenic polydipsia
A patient has only had 1 psychotic episode and has been symptom free on olanzapine, what next?
Taper down the dose and increase psych office visits to monitor for symptoms. Can eventually get to 0 medication if symptoms stay away
What will happen in 90% of terminal patients?
Delirium
