Anti-psychotics cont Flashcards
describe the different EPSE you would see and the timeframe in which you would see them
days - acute dystonias
weeks - akathisia
weeks - drug induced parkinsonism
years - tardive dyskinesia
what is akathasia
motor restlessness - pacing, fidgeting, dancing on spot
how do you treat akathasia
you can’t
primary prevention
when might you see akathasia
weeks
what are acute dystonias
sudden onset of postural disortions
in adults: head/neck
in children: generalised
when might you see acute dystonia
days
how do you manage acute dystonia
oral or IV anticholinergic eg procyclidine
what are the key features of drug induced parkinsonism
bradykinesia
rigidity
tremor
how do you manage drug induced parkinsonism
dose stabilisation/reduction
lower potency compound
anticholinergic (eg. procyclidine)
when might you see drug induced parkinsonism
weeks
what part of the body is most commonly affected by tardive dyskinesia
orofacial
when might you see tardive dyskinesia
years
what is tardive dyskinesia
involuntary movements eg. chorea, dystonia, tics
how do you manage tardive dyskinesia
primary prevention
- limit indications
- minimise doses
describe neuroleptic malignant syndrome
hyperpyrexia
autonomic instability
confusion
EPSEs
