CH 16 Schizophrenia Flashcards Preview

Mental Health > CH 16 Schizophrenia > Flashcards

Flashcards in CH 16 Schizophrenia Deck (18):
1

Akathisia

Restless movements. Inability to remain still

2

Akinesia

No movement

3

Tardive dyskinesia

Abnormal movement facial movements (tongue, lips, chewing, blinking)

4

Dystonia

Muscle spasm of neck, eye, tongue protrusion, dysphagia,

5

Med given for dystonic side effects

Anticholinergic

6

Pseudoparkinsonism

shuffling gait, masked like face, drooling, tremor, stiffness

7

Neuroleptic Malignant Syndrome

May be a fatal side effect of antipsychotic meds. Muscle rigidity, high fever, increased muscle enzymes and leukocytosis

8

Med that may cause Agranulocytosis

Clozapine. Failure of bone marrow to produce WBC. Fever, malaise, sore throat, and leukopenia.

9

What are Extrapyramidal Side Effects

Pseudoparkinsonism, Dystonia, Akathisia

10

Positive S/S of Schizophrenia

Delusion, Hallucination, Disorganized thinking or speech

11

Negative S/S of Schizophrenia

flat affect, lack of volition (no desire to do something), social withdrawal, or discomfort.

12

Dx of Schizophrenia

At least two or more of the positive symptoms for 1 month period
May have negative symptoms as well

13

Anticholinergic Side effects

Blurred vision, urinary difficulty, dry mouth, constipation

14

Dopamin Blocking Side effects

Extrapyramidal symptoms, Akinesia, Increased protectin

15

Alpha 1 Antagonism side effect

Orthostatic hypotension, Ejaculation failure

16

Atypical Antipsychotics and their side effects

Risperidone - Can raise prolactin level
Ziprasidone - Cardiac side effects
Olanzapine - Wt gain
Quetiapine - Wt gain, dizziness
Clozapine - Agranulacytosis, needs weekly WBC
Aripiprazole - stabilizes dopamin as opposed to blocking it

17

Typical Antipsychotics and their side effect

Haloperidol - EPS, TD, and Akathesia
Fluphenazine - similar to haloperidol
Chlorpromazine - orthostatic hypotension

18

Antiparkinsonian (Anticholinergic) Meds and their side effects

Benztropin - Blurred vision, urinary difficulty, dry mouth, constipation
Diphenhydramine (Benadryl - Blurred vision, urinary difficulty, dry mouth, constipation