Chap. 9 - SZO, drugs and side effects Flashcards Preview

ANCC > Chap. 9 - SZO, drugs and side effects > Flashcards

Flashcards in Chap. 9 - SZO, drugs and side effects Deck (21):
1

High potency drugs have _____ risk of EPS but _____ risk of sedation and anticholinergic symptoms

greater risk of EPS, less risk of sedation

2

Low potency drugs have _____ of EPS but _____ risk of sedation and anticholinergic symptoms

less risk of EPS, greater risk of sedation

3

Caffeine and nicotine will enhance or diminish the efficacy of the typicals?

Diminish

4

Treatment of EPS: 4 drug classes

Anticholinergics
Antihistamines
Dopamine agonists
Benzos

5

Symptoms of TD are most prominent, and noticed soonest, in the _____ area

Perioral (lip smacking, tongue protrusion)

6

AIMS screening should be every __ - __ months

3 - 6 months

7

Your first intervention, should you notice symptoms of TD, is to...

Reduce the dose or change to an atypical

8

A big number on the AIMS scale (which runs 0-40) is good or bad?

It's bad. 10 items ranked 0 (no problem) to 4 (severe problem), plus questions about dentition.

9

NMS confirmed by three elevated labs:

CPK
WBC
LFT

10

Early signs of NMS (3)

Altered sensorium
Hyperthermia
Hyper-reflexia

11

Immediate treatment for NMS: Name 2 drugs, and their class

Parlodel (bromocriptine) - direct dopamine agonist
Dantrium (dantrolene) - muscle relaxant

12

Late stage NMS - Hypertension or hypotension?
Tachycardia or bradycardia?
Tachypnea or bradypnea?

Hypotension
Tachycardia
Tachypnea

13

Akatihisia

An objective motor restlessness, or an subjective sense of restlessness with no objective finding

14

Akinesia

Absence of movement, or difficulty initiating motion, or a subjective feeling of lack of motivation to move

15

Dystonia

Muscle spasm, esp. back and neck muscles

16

Pseudo-parkinson's

Shuffling gait, pill rolling, tremors, rigidity, masked expression

17

Tardive dyskinesia

Involuntary abnormal muscle movement of the mouth, tongue, face, and jaw that may progress to limbs. Can be irreversible.

18

SUD comorbid rate with SZO

20-40%

19

Nicotine dependence comorbid rate with SZO

80-90%

20

Suicide rates in SZO

10% complete
20-40% attempt

21

Four scales used to measure psychotic sx

PANSS (Positive and Negative Symptom Scale)
BPRS (Brief Psychotic Rating Scale)
SAPS (Scale for Assessment of Positive Symptoms)
SANS (Scale for Assessment of Negative Symptoms)