Schizophrenia Flashcards Preview

Psychiatric Nursing > Schizophrenia > Flashcards

Flashcards in Schizophrenia Deck (23):
1

Used in treatment of schizophrenia

antipsychotic agents - major tranquilizers, neuroleptics

2

Chloropromazine (Thorazine) , Haldol (Haloperidol)

"Typical" / conventional antipsychotics ; first generation

3

Clozapine (Clozaril) , Risperidone (Risperdal)

"Atypical", new generation

4

Contraindicated in clients with known hypersensitivity, comatose state, CNS depression, clients with Parkinson's disease ...

Typical antipsychotics

5

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

Atypical antipsychotics

6

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

Antipsychotics action

7

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

Typical antipsychotics and Clozarile (Clozapine ) - atypical

8

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

EPS - extrapyramidal symptoms

9

Bizarre facial and tongue movements , stiff neck , difficulty swallowing

Tardive dyskinesia

10

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

NMS - neuroleptic malignant syndrome

11

failure of bone marrow to make enough WBC

Agranulocytosis

12

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

Atypical antipsychotics

13

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

Mileu Therapy

14

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

Positive symptoms of schizophrenia

15

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

Associative looseness

16

Missing point, too many details

Circumstantiality

17

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

Hallucinations

18

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.

Negative symptoms of schizophrenia

19

1. Disorganized
2. Catatonic - stupor or excitement
3. Paranoid - delusions, hallucinations ...

Types of schizophrenia

20

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

Psychosis - schizophrenia

21

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

Nursing diagnoses for schizophrenia

22

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

JCAHO - restraints

23

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

Anticholinergic effects