Antipsychotics

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Author:
nika.steffan
ID:
153383
Filename:
Antipsychotics
Updated:
2012-05-10 23:19:20
Tags:
patho pharm antipsychotics antianxiety antidepressants Lithium
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Description:
patho/pharm antipsychotics- antianxiety - antidepressants - Lithium
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  1. Antianxiety medications
    other uses
    *Special considerations
    • Zanax, Ativan, Valium, Librium
    • Also used for seizures and alcohol withdrawal

    *Low dose in Asains, Buspar for addicts
  2. Antipsychotics medications and how they work
    • Typical --Block DOPAMINE 2 receptors:
    • Haldol- most common prn; Thorazine; Prolixin,

    • Atypical -- Block DOPA 1 and 2 and serotonin:
    • Resperidal, Zyprexia, Clozapine
  3. Uses of Antipsychotics
    • Psychosis, Tourettes, Autism, Hyperactivity
    • Used in acute care as a chemical restraint (sedative)
  4. Tardive Dyskinesia:
    • Extrapyramidal side effect of typical antipsychotics
    • - involuntary uncontrollable movements especially of the mouth, tongue, trunk, and limbs.

    • *Can be irreversible, common in older, white women.
    • NEWER antipsychotics may help decrease
  5. Acute Dystonic Reaction
    • Extrapyramidal side effect of antipsychotics
    • - Acute onset of clenched jaw, stiff neck, oculogyric crisis, dystonias, torticollis, swollen tongue, can lead to blocked airway

    *More common in young males GIVE BENADRYL
  6. Untreated side effects can cause
    "Eternal noncompliance"
  7. Dystonias
    involuntary movement of muscles
  8. Torticollis
    Twisting of neck and trunk
  9. Oculogyric Crisis
    Eyes roll in back of head (involuntarily)
  10. Antidepressants =
    • 1. Tricylics- lethal in small amts
    • 2. SSRI's
    • 3. Novel
    • 4. MAOI's - cannot eat food with tyramine: choc, banana, alcohol, yeast; CAUSE severe hypertensive crisis.
  11. What are the side effects of antidepressants?
    • **DELAYED ONSET of ACTION 4-6wks**
    • Orthostatic hypotension
    • Increased pulse
    • Sexual Dysfunction
    • ALL will happen before better
  12. Lithium is used for
    To treat and control mania in bipolar disorder.

    *Low dose in ASAINS! (.8-1.5)
  13. Lithium Toxicity
    --Low blood levels =
    • *EMERGENCY-Hold dose and call Dr*
    • Blood<1.5 = N&V, diarrhea, metallic, ab cramps, hand tremor, slurred speech
    • Blood>2.5 = weak, ataxia, tinnitus, drowsy lead to stupor, delirium, convulsions

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