Psych test 1
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. What would you like to do?
- Dry mouth
- Blurred vision
- Urinary Retention
Interventions with dry mouth
- provide the clients with sugarless candy or gum ice and frequent sips of water
- Strict oral hygiene
Interventions with blurred vision
- explain that this sympton will most likely subside after a few weeks
- advise client not to drive a car until vision clears
- clear small items from pathways to prevent falls
Inverventions with constipation
order food high in fiber, encourage increase physical activity , and fluid intake if not contradicted
Interventions with urinary retention
- instruct client to report any difficulty urinating
- monitor intake and output
Which drugs are more common with the reduction on seizure threshold
more common with the typical than the atypical antipsychotic drugs, with the exception on clozapine
Which drug should be closely observed for seizures, and should be used with extreme caution when there is a history of seizures
Which drugs are more common with agranulocytosis
Typical than the atypical , with the exception of clozapine
When does agraulocytosis usually occur, and what are the signs and symptoms
- Within the first 3 months of treatment
- Sore throat, fever, and malise (CBC should be done immediately)
If given Clozapine, what should you expect to be monitored in refrence to agranulocytosis?
- base line wbc and anc
- counts done weekly for the first 6 months
- then biweekly and monthly after that
- wbc- 3500
EPS Is more common with what drugs?
EPS signs and symptoms (5)
- oculogyric crisis
Tremor, shuffling, gait, drooling, rigidity
symptoms appear 1-5 days following initition of antipsychotic meds, occurs mostly in women, the elderly and dehydrated clients
Continuous restlessness and fidgeting
Occurs mostly in women, symptoms may occur 50-60 days folloiwing intiation of therapy
involuntary muscular movement (spasms) of face arms legs and neck
this occurs most often in mena and in people younger than 25 yrs old
Uncontrolled rolling back of the eyes
what eps symptoms should be treated as a medical emergency?
Dystonia and oculogyric crisis
What drug is mostly common with tardive dyskinesia
may occur with all classifications but more common with typical antipsychotic drugs
Bizarre facial and tongue movements, stiff neck and difficulty swallowing
Who is more at risk for developing tardive dyskinesia
reversible or no?
what is usually the first sign?
all clients receiving long term therapy
vermiform movements of the tongue
What drugs are more common to have neuroleptic malignant syndrome?
More common with the typical thatn the atypical medications
signs and symptons of nms
- severe parkinsonian muscle rigidity
- very high fever
- fluctuations in bp
- rapid deterioration of mental status to stupor and coma
when can onset occur for nms
within hours or even years after drug initiation and progression is rapid over the following 24-72 hours
what should you monitor for nms
- Vital signs
- degree of muscle rigidity
- intake and output
- level of consciousness
Antiparkinsonian agents used for symptoms of eps
side effects for these?
- Cogentin- anticholinergics
- Benadryl- antihistamin
Anticholinergic effects, n&v, sedation, dizziness, orthostatic hypotention, exacerbation of psychoses
What would you like to do?
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