Behavioral Health Lesson 7&8

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  1. Schizophrenia is a mental state in which the individual struggles to distinguish the __________ from his/her __________.
    • external world
    • perceptions
  2. __________ is a brain disease that disrupts perceptions, thinking, feelings, and behaviors.
  3. Bleuler's 4 A's:
    • affective disturbance:  inappropriate, blunted or flat affect
    • autism:  preoccupation with the self with little concern for external reality
    • associative looseness:  the stringing together of unrelated topics
    • ambivalence:  simultaneous opposite feelings
  4. Schizophrenia is an axis __ diagnosis.
  5. Type 1 schizophrenia:  (positive)
    • Acute onset
    • high dopamine levels
    • illusions and insomnia
    • suspiciousness
    • excitement
  6. Type 2 schizophrenia:  (negative)
    • chronic onset
    • low dopamine levels
    • brain changes: brain smaller/vesicles larger
    • attention deficits
    • passive social withdrawal
    • asocial behavior
  7. Schizophrenia subtypes:
    • paranoid:  suspicious/mistrustful
    • disorganized:  alterations in thoughts, speech, behaviors
    • catatonic:  immobility
    • residual:  chronic, lesser symptoms
  8. Some theories about the cause of schizophrenia:
    • biochemical:  dopamine level alterations
    • neurostructural:  brain atrophy, decreased cerebral blood flow
    • perinatal:  maternal flu, birth during late winter/early spring, prenatal exposure to lead...
    • developmental/family:  lack of care/nurturing by or severe conflicts with the mothering one
  9. What is psychosis-induced polydipsia?
    • compulsion to drink excess of water (4-10 L/day)
    • major concern is hyponatremia
    • NI:  strict I&O w/ possible fluid restrictions, monitor wts, monitor labs r/t F&E balance, esp Na & K
  10. Haldol, Navane, Thorazine are __________.
    An adverse effect of this group is:
    • antipsychotics
    • neuroleptic malignant syndrome
  11. AIMS assessment to evaluate neuroleptic malignant syndrome:
    • akathisia:  restlessness
    • akinesiea/bradykinesia:  absent/slowed movement
    • parkinsonism:  temors, shuffling gait, regidity, pill rolling
    • tardive dyskinesia:  starts around mouth:  tongue protrusion, lip smacking, puckering, teeth grinding, movement stops with sleep
    • pisa syndrome:  leaning to one side
  12. Tx for EPSE (extrapyramidal s/e):
    • cogentin, benadryl
    • decanote form is long acting by injection; can be given at 2-4 week intervals or longer
  13. __________ is the most frequently prescribed atypical antipsychotic.
    • Risperdal
    • decrease risk of EPSE with newer drugs
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Behavioral Health Lesson 7&8
2013-10-21 02:50:43
Behavioral Health Lesson

Behavioral Health Lesson 7&8
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