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Drug Uses:. ADD/ADHD: RitalinSchizophrenia: AntipsychoticsBipolar disorder: manic- depressive: LithiumDepression: SSRI's, TCA's, MAO's. PSYCHOSES . Does not have a single definition, but is a clinical descriptor that means being out of touch with reality.. ANTIPSYCHOTIC ACTIONS. Antipsychotics
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1. Drugs used to treat Behavioral/ Emotional, Mood disorders, and psychoses
2. Drug Uses: ADD/ADHD: Ritalin
Schizophrenia: Antipsychotics
Bipolar disorder: manic- depressive: Lithium
Depression: SSRI’s, TCA’s, MAO’s
3. PSYCHOSES
Does not have a single definition, but is a clinical descriptor that means being out of touch with reality.
4. ANTIPSYCHOTIC ACTIONS Antipsychotics antagonize the neurotransmitter DOPAMINE in the central nervous system.
6-8 weeks for therapeutic levels and effects
5. ADVERSE EFFECTS
EXTRAPYRAMIDAL SYMPTOMS
SERIOUS MOVEMENT DISORDERS
6. DYSTONIA Spastic movements of muscle groups
Example:
tongue protrusion
rolling back of eyes
spasm of jaw
torsion of neck
7. PSUEDOPARKINSONISM Tremors
Muscle rigidity
Mask-like expression
Shuffling gait
Decrease motor function
8. AKATHISIA
Subjective feelings of anxiety and restlessness
Objective signs of pacing,rocking,inability to stand still
9. TARDIVE DYSKINESIA Persistant and involuntary hyperkinetic abnormal movements of the face, limbs, and trunk
Example: tongue movements
orofacial movements
10. NMS Neuroleptic malignant syndrome
Fever,
Severe EPS
Tachycardia, labile HTN
Diaphoresis,incontinence
Alterations in conscience
11. OTHER SIDE EFFECTS
Sedation
Hypotension
Anticholinergic effects
Photosensitivity
12. COMMON DRUGS Phenothiazines:
Thorazine
Mellaril
Compazine
Nonphenothiazines:
Haldol
13. HEALTH CARE IMPLICATIONS Psych. and physical assessment
Monitor EPS
Check for hypotension
Avoid controlled substances and ETOH
Teach pt. to avoid sun exposure
Evaluate effectiveness for N/V
Safety related to sedative effects