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55 Cards in this Set
- Front
- Back
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CONVENTIONAL ANTIPSYCHOTICS
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0
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Why would conventional antipsychotics be used over nonconventional ones?
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To control the positive S/S of psychosis, such as violence
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What is the primary problem with conventional antipsychotics?
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More side effects
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Chlorpromazine
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Thorazine
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Haloperidol
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Haldol
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Fluphenazine
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Prolixin
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Molindone
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Moban
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Loxapine
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Loxitane
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Thioridazine
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Mellaril
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Thiothixene
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Navane
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Thorazine
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Chlorpromazine
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Haldol
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Haloperidol
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Prolixin
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Fluphenazine
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Moban
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Molindone
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Loxitane
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Loxapine
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Mellaril
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Thioridazine
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Navane
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Thiothixene
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Chlorpromazine (Thorazine)
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Conventional antipsychotic
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Haloperidol (Haldol)
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Conventional antipsychotic
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Fluphenazine (Prolixin)
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Conventional antipsychotic
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Molindone (Moban)
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Conventional antipsychotic
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Loxapine (Loxitane)
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Conventional antipsychotic
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Thioridazine (Mellaril)
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Conventional antipsychotic
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Thiothixene (Navane)
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Conventional antipsychotic
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How do conventional antipsychotics work?
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block D, Ach, histamine, and NE receptors in the brain (the D is r/t psychosis)
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What are the side effects of conventional antipsychotics?
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acute dystonia, parkinsonism, akathisia, EPS, tardive dyskinesia, NMS, anticholinergic effects, orthostatic hypotension, sedation, seizures, sexual dysfunction, skin effects, agranulocytosis
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Acute dystonia is
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severe spasm of the tongue, neck, face, and back
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akathisia is
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inability to sit or stand still
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EPS
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example is tardive dyskinesia (remember: 'Extra movement, Parkinsonism, Spasms)
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Tardive dyskinesia
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involuntary movements of the tongue and face, arms, legs, and trunk
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NMS is
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neuroleptic malignant syndrome - sudden high fever, B/P fluctuations, dysrhythmias, muscle rigidity, changes in LOC, coma
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ATYPICAL ANTIPSYCHOTICS
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Why would atypical antipsychotics be used?
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to relieve both positive and negative S/S of psychosis, and because of fewer side effects
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Risperidone (Risperdal)
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Atypical Antipsychotic
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Olanzapine (Zyprexa)
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Atypical Antipsychotic
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Quetiapine (Seroquel)
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Atypical Antipsychotic
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Aripiprazole (Abilify)
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Atypical Antipsychotic
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Ziprasidone (Geodon)
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Atypical Antipsychotic
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Clozapine (Clozaril)
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Atypical Antipsychotic
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Risperidone
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Risperdal
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Olanzapine
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Zyprexa
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Quetiapine
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Seroquel
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Aripiprazole
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Abilify
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Ziprasidone
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Geodon
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Clozapine
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Clozaril
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Risperdal
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Risperidone
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Zyprexa
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Olanzapine
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Seroquel
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Quetiapine
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Abilify
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Aripiprazole
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Geodon
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Ziprasidone
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Clozaril
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Clozapine
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What are the side effects of atypical antipsychotics
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new onset of DM, weight gain, hypercholesterolemia, orthostatic hypotension, Anticholinergic effects, mild EPS such as tremor
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Olanzapine (Zyprexa) is a special risk for
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DM, weight gain, and dyslipidemia
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Ziprasidone (Geodon) is a special risk for
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ECT changes and QT prolongation leading to torsades de pointes
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Clozapine (Clozaril) is a special risk for
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weight gain, DM, dyslipidemia, and FATAL AGRANULOCYTOSIS!!!
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