SCHIZOPHRENIA CATATONIC; DISORGANIZED + meds

Waxy flexibilit

Reatrd, stupor, extreme neotism

Psoture of catatonic

Regression

Defense mechanism

Psychomotor excitability

Mannerism, excessive motor activity (purposeless), echolalia/echopraxia

ABC

Priority intervetnion in catatonic

Clang association

Rhyming of words

Concrete association

Disorgnaized thinking

Neologism

Coining a new word that does not exist

Word salad

Mixture of words

Echolalia

repeating others

Palialia

Repeating onself

Verbigeration

Repeating fragmented words

• Perseveration-

• multiple/ different question; patient derives a smilar answer over and over again

Stilted language

• hyfalutin/pompous words

Polarized

Inappropriate/flat affect

Disorganized speech and behavior

Flat affect

Characteristics of disorganized schizo

Isolation and safety

Nrsg DX in disorganized

Antipsychotic/neuroleptic/major tranquilizer

Pharma mgnt

Typical

• HIGH EPSE (extrapyramidal symptoms)

• Target (+)

• 1st gen before 90’s

• Dol/zine

Atypical

• LOW EPSE

• Target (- and + sx)

• Generation (after 90’s)

• Pine/Done

Antiadrenergic

Postural/orthastic hypotension

Extrapyramidal

Due to the blockage of dopamine

Dystonia

abnormal psoture caused by involuntary msucle spams

Dystonia, akathisia, Pseudoparkisonism, Tardive dyskinesia

SIDE effects in antipsychotic

Torticolis

contracted neck

Oculogyric crisis

Contracted eyes upwards

Opisthotonous

Arching of the back

Writers cram

Fatigue hand spasm

Laryngeal and pharyngeal constriction

Life threatening DYSTONIA

Akathisia

Most common extrapyramidal s/e

Akathisia

Restless movement,pacing, inability to keep still

Major reason why patients stop taking medication

Pseudoparkinsonism

Extrapyramidal s/e

• decrease dopamine

• mask lifek FACIES

• Akanesia (slowed movement)

• Shuffling gait, pill rolling and tremores

• Cogwheel and rigidyt *rachet like movement of joints

• PISA syndrome- leaning towards one side

PISA syndrome

Pseudoparkisnism

• leaning towards oneside

Benadryl

DOC for dystonia

Propanolol

Benzodiapine

DOC for Akathisia

Symmetrel

Atrane

Arkineto

Conegnin

Ketorin

Antiparkinsonian agents (SAACK)

Neuroleptic malignant syndrome

Fatal condition

Four msucle rigidity change LOC

2 weeks

If antipsychotic drugs is stopped when should you resume administering it

Tardive dyskinesia

Develops 6 months or more irreersible, late appearing

Extrapyramidal s/e

Lip smaking

Grimacing

Blinking

Tongue protusion

Choreaform

S/sx of tardive dyskinesia

LGBTC

AIMS

Diagnostic tool to use in tardive dyskinesia

VMAT 2

DOC of tardive dyskinesia