care plan
Extrapyramidal side effects: p. 789- A variety of signs and symptoms that are often side effects of the use of certain psychotropic drugs, particularly the phenothiazines. Three reversible extrapyramidal side effects are: acute dystonia, akathisia, and pseudoparkinsonism. A fourth, tarditive dyskinesia, is the most serious and is not reversible
Akinisia: p. 784- regular rhythmic movements, usually of lower limbs; constant pacing may also be seen; often noticed in people taking antipsychotic medication.
Tardive dyskinesia: p. 796- A serious and irreversible side effect of the phenothiazines and related drugs that consists of involuntary tonic muscle spasms typically involving the tongue, fingers, toes, neck, trunk or pelvis
Acute Dystonia:p. 789- Abnormal muscle tonicity resulting in impaired voluntary movement. May occur as an acute side effect of neuroleptic (antipsychotic) medication, in which it manifests as muscle spasms of the face, head, neck, and back
27. Know the symptoms of each type of schizophrenia for a scenario question
p.413 1. Paranoid (positive): hallucinations & delusions(PP: persecutory, grandiose), aggressive. No disorganized speech/behavior, catatonia, or inappropriate affect present.
2.Disorganized (hebephrenic): Dominant: disorganized speech/behavior, inappropriate affect. Delusions & hallucinations if present are not prominent or fragmented. Associated features include grimacing, mannerisms, & other oddities of behavior. PP: Flat, odd, regressive, extreme social withdrawal
3. Catatonic: Motor inability (waxy flexibility, or stupor). Excessive purposeless motor activity (agitation). Extreme negativism or mutism. Peculiar voluntary movements (posturing, stereotyped movements, prominent mannerisms, prominent grimaces). Echollalia or echopraxis PP: stupor, mutism, negativism, shown by resistance of movement, waxy flexability, excitement
4. Undifferentiated: PP: Mixed type
5. Residual: PP: no longer active- phase symptoms
Akinisia: p. 784- regular rhythmic movements, usually of lower limbs; constant pacing may also be seen; often noticed in people taking antipsychotic medication.
Tardive dyskinesia: p. 796- A serious and irreversible side effect of the phenothiazines and related drugs that consists of involuntary tonic muscle spasms typically involving the tongue, fingers, toes, neck, trunk or pelvis
Acute Dystonia:p. 789- Abnormal muscle tonicity resulting in impaired voluntary movement. May occur as an acute side effect of neuroleptic (antipsychotic) medication, in which it manifests as muscle spasms of the face, head, neck, and back
27. Know the symptoms of each type of schizophrenia for a scenario question
p.413 1. Paranoid (positive): hallucinations & delusions(PP: persecutory, grandiose), aggressive. No disorganized speech/behavior, catatonia, or inappropriate affect present.
2.Disorganized (hebephrenic): Dominant: disorganized speech/behavior, inappropriate affect. Delusions & hallucinations if present are not prominent or fragmented. Associated features include grimacing, mannerisms, & other oddities of behavior. PP: Flat, odd, regressive, extreme social withdrawal
3. Catatonic: Motor inability (waxy flexibility, or stupor). Excessive purposeless motor activity (agitation). Extreme negativism or mutism. Peculiar voluntary movements (posturing, stereotyped movements, prominent mannerisms, prominent grimaces). Echollalia or echopraxis PP: stupor, mutism, negativism, shown by resistance of movement, waxy flexability, excitement
4. Undifferentiated: PP: Mixed type
5. Residual: PP: no longer active- phase symptoms