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vo adams_ch24_lecture

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Published on October 15, 2014

Author: ritapeters

Source: authorstream.com

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PowerPoint Presentation: Pharmacotherapy of Psychoses 24 Symptoms of Schizophrenia: 24.2 Schizophrenia, the most common psychosis, has both positive and negative symptoms . Symptoms of Schizophrenia New Research: New Research Arnedo , J., Svrakic , D.Ml , del Val, C., Romero- Zaliz , R., Hernandez- Cuervo , H., Fanours , A.H., Pato , M.T., de Erausquin , G.A., Cloninger , C.R. & Zwir , I (2014). Uncovering the hidden risk architecture of the schizophrenias: Confirmation in three independent genome-wide association studies. The American Journal of Psychiatry. Doi : 10.1176/appi.ajp.2014.14040435 Symptoms of Schizophrenia: Symptoms of Schizophrenia Positive: excess or distortion of normal function Negative: loss of normal function Cognitive Pharmacotherapy: Pharmacotherapy Initial Treatment Maintenance Treatment Non-adherence Antipsychotic Drugs: 24.5 Selection of an antipsychotic drug depends upon its spectrum of adverse effects and the experience of the health care provider. Antipsychotic Drugs Classification of Antipsychotics: Classification of Antipsychotics Older system includes: Newer system: Low potency Moderate potency High potency Managing Adverse Effects: Managing Adverse Effects Extrapyramidal side effects (EPS) Neuroleptic malignant syndrome (NMS) Adverse effects on reproductive system Table 24.3 Extrapyramidal Symptoms of Antipsychotic Medications: Table 24.3 Extrapyramidal Symptoms of Antipsychotic Medications First-Generation Antipsychotics: 24.6 The phenothiazines are effective at treating schizophrenia symptoms but exhibit a high incidence of adverse effects. First-Generation Antipsychotics Prototype Drug Chlorpromazine: Prototype Drug Chlorpromazine Therapeutic classification ___________________ Pharmacologic classification ____________________ Pregnancy category __ Mechanism of action ____________________ Indications __________________ Contraindications __________________ Precautions __________________ Drug interactions __________________ Prototype Drug Chlorpromazine: Prototype Drug Chlorpromazine Side effects: Serious adverse effects: Nursing responsibilities: Identify necessary assessments, teaching, interventions and evaluation. Where is there potential harm, or need for risk reduction? First-Generation Antipsychotics: 24.7 The nonphenothiazine first-generation antipsychotics have the same therapeutic applications and similar side effects as the phenothiazines. First-Generation Antipsychotics Prototype Drug Haloperidol (Haldol): Prototype Drug Haloperidol (Haldol) Therapeutic classification ___________________ Pharmacologic classification ____________________ Pregnancy category __ Mechanism of action ____________________ Indications __________________ Contraindications __________________ Precautions __________________ Drug interactions __________________ Prototype Drug Haloperidol (Haldol): Prototype Drug Haloperidol (Haldol) Side effects: Serious adverse effects: Nursing responsibilities: Identify necessary assessments, teaching, interventions and evaluation. Where is there potential harm, or need for risk reduction? Second-Generation (Atypical) Antipsychotics: 24.8 Second-generation antipsychotics have become drugs of choice for the treatment of schizophrenia. Second-Generation (Atypical) Antipsychotics Prototype Drug Risperidone (Risperdal): Prototype Drug Risperidone (Risperdal) Therapeutic classification ___________________ Pharmacologic classification ____________________ Pregnancy category __ Mechanism of action ____________________ Indications __________________ Contraindications __________________ Precautions __________________ Drug interactions __________________ Prototype Drug Risperidone (Risperdal): Prototype Drug Risperidone (Risperdal) Side effects: Serious adverse effects: Nursing responsibilities: Identify necessary assessments, teaching, interventions and evaluation. Where is there potential harm, or need for risk reduction? Second-Generation (Atypical) Antipsychotics: 24.9 Dopamine system stabilizers are a newer class of atypical antipsychotics. Second-Generation (Atypical) Antipsychotics Prototype Drug Aripiprazole (Abilify): Prototype Drug Aripiprazole (Abilify) Therapeutic classification ___________________ Pharmacologic classification ____________________ Pregnancy category __ Mechanism of action ____________________ Indications __________________ Contraindications __________________ Precautions __________________ Drug interactions __________________ Prototype Drug Aripiprazole (Abilify): Prototype Drug Aripiprazole (Abilify) Side effects: Serious adverse effects: Nursing responsibilities: Identify necessary assessments, teaching, interventions and evaluation. Where is there potential harm, or need for risk reduction? Nursing Process Application—Patient Receiving Antipsychotic Therapy: Nursing Process Application—Patient Receiving Antipsychotic Therapy Assessment Planning Patient will: Implementation

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