1 / 9

Antipsychotics

Antipsychotics. How they work C. Matthews MSN, RN, CNE Fall 2013. Understanding theory on cause of schizophrenia helps understand meds that work for management of psychoses. Symptoms. “positive” +++++. Negative -------. Normal with normal behaviors/thoughts SUBTRACTED

mahina
Download Presentation

Antipsychotics

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Antipsychotics How they work C. Matthews MSN, RN, CNE Fall 2013

  2. Understanding theory on cause of schizophrenia helps understand meds that work for management of psychoses

  3. Symptoms “positive” +++++ Negative ------- Normal with normal behaviors/thoughts SUBTRACTED MINUS includes lack of interest, motivation, responsiveness, or pleasure in everyday activities • Normal PLUS abnormal symptoms • PLUS hallucinations, delusions, disorganized thoughts or speech patter

  4. Positive & Negative symptoms come from different areas of the brain • Video explaining how antipsychotics work • http://www.ask.com/youtube?q=how%20antipsychotic%20drugs%20work • The screen goes blank – right click to end power point and the you tube site will show up on your computer, go to you tube video with this picture……. • I’d stop at 11min 8 sec.

  5. Things the RN should know about Antipsychotics • Autonomic effects (see anticholinergic poster in classroom – “can’t see, can’t pee, can’t spit, can’t poop”): • blurred vision; urinary retention; Dry mouth; Constipation • These can be minimalized by intervention: • Laxatives, mouth care, candies or meds for dry mouth • May disappear with long-term continued therapy.

  6. Things the RN should know about Antipsychotics • Extrapyramidal symptoms: • Dystonias • Tardive dyskinesia: • “rhythmic involuntary movements of facial muscles” EPS

  7. EPS • http://www.bing.com/videos/search?q=youtube+tardive+dyskinesia+symptoms&FORM=VIRE7#view=detail&mid=1D9F56AFEF0C824CC9341D9F56AFEF0C824CC934 • Not everyone has such extreme movements. • These are same movements seen in Parkinson’s disease (you’ve seen Michael J. Fox). They are caused by same thing – a disturbance in the balance of the neurotransmitters dopamine and acetylcholine in the basal ganglia.

  8. References • Adams, M. , Holland, N. & Urban, C. (2014). Pharmacology for nurses, a pathophysiologic approach. (4th Ed.) Pearson, Boston. • Adams, M. P. & Urban, C.Q. (2013). Pharmacology connections to nursing practice. (2nd ed.) Pearson, Boston.

More Related