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Hocking MH2 Terms

Nursing Process of care: Physical and Behavorial

QuestionAnswer
Torticollis Back Spasms
Trismus Lock Jaw
Larngospasms swallowing, speaking, breathing
Akinesia Weakness with slow difficult fatigued movements
Early Movement disorder treatment Anticholinergic, Antiparkinsonian/ Antidygskinetic- Added to counteract ealry movement disorders.
Anticholinergic Side Effects Orthostatic hypotension, Dry mouth, Decreased GI motility, Urinary retention, dry eyes, Decreases sweating, euphoria, confusion, psychosis.
Pre-morbid May last for years, Poor social adjustment, (aloof withdrawn, introverted) Decreases eye contact, clumsy, delayed language, disorganized, cognitive problems.
Prodromal phase initial phase, change in usual behavior, increases discomfort change in appearance.
Early signs of prodromal phase decreased energy, motivation, self care, social relationships.
Late signs of Prodromal phase. Unusual excessive interests.
Active Phase Psychotic episode, Lasts at least one month, unusual active positive signs/symptoms, disorganized thoughts and behaviors, medications can help.
Residual phase may last for years, s/s=blunting on all diminsions, decreased energy, motivation,self care, speech, social contact. Becomes debilitated and socially disabled as cycles persist. Classic medication not helpful, need new meds.
Types of early movement disorders Dystonia,Akathisia, Akinesia, Pseudoparkinsonism
Late Movement disorder Tardive dyskinesia
Antipsychotics Used primarily to decrease psychotic symptoms so the person can partcipate in developing a plan of care for their illness.
Antipsychotic Side effects GI Upset; CNS sedation, drowsiness,confusion,seizures; Cardio, tachycardia,palpitations,arrhythmiic hyptension, Anticholinergc side effects, polydipsia, wt gain, sexual dysfunctions due to prolactin changes, temp regulation hyperthermia,hypothermia, skin
EPS Early movement disorders Extrapyramidal symptoms *occur as the ratio of dopamine and acetylcholine needed for smooth muscle movement is altered.
Dystonias Rigid muscles with abrupt painful spasms, muscles the head, jaw, neck, face, tongue,and back.
Oculogyric crisis Eyes locked upward
Akathisia Continuous restlessness, fidgeting, tapping, rocking,marching in place, inner tension "jumping out of my skin" unable to sit still. Most common in middle age. Treat with Antiparkinsonian drugs.
Akinesia Weakness with slow difficult fatigued movements.
Pseudoparkinsonism Loss of spontaneous movement, most common in older adults, treatment antiparkinsonian meds
AIMS Assessment of Involuntary Movement Scale Screening tool for abnormal movement, eye blinking, fine tongue movements
Anticholinergic Contraindications Pregnant, breast feeding, glaucoma, heart and urination problems
Antipsychotic overdose symptoms sedation and decreases LOC, uncontrolled movements,hypotension, arrythmias, fever, seizures
Neuroleptic Malignant Syndrome Rare potentially fatal reaction to dopamine blockade. Onset usually within 30 days of treatment, lasting 5-10 days after discontinuing treatment.
Symptoms of Neuroleptic Malignant syndrome Hyperthermia, muscle rigidity (dystonias,dyskinesias), mental status changes confusion, dazed, catonia, coma, Autonomic instability, tachycardia,tachypnea, Labile blood pressure, N/V.
Treatment of Neuroleptic malignant syndrome Early detection, monitor v/s, I & O, LOC, electrolytes, maintain hydration, hold antispychotic drugs contact PCP ASAP!!!!
Blood Dyscrasias Agranulocytosis, fatal blood disorder from bone marrow suppression usually occurring within first 3 month
Symptoms of Blood dyscrasias flu like symptoms, fever, sore throat, malaise, mouth sores treatment medical emergency
Thrombocytopenia Decreased platelets, granulocytes below 1500mm3
Treatment Nauroleptic Malignriant Syndrome Asprin, acetaminophen and cooling blankets, bromocriptine (parlodel) Dantrolene (dantrium)
Created by: smithk11593
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