Akathesia continuous restlessness and fidgeting that occur with antipsychotic use 0.6- 1.2 lithium therapeutic range Carbamazepine (Tegretol) anticonvulsant used for bipolar w rapid changing mood delusions of control or influence ndividual believes that certain objects or persons have control over their behavior SSRI safe in OD risk pt (prozac is one) high risk suicide Cogentin anticholinergic for TD effects drying urinary retention, dry mouth, nasal congestion Heart & Hydration 2 key nursing assessments for lithium toxicity Persistent Depressive Disorder s/s 2yr always felt this way long hx depression Tyramine found in aged meats/cheeses, red wine. dont mix w MAOI Agranulocytosis significant decrease in white blood cell (WBC) count and reduced immunity. watch for fever s/s infection Agoraphobia fear of leaving home, going outside Dissociative Amnesia inability to recall information about the self, usually of a traumatic nature. PTSD symptoms avoidance, hypervigilnce, fear, guilt, flashbacks, nighmares Paranoia Neologisms Echolalia + symptoms Schizophrenia Lithium Toxicity cough, runny nose, chest congestion, blurred vision, fever of 100.9°F, and “ringing in my ears.” Fight or Flight physiological changes Increased HR, Resp, dry mouth, pupil dialtation Hypertensive Crisis mix MAOIs and SSRIs w/out washout 1/2 life of ssri GAS Alarm reaction, resistance, exhaustion Ideas of Reference individual’s belief that a neutral event within environ has personal meaning- nurses talking about him Anhedonia unable to feel joy dietary teaching for lithium salt & water weight gain Benzo "azepines" history of substance use disorders Hyperactivity poor judgement talk insomnia s/s mania DID multiple personlaities, usually hx childhood trauma Prazosin (minipress) given to control nightmares in PTSD Akathesia continuous restlessness and fidgeting that occur with antipsychotic use 0.6- 1.2 lithium therapeutic range Carbamazepine (Tegretol) anticonvulsant used for bipolar w rapid changing mood delusions of control or influence ndividual believes that certain objects or persons have control over their behavior SSRI safe in OD risk pt (prozac is one) high risk suicide Cogentin anticholinergic for TD effects drying urinary retention, dry mouth, nasal congestion Heart & Hydration 2 key nursing assessments for lithium toxicity Persistent Depressive Disorder s/s 2yr always felt this way long hx depression Tyramine found in aged meats/cheeses, red wine. dont mix w MAOI Agranulocytosis significant decrease in white blood cell (WBC) count and reduced immunity. watch for fever s/s infection Agoraphobia fear of leaving home, going outside Dissociative Amnesia inability to recall information about the self, usually of a traumatic nature. PTSD symptoms avoidance, hypervigilnce, fear, guilt, flashbacks, nighmares Paranoia Neologisms Echolalia + symptoms Schizophrenia Lithium Toxicity cough, runny nose, chest congestion, blurred vision, fever of 100.9°F, and “ringing in my ears.” Fight or Flight physiological changes Increased HR, Resp, dry mouth, pupil dialtation Hypertensive Crisis mix MAOIs and SSRIs w/out washout 1/2 life of ssri GAS Alarm reaction, resistance, exhaustion Ideas of Reference individual’s belief that a neutral event within environ has personal meaning- nurses talking about him Anhedonia unable to feel joy dietary teaching for lithium salt & water weight gain Benzo "azepines" history of substance use disorders Hyperactivity poor judgement talk insomnia s/s mania DID multiple personlaities, usually hx childhood trauma Prazosin (minipress) given to control nightmares in PTSD
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continuous restlessness and fidgeting that occur with antipsychotic use
lithium therapeutic range
anticonvulsant used for bipolar w rapid changing mood
ndividual believes that certain objects or persons have control over their behavior
safe in OD risk pt (prozac is one) high risk suicide
anticholinergic for TD effects drying urinary retention, dry mouth, nasal congestion
2 key nursing assessments for lithium toxicity
s/s 2yr always felt this way long hx depression
found in aged meats/cheeses, red wine. dont mix w MAOI
significant decrease in white blood cell (WBC) count and reduced immunity.
watch for fever s/s infection
fear of leaving home, going outside
inability to recall information about the self, usually of a traumatic nature.
avoidance, hypervigilnce, fear, guilt, flashbacks, nighmares
+ symptoms Schizophrenia
cough, runny nose, chest congestion, blurred vision, fever of 100.9°F, and “ringing in my ears.”
Increased HR, Resp, dry mouth, pupil dialtation
mix MAOIs and SSRIs w/out washout 1/2 life of ssri
Alarm reaction, resistance, exhaustion
individual’s belief that a neutral event within environ has personal meaning- nurses talking about him
unable to feel joy
salt & water weight gain
"azepines" history of substance use disorders
s/s mania
multiple personlaities, usually hx childhood trauma
given to control nightmares in PTSD
