Drugs used to treat Behavioral Emotional, Mood disorders, and psychoses

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Drugs used to treat Behavioral/ Emotional, Mood
disorders, and psychoses
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Drug Uses

• ADD/ADHD Ritalin
• Schizophrenia Antipsychotics
• Bipolar disorder manic- depressive Lithium
• Depression SSRIs, TCAs, MAOs

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PSYCHOSES

• Does not have a single definition, but is a
  clinical descriptor that means being out of touch
  with reality.

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ANTIPSYCHOTIC ACTIONS

• Antipsychotics antagonize the neurotransmitter
  DOPAMINE in the central nervous system.
• 6-8 weeks for therapeutic levels and effects

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ADVERSE EFFECTS

• EXTRAPYRAMIDAL SYMPTOMS
• SERIOUS MOVEMENT DISORDERS

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DYSTONIA

• Spastic movements of muscle groups
• Example
• tongue protrusion
• rolling back of eyes
• spasm of jaw
• torsion of neck

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PSUEDOPARKINSONISM

• Tremors
• Muscle rigidity
• Mask-like expression
• Shuffling gait
• Decrease motor function

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AKATHISIA

• Subjective feelings of anxiety and restlessness
• Objective signs of pacing,rocking,inability to
  stand still

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TARDIVE DYSKINESIA

• Persistant and involuntary hyperkinetic abnormal
  movements of the face, limbs, and trunk
• Example tongue movements
• orofacial movements

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NMS

• Neuroleptic malignant syndrome
• Fever,
• Severe EPS
• Tachycardia, labile HTN
• Diaphoresis,incontinence
• Alterations in conscience

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OTHER SIDE EFFECTS

• Sedation
• Hypotension
• Anticholinergic effects
• Photosensitivity

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COMMON DRUGS

• Phenothiazines
• Thorazine
• Mellaril
• Compazine
• Nonphenothiazines
• Haldol

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HEALTH CARE IMPLICATIONS

• Psych. and physical assessment
• Monitor EPS
• Check for hypotension
• Avoid controlled substances and ETOH
• Teach pt. to avoid sun exposure
• Evaluate effectiveness for N/V
• Safety related to sedative effects