Antipsychotic (Side-effects)

• Constipation


  Increase fluid, fiber in the diet
• Agranulocytosis


  Monitor ____________, report any signs of infection (fever, sore throat)
• Tooth decay

  Use sugarless hard candy or gum
• Dry mouth


  Use sugarless hard candy or gum to stimulation salivation
• Orthostatic hypotension


  Change position gradually
• Galactorrhea


  Use cotton underwear
• Photosensitivity


  Avoid direct sunlight, use umbrella and sunglasses, apply SPF 25 lotion
• Arrhythmias

  Immediately report abnormal heart beat
• Weight gain


  Lessen intake of sugary food and beverages
• Sedation


  Avoid driving and operating machineries
• Extra Pyramidal Syndrome

  Dystonia

  Akathisia

  Psuedoparkinsonism
• EPS

  Nursing Action: Notify the physician, DO NOT discontinue!

  Management: Decrease the dose, shift to another generation

  NOTE: Early detection leads to early management
• Neuroleptic Malignant Syndrome

  Hyperthermia

  Hypertension

  Muscle spasms
• Neuroleptic Malignant Syndrome

  Nursing Action: Discontinue the Medication

  Prevention: Hydrate the patient
• Neuroleptic Malignant Syndrome

  Most Fatal
• Tardive Dyskinesia

  Tounge Protrusion

  Teeth Grinding

  Lip Smacking
• Tardive Dyskinesia

  Irreversible and Permanent
• Tardive Dyskinesia

  occurs after 6 mos of taking anti-psychotics
• Tardive Dyskinesia

  medical mgt: Ingrezza
• Neuroleptic Malignant Syndrome

  Medical mgt: Baclofen and Dantrolene Sodium
• Extrapyramidal Syndrome

  Medical Management: (DOT)

  Akineton

  Benadryl

  Congentin
• EPS can lead to DOT.

  (Dystonia, Drooling, Oculogyric Crisis, Torticollis).
• EPS

  If no ABC, Arthane (Trihexiphenidryl) is the option for DOT
• Agranulocytosis

  Monitor for Decrease WBC