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Questions and Answers
Clients with ______ disease should not use typical antipsychotics.
Clients with ______ disease should not use typical antipsychotics.
Parkinson's
Typical antipsychotics are contraindicated in clients with known ______.
Typical antipsychotics are contraindicated in clients with known ______.
hypersensitivity
Caution should be taken in administering antipsychotic medications to clients who are elderly or ______.
Caution should be taken in administering antipsychotic medications to clients who are elderly or ______.
debilitated
Antipsychotics may lower the ______ threshold.
Antipsychotics may lower the ______ threshold.
Safety of antipsychotics during ______ has not been established.
Safety of antipsychotics during ______ has not been established.
Match the contraindications/precautions with the appropriate concerns regarding typical antipsychotics:
Match the contraindications/precautions with the appropriate concerns regarding typical antipsychotics:
Match the medical conditions with their associated risks regarding typical antipsychotics:
Match the medical conditions with their associated risks regarding typical antipsychotics:
Match the antipsychotic side effects with the appropriate medication:
Match the antipsychotic side effects with the appropriate medication:
Match the precautions with the appropriate recommendations for clients on antipsychotics:
Match the precautions with the appropriate recommendations for clients on antipsychotics:
Match the population groups with the recommended considerations for antipsychotic use:
Match the population groups with the recommended considerations for antipsychotic use:
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Study Notes
Contraindications
- Hypersensitivity: Avoid using typical antipsychotics in clients with known allergies to these medications, as cross-sensitivity can occur among phenothiazines.
- Comatose States and CNS Depression: Do not administer typical antipsychotics to clients in a coma or experiencing central nervous system depression.
- Blood Dyscrasias: Contraindicated in individuals with blood disorders.
- Parkinson's Disease and Narrow Angle Glaucoma: Avoid use in clients with Parkinson's disease or narrow-angle glaucoma.
- Liver, Renal, or Cardiac Insufficiency: Not recommended for clients with impaired liver, kidney, or heart function.
- Seizure Disorders: Use with caution or avoid completely in clients with poorly-controlled seizures.
- Elderly Clients with Dementia-Related Psychosis: Typical antipsychotics are contraindicated in older adults experiencing psychosis related to dementia.
- Prolonged QT Interval: Thioridazine, pimozide, and haloperidol can prolong the QT interval and are contraindicated if the client is on other medications with the same effect.
Precautions
- Elderly, Severely Ill, or Debilitated Clients: Use with caution in these populations due to increased risk of adverse effects.
- Diabetic Clients: Monitor blood sugar levels closely.
- Clients with Respiratory Insufficiency, Prostatic Hypertrophy, or Intestinal Obstruction: Use with caution due to potential for complications.
- Seizure Threshold: Antipsychotics can lower the seizure threshold, so monitor clients for seizure activity.
- Temperature Extremes: Advise clients to avoid extreme temperatures while taking antipsychotic medication.
- Pregnancy and Lactation: Safety of use during pregnancy and breastfeeding is not established.
Typical Antipsychotic Contraindications
- Hypersensitivity: Avoid use in individuals with known allergies to typical antipsychotics, as cross-sensitivity among phenothiazines may occur.
- CNS Depression: Not recommended for use in comatose states or where CNS depression is already present.
- Blood Dyscrasias: Contraindicated in individuals with blood dyscrasias.
- Parkinson's Disease & Glaucoma: Do not administer to clients with Parkinson's disease or narrow angle glaucoma.
- Organ Insufficiency: Avoid use in patients with liver, renal, or cardiac insufficiency.
- Seizure Disorders: Not recommended for use in individuals with poorly controlled seizure disorders.
- Dementia-Related Psychosis: Avoid use in elderly clients with dementia-related psychosis.
- QT Interval Prolongation: Thioridazine, pimozide, and haloperidol are contraindicated in clients taking other medications that prolong the QT interval.
Precautions
- Elderly, Severely Ill, Debilitated: Use with caution in elderly, severely ill, or debilitated clients.
- Diabetic Clients: Administer with caution to individuals with diabetes.
- Respiratory Insufficiency: Exercise caution when administering to clients with respiratory insufficiency.
- Prostatic Hypertrophy & Intestinal Obstruction: Use with caution in individuals with prostatic hypertrophy or intestinal obstruction.
- Seizure Threshold: Antipsychotics may lower the seizure threshold.
- Temperature Extremes: Clients should avoid exposure to extreme temperatures while taking antipsychotics.
- Pregnancy & Lactation: Safety during pregnancy and lactation has not been established.
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