Podcast
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.
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Safety of antipsychotics during ______ has not been established.
Safety of antipsychotics during ______ has not been established.
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Match the contraindications/precautions with the appropriate concerns regarding typical antipsychotics:
Match the contraindications/precautions with the appropriate concerns regarding typical antipsychotics:
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Match the medical conditions with their associated risks regarding typical antipsychotics:
Match the medical conditions with their associated risks regarding typical antipsychotics:
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Match the antipsychotic side effects with the appropriate medication:
Match the antipsychotic side effects with the appropriate medication:
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Match the precautions with the appropriate recommendations for clients on antipsychotics:
Match the precautions with the appropriate recommendations for clients on antipsychotics:
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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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Description
This quiz covers key contraindications for the use of typical antipsychotics. Participants will learn about specific patient conditions and scenarios where these medications should be avoided to ensure safety. Understanding these contraindications is essential for effective and responsible pharmacological management.
