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Questions and Answers
Typical antipsychotics should be used cautiously in elderly clients with dementia-related psychosis.
Typical antipsychotics should be used cautiously in elderly clients with dementia-related psychosis.
False
Contraindications for typical antipsychotics include severe illness and poorly controlled seizure disorders.
Contraindications for typical antipsychotics include severe illness and poorly controlled seizure disorders.
True
Thioridazine, pimozide, and haloperidol can shorten the QT interval when taken with certain medications.
Thioridazine, pimozide, and haloperidol can shorten the QT interval when taken with certain medications.
False
Antipsychotics should be avoided during pregnancy and lactation due to established safety concerns.
Antipsychotics should be avoided during pregnancy and lactation due to established safety concerns.
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Clients with diabetes should not have any precautions when taking typical antipsychotics.
Clients with diabetes should not have any precautions when taking typical antipsychotics.
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Study Notes
Contraindications of Typical Antipsychotics
- Hypersensitivity: Clients with known allergies to typical antipsychotics or phenothiazines should avoid these medications.
- CNS Depression: These medications are contraindicated in individuals experiencing comatose states or exhibiting CNS depression.
- Blood Dyscrasias: Clients with blood disorders should not use typical antipsychotics.
- Parkinson's Disease and Glaucoma: Not appropriate for individuals with Parkinson's disease or narrow-angle glaucoma.
- Organ Impairment: Avoid in clients with liver, kidney, or heart insufficiency.
- Seizure Disorders: Contraindicated in poorly controlled seizure disorders.
- Dementia-Related Psychosis: Elderly clients with dementia-related psychosis should not take typical antipsychotics.
- QT Interval Prolongation: Thioridazine, pimozide, and haloperidol can prolong the QT interval. They are contraindicated in clients taking other drugs that also have this effect.
Precautions for Typical Antipsychotics
- Elderly, Severely Ill, or Debilitated Clients: Exercise caution when administering these medications to these individuals.
- Diabetic Clients: Use with caution in diabetic clients.
- Respiratory Insufficiency: Monitor carefully in those with respiratory issues.
- Prostatic Hypertrophy and Intestinal Obstruction: Use with caution in clients with these conditions.
- Seizure Threshold: Antipsychotics may lower the seizure threshold.
- Temperature Extremes: Clients should avoid extreme temperatures while taking these medications.
- Pregnancy and Lactation: Safety during pregnancy and lactation is not established.
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Description
This quiz covers the critical contraindications associated with the use of typical antipsychotics. It highlights risks for specific medical conditions, such as hypersensitivity, CNS depression, and other serious health issues. Understanding these contraindications is crucial for safe medication management in psychiatric care.
