Risperidone Flashcards
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Questions and Answers

What is the classification of Risperidone?

  • Stimulants
  • Antipsychotics, mood stabilizers (correct)
  • Benzodiazepines
  • Antidepressants
  • What is the action of Risperidone?

    May act by antagonizing dopamine and serotonin in the CNS.

    The typical adult dosage of Risperidone for schizophrenia is _____ mg daily.

    4-8

    In pediatric patients (ages 13-17 years), the typical adult dosage of Risperidone for schizophrenia is _____ mg daily.

    <p>3</p> Signup and view all the answers

    What are some indications for using Risperidone?

    <p>Schizophrenia</p> Signup and view all the answers

    Which of the following is a common side effect of Risperidone?

    <p>Both A and B</p> Signup and view all the answers

    There are listed toxic symptoms for Risperidone.

    <p>False</p> Signup and view all the answers

    What is one implication for nursing when administering Risperidone?

    <p>Monitor the patient's mental status and for any notable changes in behavior.</p> Signup and view all the answers

    Study Notes

    Classification

    • Therapeutic class: antipsychotics, mood stabilizers
    • Pharmacologic category: benzisoxazoles

    Action

    • Antagonizes dopamine and serotonin in the central nervous system (CNS)
    • Therapeutic effects include decreased symptoms of psychosis, bipolar mania, and autism

    Dosage/Route

    • Schizophrenia:

      • Adults: start at 1 mg twice daily, titrate by 1-2 mg every 24 hours to achieve 4-8 mg daily
      • Adolescents (13-17 years): start at 0.5 mg once daily, titrate to a maximum of 3 mg daily
      • Adults (IM): 25 mg every 2 weeks, higher doses may be used (37.5 mg or 50 mg)
    • Bipolar I Disorder:

      • Acute manic episodes (Adults): 2-3 mg/day as a single dose, titrate by 1 mg every 24 hours (range 1-5 mg)
      • Adolescents (13-17 years): start at 0.5 mg once daily, titrate to 2.5 mg daily
    • Irritability with Autism:

      • Children (5-16 years, 20 kg): start with 0.25 mg to 0.5 mg/day and can increase every 2 weeks.
    • Renal and Hepatic Impairment:

      • Adults: start at 0.5 mg twice daily, titrate as needed

    Indications

    • Schizophrenia for adults and adolescents (age 13-17)
    • Short-term treatment of acute manic/mixed episodes in Bipolar I Disorder for ages 10-17
    • Maintenance treatment for Bipolar I Disorder (IM only for adults)
    • Irritability associated with autistic disorder in children

    Side Effects

    • CNS: Neuroleptic Malignant Syndrome, suicidal thoughts, aggressive behavior, dizziness, extrapyramidal reactions, headaches, sleep disturbances, sedation, fatigue
    • EENT: Pharyngitis, rhinitis, visual disturbances
    • Respiratory: Cough, dyspnea
    • Cardiovascular: Arrhythmias, orthostatic hypotension, tachycardia
    • Gastrointestinal: Constipation, diarrhea, dry mouth, nausea, weight changes, abdominal pain
    • Genitourinary: Libido changes, dysmenorrhea, urination difficulties
    • Dermatological: Skin rash, photosensitivity, dermatitis
    • Endocrine: Dyslipidemia, hyperglycemia
    • Hematologic: Agranulocytosis, leukopenia
    • Musculoskeletal: Arthralgia, back pain

    Toxic Symptoms

    • No specific toxic symptoms documented

    Nursing Implications

    • Assess mental status and mood before and during therapy
    • Monitor for behavior changes indicating suicidal thoughts or worsening depression
    • Monitor weight and BMI throughout therapy
    • Regularly check for hyperglycemia indicators
    • Assess blood pressure and pulse changes, especially during dose titration
    • Ensure medication administration compliance to prevent hoarding
    • Observe for extrapyramidal side effects, which may require dose adjustment or medication cessation
    • Trihexyphenidyl or benztropine may assist in managing extrapyramidal symptoms if needed

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    Description

    Test your knowledge with these flashcards on Risperidone (Risperdal). The quiz covers its classification, action, and recommended dosage. Ideal for students in healthcare or pharmacology.

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