Module 1: Discussion– Antipsychotics-Get Answer Now
Online Discussion
Prompt:
For this discussion, you will answer the question which corresponds to the FIRST letter of your LAST name. A case study is presented to “set the stage.” Answers to these questions may be located in your texts, PowerPoints, or readings. You may also need to do additional research. Questions are listed in the Case Study document and on this page for easy reference.
Then you will respond to the main postings of at least two of the other learners who have answered questions different from yours.
Recall that your main posting should be submitted by Wednesday at 2359 EST. All responses to other learners’ discussion questions must be submitted no later than Sunday at 2359 EST in order to be considered for grading purposes.
If your LAST name begins with the letter A through J, please address Case Study #1: Antipsychotic Case Study #1.docx
What causes drug-induced akathisia?
Which antipsychotic agent(s) demonstrates the highest association with akathisia? Which demonstrates the lowest?
What medications can be used to treat antipsychotic-induced akathisia? (Discuss at least three medications and the dosage at which they are given to treat this)
Akathisia is considered a drug-induced movement disorder. Three drug-induced movement disorders that are considered emergencies are: neuroleptic malignant syndrome, serotonin syndrome, and parkinsonism hyperpyrexia disorder. What are the signs and symptoms of these? What is the treatment?
Abilify is a second generation antipsychotic. What makes first generation “conventional” antipsychotics different from second generation antipsychotics?
If your LAST name begins with the letters K through R please address Case Study #2: Antipsychotic Case Study #2.docx
Why might breakthrough symptoms be more likely when switching between these particular medications? (Consider receptors)
If the patient begins struggling with catatonia, what might the clinician prescribe?
Which antipsychotics are FDA approved in children and adolescents? What are their indications?
Many patients take antipsychotic medications for years. What are the most recent monitoring guidelines for metabolic issues? You may display your answer in a chart.
What are the options for a patient that has gained a significant amount of weight on an antipsychotic? List three different options (at least one should be the addition of a medication).
If your LAST name begins with the letters S through Z please address Case Study #3: Antipsychotic Case Study #3.docx
Considering the patient’s symptoms, what type of antipsychotics would be most appropriate? (Think dopamine). Please explain your choice.
Can substance induced psychosis be treated with antipsychotics?
Would a LAI (long acting injectable) be appropriate for this patient? Please explain why or why not.
Let’s pretend Seroquel was prescribed for this patient. Explain how and why Seroquel can have a different effect at different doses.
Antipsychotics are often prescribed “off label” (to treat symptoms for which they do not have FDA approval). Choose any antipsychotic and research why it is used “off label.” Locate a peer-reviewed article that offers evidence in support or against using that antipsychotic for this reason. Example: Risperidone prescribed for OCD
Brakoulias, V. & Stockings, E. (2019). A systematic review of the use of risperidone, paliperidone and aripiprazole as augmenting agents for obsessive-compulsive disorder. Expert Opinion on Pharmacotherapy, 20(1), 47-53. DOI: 10.1080/14656566.2018.1540590
Instructions:
Make your initial post by 23:59 EST Wednesday
Respond to two other classmates’ posts in by 23:59 EST Sunday.
Grading Criteria:
Your assignment will be graded according to the rubric.
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