Schizophrenia

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Schizophrenia by Mind Map: Schizophrenia

1. if in maintenance

2. assess

2.1. positive symptoms

2.1.1. hallucinations

2.1.1.1. false sensory exp

2.1.1.2. auditory

2.1.1.3. olfactory

2.1.1.4. visual

2.1.2. delusions

2.1.2.1. grandeur

2.1.2.2. somatic

2.1.2.3. paranoid

2.1.2.4. persecutory

2.1.3. alterations in behavior/bizarre

2.1.3.1. waxy flexibility

2.1.3.2. eccopraxia

2.1.3.3. stereotyped behavior

2.1.3.3.1. "pretending" to sweep

2.1.4. alteration in speech

2.1.4.1. echolalia

2.1.4.1.1. think like a parrot

2.1.4.2. clang association

2.1.4.2.1. bad mad sad

2.1.4.3. loose association/ flight of ideas

2.1.4.4. word salad

2.1.4.4.1. "box tree car yes apple boy seven"

2.2. negative symptoms

2.2.1. apathy

2.2.1.1. "hanging out doesn't sound fun"

2.2.2. anergia

2.2.2.1. "im too tired"

2.2.3. anhedonia

2.2.3.1. "just not fun anymore"

2.2.4. avolition

2.2.4.1. "i dropped out of school"

3. diagnose

3.1. risk for self directed harm

4. plan

4.1. safety

4.2. return to baseline/stabilize

4.3. prevent relapse

5. implementation

5.1. verbal

5.1.1. therapeutic communication

5.1.1.1. two rules

5.1.1.1.1. never ask why

5.1.1.1.2. what can you as the nurse do NOW

5.1.2. haloperidol

5.2. milieu

5.3. medications

5.3.1. first generation

5.3.1.1. if in continuation phase

5.3.1.2. loxapine

5.3.1.3. chlorpromazine

5.3.1.4. fluphenazine

5.3.1.5. treats only +

5.3.1.6. high EPS

5.3.1.6.1. acute dystonia

5.3.1.6.2. akathisia

5.3.1.6.3. psuedoparksin

5.3.1.6.4. tardive dykinisia

5.3.1.6.5. use anticholinergics

5.3.1.7. cost effective

5.3.2. second generatino

5.3.2.1. clozapine

5.3.2.2. quetiapine

5.3.2.3. risperidone

5.3.2.4. high cost

5.3.2.5. treat + and -

5.3.2.6. LOW EPS

5.3.3. olanzapine

6. neurotransmitters

6.1. dopamine

6.1.1. high levels = psychosis

6.1.2. low levels = NMS

6.1.2.1. high tempt

6.1.2.1.1. acetaminophen

6.1.2.1.2. cold compress

6.1.2.2. fluctuating blood pressure

6.1.2.3. tachycardia

6.1.2.3.1. beta blockers

6.1.2.4. muscle rigidity

6.1.2.4.1. dantrolene

6.2. serotonin

6.2.1. low = depression

6.3. GABA

6.3.1. low = anxiety

6.4. norepinephrine

6.4.1. low = low energy