You are learning that extrapyramidal side effects can occur with the use of antipsychotic drugs. Your instructor asks you to do a short presentation for the class

a. What are the main antipsychotic drugs used in therapy?
b. What are the extrapyramidal side effects associated with them?
c. How do they act?
d. What should you have the client do?


Students' answers should include the following:
a. These drugs include haloperidol (Haldol) and fluphenazine (Prolixin), risperidone (Risperdal), clozapine (Clozaril), and olanzapine (Zyprexa). Risperidone (Risperdal), clozapine (Clozaril), and olanzapine (Zyprexa) have reduced incidences of extrapyramidal side effects.
b. Extrapyramidal side effects include akinesia, akathisia, dystonia, and tardive dyskinesia.
c. They act by blocking postsynaptic dopamine receptors and/or serotonin receptors in the brain.
d. Monitor client; if severe symptoms, have client stop drug and come to ED.

Nursing

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