00:01 So let's wrap this up. 00:02 Antipsychotic medications are used to treat a wide range of psychotic disorders with Schizophrenia being the most common and also the manic phase of bipolar disorder. 00:12 Full effect of antipsychotics can take weeks to months for maximum development. 00:17 You shouldn't use antipsychotics to treat elderly dementia symptoms. 00:21 Remember it can increase the risk of mortality. 00:24 Antipsychotics are contraindicated for patients with Parkinson's disease. 00:28 We talked about that. Remember, antipsychotics block those dopamine receptors and Parkinson's patients already struggle with not enough dopamine in their brains. 00:39 All antipsychotics are relatively equal in their antipsychotic effect but they have different side effects. 00:46 First generation antipsychotics have an increased risk of EPS including tardive dyskinesia’s. 00:52 Second generation have a lower risk of EPS except they have an equal risk of tardive dyskinesia’s with the first generation. 01:00 First generation antipsychotics have a higher risk of neuroleptic malignant syndrome. 01:07 Remember that is potentially life-threatening, patient could die from respiratory failure or cardiovascular collapse and we treat it with Dantrolene or bromocriptine. 01:17 Okay, there's four main types of EPS: dystonia, Parkinsonism, and akathisia. 01:23 Those are the ones that develop early. 01:24 Tardive dyskinesia’s develop later in treatment. 01:28 Acute dystonia can involve severe spasm of the tongue, face, neck, back, or even in oculogyric crisis. 01:36 Acute dystonia and Parkinsonism may respond to anticholinergic medications like Benztropine. 01:42 Akathisia may respond to benzodiazepines or beta blockers. 01:48 Thank you for watching our video today.
The lecture Antipsychotic Medications: In a Nutshell (Nursing) by Prof. Lawes is from the course Central Nervous System (CNS) Medications (Nursing).
Why should first and second generation antipsychotic medications be avoided in clients with Parkinson's disease?
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