GOVT.COLLEGE OF NURSING, G.S.V.
M CAMPUS,
KANPUR
LESSON PLAN ON
ANTIPSYCHOTICS
SUBMITTED
TO:- BY:-
MS. MANISHA ANAND MS.STUTI MALVIYA
(Asst. Prof.) MSc (N)-1st year
CON, GSVM, KANPUR
BASELINE DATA
NAME OF EVALUATOR : - MS. MANISHA ANAND (Asst. Prof)
NAME OF TEACHER : - MS. STUTI MALVIYA
SUBJECT : - PSYCHIATRY
TOPIC : - ANTIPSYCHOTICS
GROUP NAME : - BSC (N) 3RD Year
GROUP SIZE : - 40 STUDENTS
DATE : - 06/12/ 2023
TIME : - 3P.M- 4P.M
DURATION : - 45 MIN
VENUE : - BSC (N) CLASSROOM
METHODS OF TEACHING : - LECTURE CUM DISCUSSION
A.V.AIDS : - PPT, CHALK BOARD
PRE-REQUISITE KNOWLEDGE : - The group will have some previous knowledge regarding antipsychotics.
GENERAL OBJECTIVES:-
After the completion of the session group will be able to acquire systematic knowledge about antipsychotics as well as will be able to learn its
application in providing patient care.
SPECIFIC OBJECTIVES:-
At the end of the session group will be able to:-
• Introduce antipsychotics.
• Classify antipsychotics.
• Enlist indications of antipsychotics.
• Discuss pharmacokinetics
• Describe mechanism of action
• Enlist adverse effects of antipsychotics.
• Enlist contraindications of antipsychotics.
• Describe role of nurse.
S.NO TIME SPECIFIC CONTENT A.V TEACHER’S STUDENT’S EVALUATION
OBJECTIVES AIDS ACTIVITY ACTIVITY
1. 2 MIN Introduce INTRODUCTION PPT Teacher will Students will
antipsychotics Antipsychotic are those psychotropic drug, introduce the listen to
topic introduction.
which are used for the treatment of psychotic
symptoms. These are also known as
neuroleptic as they produce neurological side
effects, major tranquilizers, D2 receptor
blocker and anti schizophrenic drugs. The
first Antipsychotic medications were
introduced in the 1950. Antipsychotic
medications have helped many patients with
psychosis lead a more normal and fulfilling
life by alleviating psychotic symptoms.
2. 5 MIN Classify CLASSIFICATION:- PPT What are the types
antipsychotics. of antipsychotics?
It is classified in two categories:-
1. Typical Antipsychotic
2. Atypical Antipsychotic
1.TYPICAL ANTIPSYCHOTIC DRUGS
• PHENOTHIAZINEES:-Chlorpromazine,
triflupromazine, trifluoperazine,
fluphenazine deconoate.
• THIOXANTHENE:- Flupenthisol
• BUTYROPHENONE:- Haloperidol
• DISHEVELED BUTYL:- Pimozide
• PIPERIDINEES :- Penfluridol
• INDOLIC DERIVATIVES :-Nolindone
• DIBENZONAZEPINE:-conapine
2.ATYPICAL ANTIPSYCOTIC DRUGS
Atypical Antipsychotic was found to be more
effective than conventional or typical
Antipsychotic medications in individual with
treatment resistance schizophrenia and the
risk of tardiness dyskinesia was lower.
Commonly used Atypical Antipsychotic are:-
• Clonazapine
• Olanazapine
• Risperidone
• Quetiapine
• Zisprasidone
• Arenapine.
3. 5 MIN Enlist indications INDICATION:- PPT What are the
of antipsychotics. indications of
1-ORGANIC PSYCHIATRIC DISORDERS antipsychotics?
• Delirium
• Dementia
• Delirium tremens
• Drug induced psychosis and other
organic mental disorders
2-PFUNCTIONAL DISORDERS
• Schizophrenia
• Schizo effective disorder
• Paranoid disorder
3-MOOD DISORDER
• Mania
• Major depression with psychotic
symptoms
4-CHILDHOOD DISORDER
• Attention deficit hyperactivity disorder
• Autism
• Aneurosis
• Conduct disorder
5-NEUROTIC AND OTHER
PSYCHIATRIC DISORDERS
• Anorexia nervosa
• Intractable obsessive compulsive
disorder
• Severe intractable and disabling anxiety
6-MEDICAL DISORDERS
• Huntington chorea
• Intractable hiccups
• Nausea & vomiting
• Tic disorder
• Heat stroke
4. 3 MIN Discuss PHARMACOKINETICS Teacher will
pharmacokinetics Antipsychotic when administered orally are discuss
observed variably from the GIT with uneven pharmacokinetic
blood vessels. They are highly bounded to s
plasma as well as tissue protein. Brain
concentration is higher than plasma
concentration. They are metabolized in the
liver and excreted mainly through the kidney.
The elimination half life varies from 10-24
hours.
5. 10 Describe MECHANISM OF ACTION Teacher will
MIN mechanism of Antipsychotic drug block D2 receptor in the describe MOA
action mesolimbic and mesofrontal system. Sedation of antipsychotics
is caused by alpha - adrenergic blocker. Anti
dopaminergic action on basal ganglia are
responsible for causing EPS [Extra pyramidal
syndrome].
Atypical Antipsychotic have antiseronergic
[5-HTI, antiseronergic and antihistaminergic
actions. These are therefore called as
serotonin dopamine antagonist.
6 7 MIN ADVERSE EFFECTS What are the
Enlist adverse adverse effects of
effects of A. EXTRA PYRAMIDAL SYMPTOMS antipsychotics?
antipsychotics. (EPS]
These are serious neurological symptoms and
major side effect of Antipsychotic drugs.
Blockage of D2 receptor in mid brain region
of the brain stem is responsible for the
development of EPS.
1. Neuroleptic: -Induced parkinsonism
symptoms include rigidity tremors,
bradykinesla, stooped posture, drooling, a
kinesiology, ataxia etc.
2. Acute dystopia:-Dystonic movement
results from a slow sustained muscle spasm
that leads to an involuntary movement. It can
Involve the neck, jaw, tongue and the entire
body
3. Akathisia: Akathisia is a subjective feeling
of muscular discomfort that can cause patients
to be agitated, restless and feel generally
dysphonic.
4. Tardive dyskinesia:-It is the delayed
adverse effects of antipsychotic. It consists of
abnormal, irregular movements of the
muscles of the head, limbs, and trunk.
5. Neuroleptic malignant syndrome:-
This is a rare but serious disorder occurring in
a small minority of patients taking
Neuroleptic, especially high -potency
compound.
B.AUTONOMIC SIDE EFFECTS
Dry mouth, constipation, cycloplegia, urinary
retention, ortho static hypotension, impotence
and impaired ejaculated.
C.SEIZURE
D.OTHER EFFECTS
• Agranulocytosis
• Weight gain
• Jaundice
• Dermatological effects
• Sexual dysfunction
• Dystonia
7. 2 MIN Enlist CONTRAINDICATIONS PPT
contraindications
of antipsychotics. • Known hyper sensibility
• Comatose state
• Blood dyscrasias
• Hepatic, renal or cardiac disease
8. 10 Describe role of NURSES RESPONSIBILITY FOR PPT What are the
MIN nurse A PATIENT RECEIVING responsibility of
nurse related to
ANTIPSYCHOTIC antipsychotics?
• Instruct the patient to take Of water
frequency to relieve dryness of mouth.
• A high Fibre diet, increase fluid intake
and laxative if needed, help to reduce
constipation.
• Advise the patient to get up from the bed
or chair very slowly. Patient should sit on
the edge of the bed for one full minute
dangling his feet before standing up.
• Differentiate between Akathisia and
agitation and inform the physician
• Observe the patient regularly for abnormal
movement.
• Take all seizures precautions.
• Patients should be warned about driving a
car or operating machinery when first
treated with antipsychotic drug.
• Advice the patient to use of sunscreen
measures for photosensitive reaction.
• Teach the importance of drugs
compliance, side effects of drugs, and
reporting it too severe, regular follow-ups.
❖ SUMMARY
In this session we have discussed about definitions, classifications, indications, contraindications, mechanism of action etc.
❖ CONCLUSION
I hope that you all understand about antipsychotics, its application in nursing and its importance in real life.
❖ RECAPTUALIZATION
• What are the side effects of antipsychotics?
• What is the classification of antipsychotics?
❖ ASSIGNMENT
What are the roles of nurse related to antipsychotics?
❖ BIBLIOGRAPHY
➢ BOOK MATERIALS:-
• Mary C Townsend. “Psychiatric Mental Health Nursing” Concept of care, 4th edition F.A. Davis Co. Philadelphia 2003.
• Sreevani R,A Guide to Mental Health and Psychiatric Nursing,4th ed. Jaypee Brothers Medical Publishers, New Delhi 2016
➢ INTERNET MATERIALS:-
• https://en.wikipedia.org
• https://www.slideshare.com
