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We're diving into tardive dyskinesia today, and trust me, this is something you definitely want to know about. We’re breaking down what it is, how to spot it, and what to do if you find it hanging around. By the end of our chat, you’ll be so pumped with knowledge you might just turn into a walking medical exam! We’ve got some juicy pearls to share that’ll help you navigate this tricky topic like a pro. So, grab your favorite snack and let's get into it, ‘cause this episode is packed with insights that’ll keep you sharp in practice!

32

What If Your Most Stable Patient Is Developing Your Biggest Blind Spot?

Pearls and Prep

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Tardive dyskinesia is the name of the game today, and trust me, it's a big deal. We dive deep into this movement disorder, which is basically a party crasher brought on by certain meds like Haldol. Picture this: Joe, our fictional patient, walks in with some serious lip smacking and tongue darting moves that even he doesn’t notice, but his wife Rosa? She's worried. We break down how to recognize tardive dyskinesia, the tricky business of treating it without making things worse, and why simply lowering the dose isn’t always the fix we think it is. By the end of our chat, you’ll be ready to do an AIMS exam on anyone who crosses your path—seriously, you’ll be that empowered! Plus, we sprinkle in some practical tips on how to manage these symptoms, keeping Joe’s medication intact without sending him spiraling back into psychosis. So grab a seat, kick back, and let’s get into the nitty-gritty of keeping our patients safe while navigating the wild world of psychiatry.

Takeaways:

• Tardive dyskinesia is a movement disorder caused by long-term use of antipsychotics, particularly Haldol.
• It's super important to monitor patients on antipsychotics for tardive dyskinesia regularly to catch it early.
• Lowering or stopping antipsychotics can make tardive dyskinesia worse, so be careful with that.
• VMAT2 inhibitors can help manage tardive dyskinesia without compromising antipsychotic effectiveness.
• Doing an Ames exam is crucial for identifying tardive dyskinesia in patients, so don’t skip it!
• Second-generation antipsychotics can also cause tardive dyskinesia, even if they seem less risky.

Links referenced in this episode:

• patreon.com/pearlsandprep

Companies mentioned in this episode:

• Haldol
• Prozac
• Zoloft
• Adderall
• Risperdal
• Olanzapine
• Zyprexa
• Abilify
• Seroquel
• clozapine

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