Sl.no. Specific objectives Time Content matter Teaching/learning A.V.

Aids Evaluation
activities
1. To introduce self and ½ SELF INTRODUCTION: - - Greeting the group.
about the topic. Min Good morning. My name is Rajdeep Kaur, student -Self-introduction is
of M.Sc. Nursing 1st year. Today, I am going to given to the group.
present a presentation on antipsychotic drugs. - Announcing the topic
to be taught
-Writing the topic on
the board
2. To assess previous ½ PREVIOUS KNOWLEDGE Reviewing the
knowledge of the group. Min But before starting today’s teaching, let us review knowledge of the group
your previous knowledge. by asking questions:
-what is antipsychotic
drugs?

3. To introduce the topic to 1min INTRODUCTION Introduction of topic is Blackboard What is

the group. -The first antipsychotic medications were given to the group. and power anti-
introduced in the 1950s. Antipsychotic medications point psychotics
have helped many patients with psychosis lead a drugs?
more normal and fulfilling life by alleviating
psychotic symptoms.
-The early antipsychotic medications often have
unpleasant side effects such as muscle stiffness,
tremor and abnormal movements, leading
researchers to continue their search for better drugs.
-The 1990s saw the development of several new
drugs for schizophrenia, called "atypical
antipsychotics." Because they have fewer side-
effects than the older drugs, today they are often
used as a first-line treatment.
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5. Enumerate the 1min CLASSIFICATION Teacher activity: Blackboard Enumerate

classification of Enumerate the classification Second
antipsychotics drugs * FIRST GENERATION of antipsychotics drugs generation
ANTIPSYCHOTIC with the help of blackboard antipsychotics
Learning activities: drugs?
(1) High potency Students are observing
-Fluphenazine and note down
-Haloperidol (5-100 mg /day or 5- important points
20mg/day I/M)
-Pimozide
-Thiothixene

(2) Low potency

-Chlorpromazine (300-1500g/day)
-Prochlorperazine
-Thioridazine

* SECOND GENERATION
ANTIPSYCHOTIC
-Aripiprazole
-Asenapine
-Clozapine(300-900 mg)
-Iloperidone
-Lurasidone
-Olanzapine(5-15 mg)
-Quetiapine(150- 750 mg)
-Paliperidone
-Risperidone(2-8 mg)
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6. Enlist the 1 min CONTRAINDICATIONS/CAUTIONS - Teacher activity: Power Enumerate any

contraindication of Hypersensitivity (cross-sensitivity may exist among Enlist the contraindication point three
antipsychotics drugs phenothiazines). of antipsychotics drugs contraindication
-CNS depression is evident, with when blood and presenting through
of anti-
dyscrasias exist power point
-Parkinson disease Learning activities: psychotics
-Liver, renal, or cardiac insufficiency. Students note down drugs ?
Caution should be taken in administering these important points
drugs to clients who are
-Elderly,
-Severely ill
-Diabetic clients
-Respiratory insufficiency
-Prostatic hypertrophy
-Intestinal obstruction
-Safety in pregnancy and lactation has not been
established.

7. Describe the 1min INDICATION Teacher activity: Pamphlets Enlist indication

indication of Organic psychiatric disorders Describe the indication of of anti-
antipsychotic drugs - Delirium antipsychotics drugs and psychotics
- Dementia distributed pamphlets
drugs?
- Delirium tremens
- Drug-induced psychosis and other organic mental
disorders
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no. activities

Functional disorders Learning activities:

- Schizophrenia Students note down
-Schizoaffective disorders important points
-Paranoid disorders Asking question:
- enlist the indication of
Mood disorders antipsychotics drugs?
-Mania
-Major depression with psychotic symptoms

Childhood disorders
- Attention-deficit hyperactivity disorder
-Autism
-Enuresis
- Conduct disorder

Neurotic and other psychiatric disorders

-Anorexia nervosa
-Intractable obsessive-compulsive disorder
-Severe, intractable and disabling anxiety

Medical disorders
-Huntington's chorea
-Intractable hiccough
-Nausea and vomiting
-Tic disorder
-Eclampsia
-Severe pain in malignancy
-Tetanus
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8. Describe the 1min PHARMACOKINETICS Teacher activity: Power point Describe the
pharmacokinetics of -Antipsychotics when administered orally are Enlist the pharmacokinetics
antipsychotic drugs absorbed variably from the gastrointestinal tract, contraindication of of antipsychotics
with uneven blood levels. antipsychotics drugs and
drugs?
-They are highly bound to plasma as well as tissue presenting through power
proteins. point
Brain concentration is higher than plasma Learning activities:
concentration. Students note down
-They are metabolized in the liver. important points
-Excreted mainly through the kidneys. The
elimination half-life varies from 10-24 hours

9. Explain the 2min PHARMACODYNAMICS Teacher activity: Chart Explain the

pharmacodynamics of -Antipsychotic drugs block D2 receptors in the Explain the mechanism of
antipsychotics drugs mesolimbic and mesofrontal systems (concerned pharmacodynamics` of action of anti-
with emotional reactions). antipsychotics drugs and psychotic drugs?
-Atypical antipsychotics have antiserotonergic (5- explained through chart
hydroxytryptamine or 5-HT) antiadrenergic and Learning activities:
antihistaminergic actions. Students note down
These are, therefore, called as serotonin dopamine important points
antagonists.

10 Describe the adverse 2min ADVERSE EFFECTS Teacher activity: Hand-out Enlist the side
effect of EXTRAPYRAMIDAL SYMPTOMS Enlist the adverse effect effects of anti-
antipsychotics -blockade of D2 receptors in the midbrain region of of antipsychotics drugs psychotics
the brain stem is responsible for the development of and distributed hand-out drugs?
extrapyramidal symptoms.
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1.PSEUDOPARKINSONISM OR Learning activities:

NEUROLEPTIC PARKINSONISM Students note down
-Rigidity important points
-Tremors Asking question:
-Bradykinesia - enlist the side effects of
-Stooped posture antipsychotics drugs?
-Drooling
-Akinesia
-Ataxia

2.ACUTE DYSTONIA
-slow sustained muscular spasm lead to an
involuntary movement
-facial grimacing
-involuntary upward eye movement(oculogyric
crisis)
-muscle spasm of tongue, face, neck, back
(opisthotonos)
-laryngeal spasms

3.TARDIVE DYSKINESIA
-abnormal ,irregular choreoathetoid movements of
the muscles of head ,limbs and trunk
-protusion and rolling of the tongue
Sucking and smacking movements of the lips
-chewing motion
-facial dyskinesia
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4. AKATHISIA
-muscular discomfort
-restless
-dysphoric
-trouble standing still
-paces the floor
-feet in constant motion, rocking back and forth

5. NEUROLEPTIC MALIGNANT
SYNDROME
Motor symptoms
-hypertonicity
-Stiffness of muscle in throat and chest cause
dysphagia and dysnea
Mental symptoms
-Akineticmutism
-Stupor
-Impaired consciousness
Autonomic disturbance
Muscle rigidity
-Hyperpyrexia 102 to 104 degree F
-Tachycardia
-Tachypnea
-Blood pressure may be increase or decrease
-Excessive sweating, Salivation
-in blood creatinine, phosphokinase level raised
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6..AUTONOMIC SIDE EFFECTS

-Seizures
-Orthostatic hypotension
-Dry mouth
-Constipation
-Cyclopegia
-Mydriasis
-Urinary retention
-Impotence
-Impaired ejaculation
-Sedation
-Agranulocytosis
-Sialorrhea
-Weight gain
-Jaundice
-Dermatological effects (contact dermatitis,
photosensitive reaction)

Side effects of atypical antipsychotics drugs

-Hyperglycemia
-Impaired sexual performance
-Abnormal menstrual cycles and infertility
-Enlarged breast of male and female and fluid
oozes from nipples
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no.

11. Describe nursing 1min NURSING RESPONSIBILITIES Teacher activity: Describe the
responsibilities Describe nursing nursing
- Use caution when driving or operating dangerous responsibility verbally and responsibilities
machinery. Drowsiness and dizziness can occur. presented through power
in
point
- Not stop taking the drug abruptly after long-term Learning activities: administrating
use. To do so might produce withdrawal Students note down anti-psychotics
symptoms, such as nausea, vomiting, dizziness, important points drugs?
gastritis, headache, tachycardia, insomnia

-Use sunscreens and wear protective clothing

when spending time outdoors. Skin is more
susceptible to sunburn, which can occur in as little
as 30 minutes.

-Report weekly (if receiving clozapine therapy) to

have blood levels drawn and to obtain a weekly
supply of the drug.

- Avoid over the counter medication while taking

these medications.

-Drink plenty of water and eat fiber rich diet to

prevent from dry mouth and constipation.
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1min
-In clinical trials, atypical anti-psychotics were
found to be more effective than conventional
or "typical" anti-psychotic medications in
individuals with treatment-resistant
schizophrenia (schizophrenia that has not
responded to other drugs), and the risk of
tardive dyskinesia (a movement disorder) was
lower.
-Antipsychotic medications cannot 'cure' the
illness, but they can take away many of the
symptoms or make them milder. In some cases,
they can shorten the course of an episode of the
illness as well

4 Definition of antipsychotics 1min DEFINITION Teacher activity: Blackboard Define

drug Antipsychotics are those psychotropic drugs, Define antipsychotic drugs on anti-
which are used for the treatment of psychotic blackboard and also presenting psychotics
symptoms. These are also known as through power point
drugs ?
neuroleptics as they produce neurological side- Learning activities:
effects, major tranquilizers, D-receptor Students are observing
blockers and anti-schizophrenic drugs. and note down the
important points
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no.

12. Recollect the topic ½ Summarizing the content with

SUMMARIZATION the help of verbalization while
Min Today ,we have discussed about; filling the gaps and making
•Define antipsychotics drugs generalization of the content.
•Enlist classification -Assessing current ability to
•Enumerate the contraindication and indication recall and comprehension of
•Describe pharmacodynamics and pharmacokinetics topic by asking questions
•Enlist adverse effect of antipsychotics drugs
•Describe the nursing responsibilities

13. Assess the knowledge ½ Teaching activities:

regarding antipsychotics RECAPTUALIZATION -Writing the assignment on
drug Min -Enlist indication of antipsychotics drugs. black board.
-Enlist adverse effect of antipsychotics drug. -Encouraging and motivating
the
group to apply knowledge
Learning activities:
Students will apply their
knowledge while making
assignment
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no.

14. ½ Assignment given to the group.

ASSIGNMENT Date of submission:-
Min Write down the short note on antipsychotics drugs? 24 April, 2024

15. Enhance further ½ Bibliography card given to the Bibliograp

knowledge regarding BIBLIOGRAPHY group. hy card
antipsychotic drugs Min -Townsend C Mary, a textbook of psychiatric
mental health nursing, edition 5th, published by JP
brothers ,page number 301- 306.

-Sreevani R, a textbook of mental health and

psychiatric nursing, edition 4th,published by JP
brothers ,page number 124-128.

https://www.slideshare.net/parasuraman/antipsych
otic-drugs-33010307
 Lesson plan
Name of the Student :- Miss Rajdeep Kaur

Subject :- Mental Health Nursing

Topic :- Antipsychotic drugs

Group :- Students M.Sc. (N) 1st year

Place :- Class Room

Date and Time :- 23-4-2024 at 10:00am

Method of Teaching :- Lecture cum discussion

Duration :- 15 minutes

Name of the supervisor :- Mrs Karmvir Kaur

A.V Aids Used :- Power Point Presentation, black board, chart, pamphlets, handout

General Objectives :- At the end of teaching-learning session, the students will be able to exhibit knowledge regarding

antipsychotics drugs.

Specific Objective :- At the end of teaching-learning session, the students will be able to:

 Define antipsychotics drugs and enumerate classification of antipsychotics drugs

 Describe pharmacokinetics and pharmacodynamics of antipsychotics drugs
 Explain indication and contraindication of antipsychotics drugs
 Describe adverse effects of antipsychotics drugs
 MICRO TEACHING
ON
ANTIPSYCHOTICS DRUGS
SUBJECT- MENTAL HEALTH NURSING
SUBMITTED TO-
MRS. KARMVIR KAUR
PRINCIPAL/ASSOCIATE PROFESSOR IN MENTAL HEALTH NURSING
G.H.G COLLEGE OF NURSING, RAIKOT.

SUBMITTED BY-
MISS RAJDEEP KAUR
M.SC. (N) 1ST YEAR (MENTAL HEALTH NURSING)
G.H.G COLLEGE OF NURSING, RAIKOT.