Question

In: Nursing

The patient is a 54-year-old man with a history of schizophrenia. The patient was started on...


The patient is a 54-year-old man with a history of schizophrenia. The patient was started on haloperidol (Haldol) 6 months ago. Today the patient’s family calls the clinic to discuss symptoms that have occurred more frequently over the past 2 weeks. The family describes that the patient has had stiffness, a shuffling gait, hand tremors, and a delay in response to questions.

What advice will the nurse offer to the family?
Which medication(s) would the nurse anticipate the physician will order to treat these symptoms and WHY?
The family asks the nurse if there are any other adverse effects of haloperidol that the family should anticipate. How should the nurse respond?
Discussion Part B: Post a response addressing the following question.

As a general rule, how does a physician decide which antipsychotic to prescribe for a particular patient? Which drug is ‘best’?” Provide supporting evidence to support your answer (be sure and cite your source)

Identify major differences in typical and atypical antipsychotics.

Solutions

Expert Solution

#. The advice given bt the nurse to the family is that stop the haloperidol as these symptoms are it's side effects .

#. The medication that the nurse would anticipate the physician will order to treat these symptoms are anticholinergic agents

Tremor and rigidity were the only parkinsonian symptoms that responded to anticholinergic therapy. They act by blocking the excessive nigrostriatal acetylcholine transmission that ultimately causes the motor side effects .

#. Other Side Effects nurse must anticipate for :-

sedation, extrapyramidal symptoms, orthostatic hypotension, headache, photosensitivity, dry mouth and eyes, blurred vision,tachycardia, seizures, urinary retention

life-threatening: laryngospasm, respiratory depression, cardiac dysrhythmias, neuromalignant syndrome, agranulocytosis

#. GENERAL FACTORS CONSIDERED IN CHOICE OF ALL PSYCHOTROPIC MEDICATIONS:

1. Clients age and physical/medical conditions

2. Severity and duration of illness

3. Frequency and severity of adverse effects; clients use of and response to type of psychotropic medication in the past

4. Supervision available; physician experience with particular medication

5. Cost of medication

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

Behavioral Case Study 1: Psychosis The patient is a 53-year-old male with a history of schizophrenia...
Behavioral Case Study 1: Psychosis The patient is a 53-year-old male with a history of schizophrenia with many psychiatric hospitalizations. The patient was admitted on an involuntary “blue paper” for dangerousness towards himself and being unable to take care of himself. In the emergency department he became agitated and attempted to assault a staff member. A psychiatric emergency was declared, and Olanzapine 10 mg and Ativan 2 mg was administered I.M. This patient lived with an elderly mother who recently...
Homeostatic Case Study Patient: Mr. Kaunda70-year-old man with respiratory problems History: A 70-year-old man with chronic renal failure...
Homeostatic Case Study Patient: Mr. Kaunda70-year-old man with respiratory problems History: A 70-year-old man with chronic renal failure was in the hospital in serious condition recovering from a heart attack. He had just undergone "coronary angioplasty" to redilate his left coronary artery, and was thus on an "npo" diet (i.e. he was not allowed to have food or drink by mouth). He received fluid through an intravenous (IV) line. Late one night, a new nurse who really did not understand the concept...
CASE STUDY 36.1 Patient With a Transplant Brief Patient History Mr. V is a 42-year-old man...
CASE STUDY 36.1 Patient With a Transplant Brief Patient History Mr. V is a 42-year-old man with chronic viral hepatitis C. He has a Model for End-Stage Liver Disease (MELD) score greater than 25. Mr. V is in acute fulminant liver failure and is on the waiting list to receive a liver transplant. Mr. V was hospitalized 2 weeks ago with ascites, hepatorenal syndrome, and hepatic encephalopathy. He has been treated with diuretics, antibiotics, and laxatives. Before transplantation, he remained...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mrs. G is a 54-year-old African American woman who has been having intermittent...
Brief Patient History Mrs. G is a 54-year-old African American woman who has been having intermittent indigestion for the past month. She has a history of hypertension and hyperlipidemia. She was admitted as an inpatient on a medical floor for management of her blood pressure and is scheduled to undergo endoscopy tomorrow. Mrs. G suddenly becomes diaphoretic and complains of nausea and epigastric pain. Clinical Assessment The rapid response team is called to evaluate Mrs. G. When the team arrives...
3. A 35-year-old patient, diagnosed with schizophrenia, refuses to eat. The patient tells the nurse: “I...
3. A 35-year-old patient, diagnosed with schizophrenia, refuses to eat. The patient tells the nurse: “I am being poisoned.” According to Erikson’s theory, in what developmental stage would you place the patient? a. Autonomy vs. shame and doubt b. Intimacy vs. isolation c. Generativity vs. self-absorption d. Trust vs. mistrust 4. The nurse is assessing a client diagnosed with an autism spectrum disorder. According to Mahler’s theory of object relations, which describes the client’s unmet developmental need? a. The need...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT