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 1 year ago
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