A nurse in a mental health hospital finds a patient with ...

[schs14]

A nurse in a mental health hospital finds a patient with schizophrenia who takes haloperidol (Haldol) lying rigid in bed with a temperature of 41.3 C. A cardiac monitor shows cardiac dysrhythmias.
 
  What will be included in the treatment of this patient? (Select all that apply.)
  a. Anticholinergic medications
  b. Beta blockers
  c. Dantrolene
  d. Intravenous fluids
  e. Withdrawal of haloperidol

Question 2

A patient with schizophrenia has been taking an oral FGA for 1 week. The patient has been taking the drug daily in two divided doses. The individual complains of daytime drowsiness.
 
  The patient's family reports a decrease in the person's hostility and anxiety but states that the patient remains antisocial with disordered thinking. What will the nurse tell the patient and the family?
  a. An increased dose of the drug may be needed.
  b. Intramuscular dosing may be needed.
  c. Some symptoms take months to improve.
  d. The entire dose may be taken at bedtime.

[Kingjoffery]

Answer to Question 1

ANS: C, D, E
Neuroleptic malignant syndrome is characterized by lead pipe rigidity, sudden high fever, and autonomic instability. Treatment requires supportive measures, drug therapy, and immediate withdrawal of the antipsychotic medication. Dantrolene is used to relax muscles and reduce heat production. Intravenous fluids are used to maintain hydration. Anticholinergic medications and beta blockers are not helpful.

Answer to Question 2

ANS: C
When patients begin therapy with antipsychotic medications, some symptoms resolve sooner than others. During the first week, agitation, hostility, anxiety, and tension may resolve, but other symptoms may take several months to improve. It is not necessary to increase the dose in the first week. IM dosing is indicated for patients with severe, acute schizophrenia and for long-term maintenance. Sedation is normal, and once an effective dose has been determined, the entire dose can be taken at bedtime, but not in the initial days of therapy.

[schs14]

TYSM

[scikid]

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