During a psychiatric emergency, IM ziprasidone (Geodon) is ...

[DyllonKazuo]

During a psychiatric emergency, IM ziprasidone (Geodon) is administered to an assaul-tive patient. During the next 2 hours, it is of primary importance that the nurse assess for:
 
  a. Tardive dyskinesia
  b. Anticholinergic effects
  c. Orthostatic hypotension
  d. Pseudoparkinsonism

Question 2

A patient who began haloperidol (Haldol) therapy 24 hours ago tells the nurse that he feels jittery and unable to sit or stand still. The nurse can hypothesize that this report is related to:
 
  a. Dystonia
  b. Akathisia
  c. Serotonin syndrome
  d. Neuroleptic malignant syndrome

[Beatricemm]

Answer to Question 1

ANS: C
The side effect most likely to appear is orthostatic hypotension related to alpha1 receptor blockade preventing peripheral blood vessels from automatically responding to positional change. Anticholinergic effects are of lesser concern. The remaining options are less likely to occur at this point in therapy.

Answer to Question 2

ANS: B
Akathisia, an extrapyramidal side effect, is characterized by restlessness, inability to sit still, and the need to pace. It usually occurs early in the course of treatment with a typical anti-psychotic drug. The symptomology is not related or seen in the other options.

[DyllonKazuo]

TYSM

[Jsherida]

Excellent