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Author Question: A patient who is taking fluphenazine (Prolixin) to treat psychosis is experiencing symptoms of acute ... (Read 78 times)

Anajune7

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on: Jul 23, 2018
A patient who is taking fluphenazine (Prolixin) to treat psychosis is experiencing symptoms of acute dystonia. While performing a medication history, the nurse learns that the patient takes herbal medications.
 
  Which herbal supplement would be of concern?
  a. Ginkgo
  b. Ginseng
  c. Kava kava
  d. St. John's wort

Question 2

A patient arrives in the emergency department complaining of difficulty breathing, dizziness, sweating, and heart palpitations. The patient reports having had similar episodes previously. The nurse will expect the provider to order which medication?
 
  a. Flumazenil (Romazicon)
  b. Haloperidol (Haldol)
  c. Lorazepam (Ativan)
  d. Propranolol (Inderal)


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Eazy416

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Kava kava may increase the risk and severity of dystonia when taken with phenothiazines.

Answer to Question 2

ANS: C
The patient is exhibiting signs of acute anxiety, so the anxiolytic lorazepam will be given. Flumazenil is a benzodiazepine antagonist, given for overdose of benzodiazepines. Haloperidol is given for acute psychosis. Propranolol is a beta blocker, used to treat akathisia in patients taking phenothiazines.


Anajune7

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Reply #2 on: Jul 23, 2018
TY


Eazy416

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Reply #3 on: Jul 23, 2018
You're welcome


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