A patient taking an FGA medication develops severe parkinsonism ...

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A patient taking an FGA medication develops severe parkinsonism and is treated with amanta-dine Symmetrel. The amantadine is withdrawn 2 months later, and the parkinsonism returns. The nurse will expect the provider to:
 
  a. give anticholinergic medications.
  b. make a diagnosis of idiopathic parkinson-ism.
  c. resume the amantadine indefinitely.
  d. try a second-generation antipsychotic (SGA).

Question 2

Which are conditions that may be treated using beta blockers? (Select all that apply.)
 
  a. Cardiac dysrhythmias
  b. Heart failure
  c. Hypotension
  d. Hypothyroidism
  e. Stage fright

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Answer to Question 1

D
Neuroleptic-induced parkinsonism is treated with some of the same drugs used for idiopathic parkinsonism, such as amantadine. If parkinsonism is severe, switching to an SGA may help, because the risk of parkinsonism is much lower with these drugs. An anticholinergic medication may be used initially. A recurrence of parkinsonism when the drug is withdrawn does not indi-cate idiopathic parkinsonism. These drugs should not be used indefinitely.

Answer to Question 2

A, B, E
Beta blockers are used to treat cardiac dysrhythmias, heart failure, and stage fright. They are used to treat hypertension and hyperthyroidism.

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