The assgnment symptoms -include a 3 paper that is to be typed on the following:

Question

The assgnment symptoms -include a 3 paper that is to be typed on the following:

1. Extrapyramidal symptoms - include all symptoms and how the patient presents with each symptom and the interevntions available for each symptom. which meds are most problematic for this side effect?

2. Anticholinergic symptoms - include all symptoms and how the patient presents with each symptom and the interventions available for each symptom. What meds are most problematic for this side effect?

3. Agranulocytosis - include all symptoms and how the patient presents with each symptom and the intervention available for each symptom. Which meds are most problematic for this effect?

Please utilize 3 sources of information and cite them in your paper. you cannot receive a passing grade in clinical unless this assignment is completed on time.

Explanation / Answer

1. Extrapyramidal symptoms:

- stop the neuroleptic with immidiate effect

- give Anticholinergics likke Benztropine

- Typical antipsychotics (haloperidol, chlorpromazine, fluphenazine, olanzapine)

- Mood stabilizers (lithium, carbamazepine)

2. Anticholinergic symptoms: Dry mouth and eyes, blurring of vision, potophobia, confusion, dizziness, excessive salivation, memory impairments, orthostatic hypotension, urinary retention.

Drugs causing the side-effect: Antipsychotics (olanzapine, clozapine, chlorpromazine), Antihistamines (cetrizine), Antidepressants, Antiarrhymics.

Interventions:

3. Agranulocytosis symptoms: fever, sore throat, malaise, bleeding, infection, thrombocytopenia, leucopenia

Drugs causing the side-effect: Antipsychotics (clozapine), antithyroid drugs (propylthiouracil, carbimazole), ACE inhibitors, radioactive elements (I131)

Interventions:

SYMPTOMS PRESENTATION INTERVENTIONS CAUSATIVE AGENTS Acute dystonia spasm of face, neck and tongue muscles (laryngospasm) and occulogyric crisis (involuntary upward deviation of eyes)

- stop the neuroleptic with immidiate effect

- give Anticholinergics likke Benztropine

- Typical antipsychotics (haloperidol, chlorpromazine, fluphenazine, olanzapine)

- Mood stabilizers (lithium, carbamazepine)

Parkinsonism tremors, bradykinesia, rigidity (cogwheel rigidity), impaired speech, drooling, unstable gait -do- -do- Akathisia persistent sense of inner restlessness benzodiapines, beta blockers -do- Tardive dyskinesia repeated movements restricted commonly to oro-lingual region like lip-smacking, tongue movements Switch to atypical antipsychotics -do-

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