NURS 3390 Study Guide - Final Guide: Orthostatic Hypotension, Amantadine, Dopamine Agonist
6 May 2020
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O most concerned with tardive dyskinesia because it"s irreversible. Dopamine agonist propranolol (inderal): beta blocker clonazepam (klonopin) Neuroleptic malignant syndrome (nms) a medical emergency. Autonomic instability: tachycardia, sweating, unstable bp, drooling, incontinence . Rigidity of muscles lead-pipe rigidity in all muscle groups. Stop triggering medication(s) & inform the prescriber. Initiate supportive care: monitor v/s, electrolytes, fluid balance, renal output. Other common adverse effects: pain control: acetaminophen, dopaminergic agents: bromocriptine (parlodel) or amantadine (symmetrel, muscle relaxant: dantrolene (dantrium, adverse effects related to alpha adrenergic blockade. Cardiovascular side effects: tachycardia, arrhythmia, palpitations, qt interval changes: muscarinic cholinergic blockade. Urinary retention: the anti-cholinergic effects often result in significant discomfort for the patient, significant concerns with qt changes, particularly with the atypical antipsychotics. Ekg is obtained for patients: endocrine side effects. Elevated prolactin is most common with risperdal, males develop breast tissue, and leaking from breast tissue. Treatment-resistant schizophrenia: this is not a first line medication for treatment of psychosis/schizophrenia.
