What direct-acting dopamine receptor agonist is recommended to be used in the treatments of
neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade?
A) benzotropine (Cogentin)
B) bromocriptine (Parlod
...
What direct-acting dopamine receptor agonist is recommended to be used in the treatments of
neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade?
A) benzotropine (Cogentin)
B) bromocriptine (Parlodel)
C) dantrolene (Dantrium)
D) trihexyphenidyl (Artane)
A) Bromocriptine (Parlodel) is the recommended direct acting dopamine receptor agonist to help
decrease the dopamine blockade. Danrolene (Dantrium) is a muscle relaxant. Benzotropine (Cogentin)
and Trihexyphenidyl (Artane) are anticholinergic medications used for extrapyramidalside effects(EPS).
Mr. Smith is a 56 year old white male who has been successfully treated on Selegiline for over 4 years.
Mr. Smith is going in for elective surgical procedure. Which medication is strictly contraindicated with
Selegiline?
A) Non-steroidal anti-inflammatory drugs(NSAIDS)
B) Codeine
C) Morphine
D) Meperidine
D) Meperidine is strictly prohibited when a patient is treated on a monoamine oxidase inhibitor (MAOI)
due to the risk of hypertensive crisis and death.
A WBC of 4,000 in a patient taking Clozapine would prompt the PMHNP to take which of the following
actions?
A) Consult with hematologist to determine appropriate antibiotic regimen and monitor closely.
B) Institute twice-weekly complete blood count with differentials and monitor closely.
C) Discontinue clozapine, initiate alternative antipsychotic medication and monitor closely.
D) Institute daily complete blood count with differentials and monitor closely.
B) Institute twice-weekly complete blood count with differentials and monitor closely.
The recommended cut-points for discontinuation of clozapine are WBC of 2,000 to 3,000 or granulocytes
of 1,000 to 1,500 for agranulocytosis and severely compromised immune system. At a WBC of 4,000, the
recommendation is to closely monitor CBC with differential twice a week while patient may continue
clozapine in the absence of any other signs or symptoms.
A patient with a diagnosis of schizophrenia has a history of suicidal ideation and suicide attempts. The
PMHNP should consider which antipsychotic medication that is the only antipsychotic to reduce the risk
lOMoARcPSD|319 010 54
of suicide in schizophrenia?
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