Herzing NU671 Unit 5 Assignment Latest 2021 June

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Question

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NU671 Clinical Decision-Making

Unit 5 Assignment  

Clinical Preparation Journal

Each week you will be given a prompt to write a reflective journal assignment that will allow you to investigate areas for clinical preparation in psychiatric mental health.  For this week’s journal entry complete the Psychiatric Emergencies s/sx and treatment template.

Complete the chart below with the following information:

o              Onset and Causes

o              Additional Notes

o              S/Sx

o              Treatment

Emergency

Neuroleptic Malignant Syndrome (NMS)

Onset/Causes
  • within hours or days after exposure to a causative drug, with most exhibiting symptoms within 2 weeks and nearly all within 30 days
  • Primary trigger of NMS is dopamine receptor blockade and the standard causative agent is an antipsychotic. Potent typical neuroleptics such as haloperidol, fluphenazine, chlorpromazine, trifluoperazine, and prochlorperazine have been most frequently associated with NMS and thought to confer the greatest risk.
  • Idiosyncratic-time limited reaction

Additional Notes
  • More common in men than women

S/Sx
  • Fever
  • Muscle rigidity
  • Autonomic instability
  • Clouding of consciousness, LOC
  • Elevated WBC/CPK

Tx
  • Withhold neuroleptics
  • Hydrate (IV)
  • Consider Dantrolene

 

 

 

 

 

 

 

 

Emergency

Delirium Tremens (DTs)

Onset/Causes

 

Additional Notes

 

S/Sx

 

Tx

 

 

 

 

Emergency

Serotonin Syndrome (SS)

Onset/Causes

 

Additional Notes

 

S/Sx

 

Tx

 

 

 

 

Emergency

Tyramine Reaction/Hypertensive Crisis

Onset/Causes

 

Additional Notes

 

S/Sx

 

Tx

 

 

 

 

Emergency

Acute Dystonia

Onset/Causes

 

Additional Notes

 

S/Sx

 

Tx

 

 

Emergency

Tardive Dyskinesia* (adverse reaction not always emergency state)

Onset/Causes

 

Additional Notes

 

S/Sx

 

Tx

 

 

Emergency

Lithium Toxicity

Onset/Causes

 

Additional Notes

Lab values?

S/Sx

 

Tx

 

 

 

 

Emergency

Tricyclic Antidepressant (TCA) Toxicity

Onset/Causes

 

Additional Notes

 

S/Sx

 

Tx

 

 

 

 

Emergency

Neonatal Abstinence Syndrome

Onset/Causes

 

Additional Notes

 

S/Sx

 

Tx

 

 

 

 

 

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