Neuroleptic Malignant Syndrome Nursing Interventions
Neuroleptic malignant syndrome nursing interventions. Electroconvulsive therapy ECT is an increasingly popular treatment for drug-resistant depression that may have utility for some patients with neuroleptic malignant syndrome NMS who are unresponsive to pharmacotherapy. Nursing diagnoses for neuroleptic malignant syndrome are formulated based on the symptoms exhibited by a patient. 1HOLD ANY ANTIPSYCHOTIC MEDICATION AND NOTIFY PHYSICIAN 2.
Pelonero and colleagues3suggest 6 initial important steps to be taken. Neuroleptic malignant syndrome NMS is an uncommon idiosyncratic life-threatening complication of treatment with antipsychotic medications. It is characterised by altered mental state increased muscle tone or frank rigidity.
Prompt and appropriate identification and intervention are essential for successful management of SS and NMS. Planning write measurable goalsoutcomes and nursing interventions Implementation initiate the care plan Evaluation determine if goalsoutcomes have been met Care plan reality. The suggested treatment algorithm allows for specific treatment of both disorders and avoids potentially exacerbating either one.
ECT electroconvulsive therapy neuroleptic. The foundation of any care plan is the signs symptoms or responses that patient is having to what is happening to them. Nonpharmacologic management centers on aggressive supportive care including vigilant nursing physical therapy cooling rehydration anticoagulation.
Using a case study the authors discuss the diagnosis and treatment of a patient with NMS undergoing ECT. Pharmacologic interventions include immediate discontinuation of antipsychotics judicious use of anticholinergics and adjunctive benzodiazepines. Utility for some patients with neuroleptic malignant syndrome NMS who are unresponsive to pharmacotherapy.
This article affords a succinct review of the literature related to NMS and provides suggestions for psychiatric nurse educators to facilitate early recognition thereby reducing mortality and morbidity. How is neuroleptic malignant syndrome treated. 1 stop neuroleptic therapy 2 seek appropriate consultation 3 transfer the patient promptly to the best care setting 4 document a differential diagnosis plan 5 document a treatment plan.
Electroconvulsive therapy ECT may be effective for patients with neuroleptic malignant syndrome NMS who are unresponsive to pharmacotherapy. Respiratory System The diaphragm is a.
Although it is unusual for serotonin syndrome to cause a fatality a severe case is a medical emergency that can rapidly cause multisystem organ failure.
This article affords a succinct review of the literature related to NMS and provides suggestions for psychiatric nurse educators to facilitate early recognition thereby reducing mortality and morbidity. Of particular concern is Neuroleptic Malignant Syndrome NMS. Any medications within the family of neuroleptics can cause the. The algorithm derived from this case could serve as both a p. The features of NMS its pathophysiology differential diagnosis clinical course risk factors and morbidity and motality are reviewed. Planning write measurable goalsoutcomes and nursing interventions Implementation initiate the care plan Evaluation determine if goalsoutcomes have been met Care plan reality. How is neuroleptic malignant syndrome treated. And for the neuroleptic malignant syndrome or malignant hyperthermia. Electroconvulsive therapy ECT is an increasingly popular treatment for drug-resistant depression that may have utility for some patients with neuroleptic malignant syndrome NMS who are unresponsive to pharmacotherapy.
This preview shows page 1 out of 1 page. The algorithm derived from this case could serve as both a p. Using a case study as an example this article discusses the diagnosis of a patient with NMS the use of ECT as a treatment for NMS and the importance of nursing care for these patients. Pharmacologic interventions include immediate discontinuation of antipsychotics judicious use of anticholinergics and adjunctive benzodiazepines. Neuroleptic malignant syndrome is a rare but life-threatening reaction that can occur in response to neuroleptic or antipsychotic medication. Of particular concern is Neuroleptic Malignant Syndrome NMS. Electroconvulsive therapy ECT may be effective for patients with neuroleptic malignant syndrome NMS who are unresponsive to pharmacotherapy.
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