NR 546 Week 3 Discussion.
ss ss ss ss ss
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ss ss ss ss ss
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ss ss ss
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ss ss
Dr. ssOkpaleke ssand ssClass,
In ssthe sscase ssof ssLM sspresenting sswith sschief sscomplaints ssof sshearing ssvoices sswith ssno sspast
sspsychiatric sshistory ssbut ssa sspositive ssfamily sshistory ssof sssuicide ssand sssubstance ssabuse. ssLM ssis
ssdiagnosed sswith ssF20.9sSchizophrenia, ssunspecified. ssAccording ssto ssStahl ss(2021), sspsychosis ssis
ssa sssyndrome sswith ss a ssmixture ssof sssymptoms ssthat sscan ssbe ssassociated sswith ssdifferent
sspsychiatric ssdisorders. ssFurthermore, ssit sshas ssbeenssaid ssthat sspsychosis ssis ssmeans ssdelusions
ssand sshallucinations. ssHallucinations ssare ssperceptual ssexperiences ssof ssany sssensory ssmodality,
ssespecially ssauditory, ssaccording ssto ssStahl ss(2021).
The ssAPA ss(2021) ssrecommends ssthe ssuse ssof sssecond-generation ssantipsychotic ssmedication ssfor
ssstable sspatients sspresenting ssto ssoutpatient ss settings, sswhile ssrecommending ssfirst ssgeneration
ssantipsychotics ssforsunstable ssinpatient ssuse. ssTherefore, ssI sschose ssChlorpromazine ssfor ssits
sstherapeutic ssuse ssas ss an ssoral ssagentsfor ssschizophrenia. ssChlorpromazine ssis ssa ss conventional
ssantipsychotic ss which ssworks ssas ssa ssdopamine ssand ssserotonin ssreceptor ssantagonist ss(DS-Ran),
ssaccording ssto ssStahl ss(2020).
The ssprescription ssfor ssthis ssmedication ssshould ssbe sswritten ssas sssuch; sspatient ssname: ssLM,
ssdate ssof ssbirth ss01/01/1984, ssNKDA, ssDrug: ssChlorpromazine ss25mg sstablet ssby ssmouth ss every
sssix sshours ssfor ss2 ss weeks.sPrescribers ssname ssand ss credentials, sssignature ssand ssdate ssof
ssprescribing.
Chlorpromazine sshas ssbeen ssused ssin sstreating ssSchizophrenia’s sspositive sssymptoms ssand ssis
ssused ssto ssmanage ssand sstreat ss schizophrenia, ssbipolar ssdisorders, ssand ssacute sspsychosis,
ssaccording ssto ss Mann ss&sMarwaha ss(2021).
According ssto ssStahl ss(2020), ssside sseffects ssof ssChlorpromazine ssare ssdose ssrelated, sshowever ssthe
ssnotable ssside sseffects ssare ssdizziness, sssedation, ssimpaired ssmemory, ssdry ssmouth, ssconstipation,
ssurinary ssretention, sblurred ssvision, ssdecreased sssweating, sssexual ssdysfunction, ssweight ssgain, ss and
sstardive ssdyskinesia.
The ssrequired ssdiagnostic sstesting ssfor ssChlorpromazine ssincludes ssobtaining ssbaseline ssweight
ssand ssBMIo s f sspatient, ssobtaining ssbaseline ssdiabetes sstesting sssuch ssas ssfasting ssplasma ssglucose,
ssas ss well ssas sstesting ssbaseline sslipid sspanel, ssobtain ssbaseline ssmetabolic sspanel, sscomplete ssblood
sscount ssand ssprolactin sslevels,sand ssfinally, ssobtain ss baseline ssvital sssigns ss and ssmonitor ssfor
ss ss ss ss ss
questions and detailed answers all
ss ss ss ss ss
question upgraded /newest
ss ss ss
version[grade a+]
ss ss
Dr. ssOkpaleke ssand ssClass,
In ssthe sscase ssof ssLM sspresenting sswith sschief sscomplaints ssof sshearing ssvoices sswith ssno sspast
sspsychiatric sshistory ssbut ssa sspositive ssfamily sshistory ssof sssuicide ssand sssubstance ssabuse. ssLM ssis
ssdiagnosed sswith ssF20.9sSchizophrenia, ssunspecified. ssAccording ssto ssStahl ss(2021), sspsychosis ssis
ssa sssyndrome sswith ss a ssmixture ssof sssymptoms ssthat sscan ssbe ssassociated sswith ssdifferent
sspsychiatric ssdisorders. ssFurthermore, ssit sshas ssbeenssaid ssthat sspsychosis ssis ssmeans ssdelusions
ssand sshallucinations. ssHallucinations ssare ssperceptual ssexperiences ssof ssany sssensory ssmodality,
ssespecially ssauditory, ssaccording ssto ssStahl ss(2021).
The ssAPA ss(2021) ssrecommends ssthe ssuse ssof sssecond-generation ssantipsychotic ssmedication ssfor
ssstable sspatients sspresenting ssto ssoutpatient ss settings, sswhile ssrecommending ssfirst ssgeneration
ssantipsychotics ssforsunstable ssinpatient ssuse. ssTherefore, ssI sschose ssChlorpromazine ssfor ssits
sstherapeutic ssuse ssas ss an ssoral ssagentsfor ssschizophrenia. ssChlorpromazine ssis ssa ss conventional
ssantipsychotic ss which ssworks ssas ssa ssdopamine ssand ssserotonin ssreceptor ssantagonist ss(DS-Ran),
ssaccording ssto ssStahl ss(2020).
The ssprescription ssfor ssthis ssmedication ssshould ssbe sswritten ssas sssuch; sspatient ssname: ssLM,
ssdate ssof ssbirth ss01/01/1984, ssNKDA, ssDrug: ssChlorpromazine ss25mg sstablet ssby ssmouth ss every
sssix sshours ssfor ss2 ss weeks.sPrescribers ssname ssand ss credentials, sssignature ssand ssdate ssof
ssprescribing.
Chlorpromazine sshas ssbeen ssused ssin sstreating ssSchizophrenia’s sspositive sssymptoms ssand ssis
ssused ssto ssmanage ssand sstreat ss schizophrenia, ssbipolar ssdisorders, ssand ssacute sspsychosis,
ssaccording ssto ss Mann ss&sMarwaha ss(2021).
According ssto ssStahl ss(2020), ssside sseffects ssof ssChlorpromazine ssare ssdose ssrelated, sshowever ssthe
ssnotable ssside sseffects ssare ssdizziness, sssedation, ssimpaired ssmemory, ssdry ssmouth, ssconstipation,
ssurinary ssretention, sblurred ssvision, ssdecreased sssweating, sssexual ssdysfunction, ssweight ssgain, ss and
sstardive ssdyskinesia.
The ssrequired ssdiagnostic sstesting ssfor ssChlorpromazine ssincludes ssobtaining ssbaseline ssweight
ssand ssBMIo s f sspatient, ssobtaining ssbaseline ssdiabetes sstesting sssuch ssas ssfasting ssplasma ssglucose,
ssas ss well ssas sstesting ssbaseline sslipid sspanel, ssobtain ssbaseline ssmetabolic sspanel, sscomplete ssblood
sscount ssand ssprolactin sslevels,sand ssfinally, ssobtain ss baseline ssvital sssigns ss and ssmonitor ssfor
