A patient taking haloperidol develops severe muscle stiffness, high fever, confusion and sweating. Which action is the priority?
Correct answer: B. Report the findings and withhold the drug
- A. Give the next dose with food
- B. Report the findings and withhold the drug
- C. Encourage walking to reduce stiffness
- D. Offer reassurance and reassess tomorrow
Explanation
This combination suggests neuroleptic malignant syndrome, a potentially fatal reaction to antipsychotic medication. The drug should be withheld and urgent medical review arranged; routine reassurance or exercise can delay treatment.
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About Psychotic Disorders
Psychotic disorders involve disturbances in reality testing, including delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. Coverage includes schizophrenia and related disorders, assessment of thought content and perception, risk management, antipsychotic treatment, and the distinction between psychosis, delirium, substance effects, and mood disorders.
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