A patient taking haloperidol develops severe neck spasm and upward deviation of the eyes. Which action should the nurse take first?
Correct answer: A. Report the acute dystonic reaction promptly
- A. Report the acute dystonic reaction promptly
- B. Encourage the patient to walk in the corridor
- C. Give the next dose with an antacid
- D. Place the patient in a dark quiet room
Explanation
Acute dystonia is an extrapyramidal reaction caused by dopamine blockade and may affect the neck or airway muscles. Prompt reporting is needed because a prescribed anticholinergic such as benztropine or diphenhydramine may be required; walking or antacids do not treat the reaction.
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About Analgesics and CNS Drugs
This area covers opioid and non-opioid analgesics, local anaesthetics, sedatives, anxiolytics, antidepressants, antipsychotics, antiepileptics and drugs for Parkinsonism. It examines therapeutic actions, dependence, respiratory depression, extrapyramidal effects, serotonin related toxicity and the distinction between pain relief, sedation and loss of consciousness.
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