The client who is recovering from schizophrenia has just seen the psychiatrist and tells the nurse that the Olanzapine (Zyprexa) is being reduced from 20 mg to 15 mg
This client asks the nurse why the Olanzapine is just not discontinued since the client has not had a hallucination for two months. Which nursing response to the client is correct? 1. "I will check your serum level to see if it was too high and the reason for the reduction."
2. "This medication is gradually reduced and continued to prevent a relapse."
3. "I think that you should call your psychiatrist and ask to discontinue the Olanzapine."
4. "The 20 mg of Olanzapine is above the recommended dose and was reduced due to the risk of toxicity."
2
Rationale: Antipsychotic medications are gradually reduced after maximum clinical improvement has been obtained. The dosage range of Olanzapine is between 5–20 mg. Serum levels for antipsychotic medications are not routinely checked. It would be premature to discontinue the medication for at least three to six months following an acute episode.
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