What response would be anticipated when a patient who received chlorpromazine (Tho-razine) for 15 years to treat schizophrenia is switched to Seroquel (quetiapine)?

a. Development of pseudoparkinsonism
b. Development of dystonic reactions
c. Improvement in tardive dyskinesia
d. Worsening of anticholinergic symptoms


ANS: C
Atypical antipsychotics have been noted to block oral dyskinesia and improve tardive dyski-nesia as well as improve both positive and negative symptoms of schizophrenia. Pseudopar-kinsonism and dystonic reactions are associated with typical antipsychotic medication. Anti-cholinergic symptoms are not intense with the use of atypical antipsychotic medication.

Nursing

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