A patient arrives in the emergency department with dehydration. The patient reports taking fluphenazine (Prolixin) to treat schizophrenia. The nurse notes rigid muscles and an altered mental status
The patient has a temperature of 103.6° F, a heart rate of 98 beats per minute, and a blood pressure of 90/58 mm Hg. The nurse will anticipate administering which medication?
a. Dantrolene (Dantrium)
b. Haloperidol (Haldol)
c. Propranolol (Inderal)
d. Tetrabenazine (Xenazine)
ANS: A
The patient is exhibiting signs of neuroleptic malignant syndrome. Muscle relaxants, such as dantrolene, are usually given. Haloperidol is used to treat psychosis. Propranolol is used for treating akathisia. Tetrabenazine is sometimes used to treat symptoms of tardive dyskinesia.
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