The nurse is caring for a client with severe cardiovascular disease and schizophrenia. Which antipsychotic medication would be the safest treatment for this client?
1. Ziprasidone (Geodon)
2. Paliperidone (Invega)
3. Risperidone (Risperdal)
4. Aripiprazole (Abilify)
Correct Answer: 3
Rationale 1: Geodon has the possibility of prolonging the QT interval and should not be given to those with cardiovascular disease.
Rationale 2: Invega causes most common side effects, such as orthostatic hypotension, syncope, and increased risk of death due to heart failure in older adults.
Rationale 3: Risperdal should be used with caution in dysrhythmias but is not specifically listed as a risk in cardiovascular disease.
Rationale 4: Abilify must be administered with caution to persons with cardiovascular disease that predisposes them to hypotension.
Global Rationale: Risperdal should be used with caution in dysrhythmias but is not specifically listed as a risk in cardiovascular disease. Geodon has the possibility of prolonging the QT interval and should not be given to those with cardiovascular disease. Invega causes most common side effects, such as orthostatic hypotension, syncope, and increased risk of death due to heart failure in older adults. Abilify must be administered with caution to persons with cardiovascular disease that predisposes them to hypotension.
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Factors of a General Survey
What will be an ideal response?