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+--- Thread: 32 femal - a_antibody (/showthread.php?tid=160188)
32 femal - a_antibody - ArchivalUser - 02-08-2007
32 f with paranoid schizophrenia who s a patient in a closed 32 femal psychiatric unit. several days after the patient admission , she develope polyuria vomitting and stupor diarrea and restless. she is curently taking risperidone , 10 mg bed time . but no other medication . which of the following is the most likely diagnosis..
a. aticholinergic crisis
b.serotonin sundrome
c.acute dystonia
d. tardiv dyskinesia
e. water intoxication
0 - ArchivalUser - 02-08-2007
eeee
not sure
0 - ArchivalUser - 02-09-2007
ans plsss
0 - ArchivalUser - 02-09-2007
e:
0 - ArchivalUser - 02-09-2007
it's eeeeee
0 - ArchivalUser - 02-09-2007
don't get it. Anybody, explanation, pls. thx.
0 - ArchivalUser - 02-09-2007
ere you go new new 2ooooooo hThis patient is showing the symptoms of psychogenic polydipsia, which is the excessive intake of water as a result of a psychiatric disorder. The symptoms of excessive water intake include polyuria, vomiting, and diarrhea. As the patient is on a closed psychiatric unit, the chances of reactions to excessive medications are rare, given the careful monitoring of medication intake on most psychiatric units. Surreptitious water consumption would be easy to overlook in a patient without a previous history. Anticholinergic crisis (choice A) is not a possibility in a patient not receiving anticholinergic medications, such as diphenhydramine or Cogentin. Acute dystonic reaction (choice B) is an adverse reaction of some antipsychotics, such as haloperidol or trifluoperazine, and is rare in a patient taking risperidone. Serotonin syndrome (choice C) is a reaction of autonomic instability that is accompanied by fluctuations in blood pressure and flushing. It is associated with the mixing of monoamine oxidase inhibitors and serotonin specific reuptake inhibitors. Tardive dyskinesia (choice D) is a syndrome of abnormal involuntary movements associated with chronic use of typical neuroleptics, such as haloperidol
0 - ArchivalUser - 02-09-2007
thanks a lot! a_antibody ! Seems that ur going to take exam soon. GL, new