Information for a background check must be acquired from a variety of sources, such as relatives and old documents. Due to communication and thinking deficiencies, a client experiencing an acute episode would be unable to provide accurate and insightful assessment data.
A patient is most likely to be diagnosed with disorganized schizophrenia if they display clearly regressive and primitive conduct and have very little interaction with reality. A client's affect is flat or blatantly wrong in this subcategory. Social impairment is severe, and personal hygiene is disregarded.
White blood cell (WBC) counts in adults should range between 4500 to 10,000/mcL. The WBC count for this patient is 2000/mcL, which denotes agranulocytosis, a potentially lethal blood condition. Therapy with the antipsychotic drug clozapine (Clozaril) carries a substantial risk for agranulocytosis. The nurse would anticipate that the doctor will stop prescribing clozapine (Clozaril).
Schizoid personality disorder is frequently found in loners who present as cold , distant and uninterested in social interactions. Although not everyone who exhibits the symptoms of schizoid personality disorder develops into schizophrenia, this client's chance for developing the illness rises from 1% in the general population to 10% as a result of a family history of the condition.
Unlike benzodiazepines, which depress the central nervous system, buspirone (BuSpar) is an anti-anxiety drug. The drug's exact mechanism of action is unknown, however it is thought to interact with serotonin, dopamine, and other neurotransmitter receptors to achieve the intended effects. It is crucial to inform the client that buspirone (BuSpar) takes 2–3 weeks to start working. Because of the benzodiazepine's early beginning of action, the nurse may frequently observe the prescription of clonazepam before the buspirone starts to take effect.
To intervene quickly, it is critical for the nurse to inquire with the patient about any potential suicide plans. Patients who have made intentions to commit suicide run a larger danger than others who may only have hazy suicidal thoughts.
An anticholinergic drug called benztropine mesylate (Cogentin) is used to treat extrapyramidal symptoms like akathisia. The client's complaints of restlessness and fidgeting would lead the nurse to anticipate that the doctor would prescribe this medication.
