lq2006
Forum Elite
Topics: 43
Posts: 382
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A 25-year-old Latino man comes to the health center for a periodic health evaluation. He tells you that he has attended a day-treatment program for his schizophrenia, paranoid type, since his discharge from the hospital 1 year ago. The patient's most recent psychiatrist is moving away and he now wants you to refill his medications. He takes haloperidol, benztropine and valproic acid. He says, "The voices aren't telling me to harm myself anymore. And I know now that my food is not poisoned." The patient is 183 cm (6 ft) tall and weighs 86 kg (190 lb). Vital signs are: temperature 37.0°C (98.6°F), pulse 72/min, respirations 14/min and blood pressure 130/86 mm Hg. Physical examination is significant for darting and protruding movements of the tongue and some facial grimacing. Which of the following is the most appropriate change in pharmacotherapy?
A) Prescribe vitamin A
B) Increase the dose of benztropine
C) Increase the dose of haloperidol
D) Replace haloperidol with risperidone
E) Replace valproic acid with lithium
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| xthine
Forum Senior
Topics: 4
Posts: 242
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Haloperidol tx for 1 year, darting and protruding movements of tongue, facial grimacing = TD?
Since there is no treatment for TD I would say discontinue the antipsychotic and switch to an atypical antipsychotic = D
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