36 hours ago Which assessment finding would the nurse observe in a patient with priapism? Sustained, involuntary erection ... Which term would the nurse use in a report to describe a patient's urinary output that is 200 mL per day? ... Which type of hernia in a patient would be the priority to assess first? Strangulated. >> Go To The Portal
SUGGESTION FOR CLOZAPINE MONITORING IN CLINICAL PRACTICE Based on the available clinical evidence of various potentially life threatening side effects and the risk of cardiovascular and metabolic disorders, further monitoring of clozapine is required beyond the mandatory haematological investigations.
A patient receiving clozapine [Clozaril] is complaining of increased urination and thirst. What nursing intervention is essential for this patient? Holding the medication Assessing blood pressure Measuring potassium levels Assessing blood glucose level Assessing blood glucose level
Identify an assessment finding that is a priority to report to the provider? o When a client is receiving IV paclitaxel, an assessment finding that is a priority to report to the provider would be bradycardia.
Reported proportions of patients on clozapine having seizures range from 1.1% to 20%,36–39)and associated fatalities have been reported.9,40)Convulsions are dose related,33)and higher plasma clozapine concentrations have been linked to an increased risk of seizures.
Monitoring clozapine patients Baseline blood tests should check white cell count, troponins, CRP and possibly BNP3. Patients with a history of cardiac disease or abnormal cardiac findings on examination (such as QT prolongation) should be referred to a cardiologist7.
What side effects can this medication cause?drowsiness.dizziness, feeling unsteady, or having trouble keeping your balance.increased salivation.dry mouth.restlessness.headache.
Seek immediate medical attention if any of these rare but very serious side effects occur: severe dizziness, fainting, mental/mood changes, difficulty breathing with exercise, swollen legs/feet, sudden weakness, pain/redness/swelling of the arms/legs, chest pain, persistent nausea/vomiting, stomach/abdominal pain, ...
The most severe and potentially life-threatening clozapine-related blood dyscrasias is neutropenia, which may eventually develop into clozapine-induced agranulocytosis or granulocytopenia.
Clozapine (CLZ) is the gold standard of treatment for refractory schizophrenia. It has been associated with tachycardia and recent evidence shows individuals prescribed CLZ may develop blood pressure (BP) elevation and hypertension.
Clozapine affects your immune system. You may get infections more easily, even serious or fatal infections. Call your doctor if you have a fever, sore throat, weakness, or lack of energy. Clozapine can increase your risk of seizure, especially at high doses.
Answer and Explanation: The correct statement is d Is related to typical antipsychotic drug. Clozapine is an antipsychotic agent that is used to treat schizophrenia....
Clozapine has induced orthostatic hypotension severe enough to cause collapse and respiratory arrest(4). Most patients develop tolerance to hypotension after 4- 6 weeks(4). Hypotension can usually be managed by using a slow upward dose titration or by reducing the clozapine dose(4).
Clozapine shows unique efficacy, reduced rates of extra-pyramidal side-effects compared to typical antipsychotics, and is the only antipsychotic licensed for treatment resistant schizophrenia1. There is, however, increasing evidence linking clozapine treatment with hyperglycaemia.
The drug is subject to strict monitoring requirements because it is associated with serious side effects, such as neutropenia, agranulocytosis, seizures, myocarditis and cardiomyopathy.
Blood monitoring is mandatory for the prescription of clozapine. White blood cell (WBC) and Neutrophil count (NC) are measured weekly for 18 weeks and every 28 days thereafter, continuing for the duration of treatment with clozapine.
Side effects will be monitored at the Clozapine clinic, where you will be given advice on how to manage any of the side effects you may be experiencing. It is important that you tell your doctor immediately if you develop any sign of an infection such as a raised temperature or sore throat or other flu-like symptoms.
Rationale 1: Theories explaining the cause of schizophrenia include a genetic component, imbalances in neurotransmitters in specific areas of the brain , and overactive dopaminergic pathways in the basal nuclei.
Take frequent naps during the day. Correct Answer: 1,2,4. Rationale 1: The patient should avoid any situation that might cause overheating, especially in hot weather, to reduce the risk of hypotension. Rationale 2: Hot baths and hot showers should be avoided to decrease the chance of hypotension.
This must be reported immediately to the physician. Hypotension, not hypertension is a cardiac side effect, not an anticholinergic side effect. Headaches are not anticholinergic side effects. Acute dystonia must be reported immediately to the physician, but this is not an anticholinergic side effect.
This would be important to report, but is not the priority outcome. Adequate fluids and fiber will decrease the side effect of constipation, but this is not the priority outcome. A decrease in auditory hallucinations is an expected effect of haloperidol (Haldol), but this is not the priority outcome. The nurse is managing the care of ...
Rationale 1: Therapeutic effects of clozapine (Clozaril) include remission of a range of psychotic symptoms to include delusions, paranoia, auditory hallucinations, and irrational behavior. A patient stating he feels better and is ready for discharge does not indicate the remission of any psychotic symptoms.