Psychosis CBLA
Anthony M. Wehry
Arizona State University
College of Nursing and Health Innovation
Psychosis CBLA
Select a client with a diagnosis of Schizophrenia or Schizoaffective Disorder.
Student Name: Anthony M. Wehry Date of assessment: 13NOV2014
Client initials: T.G.
Psychiatric/Medical Diagnosis:
Axis I: Schizoaffective Disorder, Psychotic Disorder Unspecified
Axis II: N/A
Axis III: Dermatitis, Acute pharyngitis
Admission Date: 09NOV2014 Age: 30 Gender: Female Ethnicity: Caucasian
Why was this client admitted (if inpatient), or why being seen in outpatient setting?
Voluntary admission
1. Background:
a. Explain in your own words your understanding of psychosis. Psychosis from my understanding means that a person …show more content…
What psychotropic medications is this client is taking? What are the target symptoms for each medication? What are the major nursing concerns, given this client on these medications? What diagnostic tests/lab tests would you expect for this client on these medications?
Risperidone Tab, and Risperdal Consta are medications the patient is on. The target symptoms for this medication act by antagonizing dopamine and serotonin in the central nervous system and decrease symptoms of psychosis, specifically auditory hallucinations and delusions.
Some major nursing concerns are an increase in suicidal thoughts, aggressive behavior, dizziness, extra pyramidal side effects as well as anticholinergic effects such as dry mouth, dry nasal passageways, dehydration and insomnia. Monitor CBC frequently during initial months from those with pre-existing low white blood cell count (Deglin et al., 2013, pg. 1112).
The patient is also on Abilify, the target symptoms for this medication initiates at the dopamine and serotonin receptors and opposes activity at the 5-HT12. Some major nursing concerns are an increase in suicidal thoughts, extrapyramidal symptoms, agranulocytosis which increases the risk for
Anthony M. Wehry
Arizona State University
College of Nursing and Health Innovation
Psychosis CBLA
Select a client with a diagnosis of Schizophrenia or Schizoaffective Disorder.
Student Name: Anthony M. Wehry Date of assessment: 13NOV2014
Client initials: T.G.
Psychiatric/Medical Diagnosis:
Axis I: Schizoaffective Disorder, Psychotic Disorder Unspecified
Axis II: N/A
Axis III: Dermatitis, Acute pharyngitis
Admission Date: 09NOV2014 Age: 30 Gender: Female Ethnicity: Caucasian
Why was this client admitted (if inpatient), or why being seen in outpatient setting?
Voluntary admission
1. Background:
a. Explain in your own words your understanding of psychosis. Psychosis from my understanding means that a person …show more content…
What psychotropic medications is this client is taking? What are the target symptoms for each medication? What are the major nursing concerns, given this client on these medications? What diagnostic tests/lab tests would you expect for this client on these medications?
Risperidone Tab, and Risperdal Consta are medications the patient is on. The target symptoms for this medication act by antagonizing dopamine and serotonin in the central nervous system and decrease symptoms of psychosis, specifically auditory hallucinations and delusions.
Some major nursing concerns are an increase in suicidal thoughts, aggressive behavior, dizziness, extra pyramidal side effects as well as anticholinergic effects such as dry mouth, dry nasal passageways, dehydration and insomnia. Monitor CBC frequently during initial months from those with pre-existing low white blood cell count (Deglin et al., 2013, pg. 1112).
The patient is also on Abilify, the target symptoms for this medication initiates at the dopamine and serotonin receptors and opposes activity at the 5-HT12. Some major nursing concerns are an increase in suicidal thoughts, extrapyramidal symptoms, agranulocytosis which increases the risk for