Please help write DSM 5 criteria including signs and symptoms. And evidence based treatments on Neuroleptic...
Please help
write DSM 5 criteria including signs and symptoms. And evidence based treatments
on Neuroleptic Malignant syndrome, Serotonin Syndrome, and Dystonia
Homework Answers
Neuroleptic Malignent syndrome
According to DSM 5 criteria ,NMS is diagnosed by the existance of 2 or more of the following
- Fever,muscular rigidity
- Tachycardia
- Elevated white blood count
- Altered consciousness
- Tremor
- Urinary and fecal incontinence
- Sweating
- Rigidity
- CPK elevation
- Blood pressure elevation
Evidence based treatment
- Stop offering the antipsychotic medication
- Rapid cooling
- Dantrolene
- Bromocriptine
- Benzodiazepines
- Amantidine
Seratonin syndrome
DSM diagnostic criteria
Mental status changes
- Agitated delirium
- Restlessness
- Disorientation
- Anxiety
- mood changes
Autonomic disturbances
- Diaphoresis
- Tachycardia
- Hyperthermia
- Hypertension
- Vomiting
- Diarrhea
Neuromuscular disturbances
- Deep tendon hyper reflexia
- Tremor
- Muscular rigidity
- Ataxia
- Myoclonus
Treatment
- Prompt detection of seratonin syndrome and discontinuation of offending drug
- Control of hyperthermia
- Benzodiazipines
- Cyproheptadine
Dystonia
Dystonia is a movement disorder of muscle contractions causing abnormal and repetitive movements,postures,or both. Dystonic movements characterized by twisting and tremulous.It is initiated or worsened by voluntary action and associated with over muscle activation.
Treatment
Acute dystonic reactions-
- Diphenyl hydramine
- Benztropine
Ongoing treatment
- Leodopa
- Botulinum neurotoxins
- Antispasmodic treatment
- Physical therapy
- Deep brain stimulation
- Trans cutaneous electrical nerve simulation
- Exercises and muscle stretching to prevent contractures
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Please help
write DSM 5 criteria including signs and symptoms. And evidence
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