Question

GENITOURINARY HEMATOLOGIC ENDOCRINE DERMATOLOGIC List at least five nursing implications when a patient is on an antipsychotic medication 2 points

Answer 1

GENITOURINARY	Assess the patient for incontinence, if elderly bedridden patients diapers can be used The rate of urinary retention is high in elders,so palpate and drain the urine as per order Sexual dysfunction in the adults are common like impotence in males and changes in menstruation in female ,so assess and take necessary steps Assess fir priapism in Male and administration of pain killers as per order Assess the GCS fir providing patient education
HEMATOLOGIC	Monitor WBC ,because these medication can decrease the neutrophil level,wbc levels and causing infection Assess for hematologic toxicity Provide nutritional rich diet Avoid unnecessary invasive procedure in case of thrombocytopenia to prevent bleeding Monitor blood glucose(increased) and cholesterol (elevated )to avoid complications
ENDOCRINE	Weight gain are highly possible so regular weight checking has to be done to plan for care Blood sugar levels as to be monitored and appropriate actions has to be taken to prevent hyperglycemia Increased prolactin levels can lead to lactation in female ,bromocriptin are adviced to control it Osteoporosis can occur, so calcium rich yo be taken In case of ammenorhea, infirm provider and stop medication
DERMATOLOGIC	Assess for skin rash Encourage to avoid direct sunlight be quse this can irritate the skin and cause rash Apply sunscreen to protect skin as they are more photosensitive Hyperpigmentation are common in elderly population Encourage patient to report any adverse events