Case Studies
(LO 18-5) You are caring for a patient who is taking thioridazine (Mellaril ) and complains of muscle spasms of the face, tongue, and neck and motor restlessness. The patient also said he is having movements around the mouth, lips, and tongue that can’t be controlled, a shuffling gait, and drooling and is scared. What are these side effects called? What should you do with this information? Are these side effects common? What are the most common side effects? ______________________________
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Extrapyramidal symptoms Dystonia is the muscle spasms of the face, tongue, neck, jaw, or back. Akathisia is the term for motor restlessness Tardive dyskinesia is the involuntary muscle movements around the mouth, lips, and tongue. Also included are parkinsonian-like symptoms such as shuffling gait, drooling, tremors, and increased rigidity. Report to your supervisor No – Prevention of tardive dyskinesia is essential cause this is a permanent side effect The most common side effects of antipsychotics include sedation, blurred vision, orthostatic hypotension, dry mouth, tachycardia, urinary retention, constipation, and disorientation.