{"id":265349,"date":"2024-01-12T16:44:10","date_gmt":"2024-01-12T16:44:10","guid":{"rendered":"https:\/\/nursingstudy.org\/?p=265349"},"modified":"2024-01-12T16:44:14","modified_gmt":"2024-01-12T16:44:14","slug":"psychiatric-emergencies-comprehensive-nursing-paper-example","status":"publish","type":"post","link":"https:\/\/nursingstudy.org\/examples\/psychiatric-emergencies-comprehensive-nursing-paper-example\/","title":{"rendered":"Psychiatric Emergencies Comprehensive Nursing Paper Example"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Psychiatric Emergencies Comprehensive Nursing Paper Example<\/h2>\n\n\n\n<p>Name:<\/p>\n\n\n\n<p><strong>Complete the chart below with the following information:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Onset and Causes<\/strong><\/li>\n\n\n\n<li><strong>Additional Notes<\/strong><\/li>\n\n\n\n<li><strong>S\/Sx<\/strong><\/li>\n\n\n\n<li><strong>Treatment<\/strong><\/li>\n<\/ul>\n\n\n\n<p>Example:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Emergency<\/td><td>Neuroleptic Malignant Syndrome (NMS)<\/td><\/tr><tr><td>Onset\/Causes<\/td><td>Within hours or days after exposure to a causative drug, with most exhibiting symptoms within 2 weeks and nearly all within 30 daysPrimary trigger of\u00a0NMS\u00a0is dopamine receptor blockade and the standard causative agent is an antipsychotic. Potent typical neuroleptics such as haloperidol, fluphenazine, chlorpromazine, trifluoperazine, and prochlorperazine have been most frequently associated with\u00a0NMS\u00a0and thought to confer the greatest risk.Idiosyncratic-time limited reaction.(Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>Additional Notes<\/td><td>More common in men than women<\/td><\/tr><tr><td>S\/Sx<\/td><td>FeverMuscle rigidityAutonomic instabilityClouding of consciousness, LOCElevated WBC\/CPK<\/td><\/tr><tr><td>Tx<\/td><td>Withhold neurolepticsHydrate (IV)Consider Dantrolene<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1000\" height=\"667\" src=\"https:\/\/nursingstudy.org\/examples\/wp-content\/uploads\/2023\/12\/Nephrology.webp\" alt=\"Psychiatric Emergencies Comprehensive Nursing Paper Example\" class=\"wp-image-263948\" style=\"width:543px;height:auto\" srcset=\"https:\/\/nursingstudy.org\/examples\/wp-content\/uploads\/2023\/12\/Nephrology.webp 1000w, https:\/\/nursingstudy.org\/examples\/wp-content\/uploads\/2023\/12\/Nephrology-300x200.webp 300w, https:\/\/nursingstudy.org\/examples\/wp-content\/uploads\/2023\/12\/Nephrology-768x512.webp 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Emergency<\/td><td><strong>Delirium Tremens (DTs)<\/strong><\/td><\/tr><tr><td>Onset\/Causes<\/td><td>Occurs when one tops taking alcohol after a duration of drinking heavily like 4-5 pints of wine or 7-8 pints of beer or I pint of heavy alcohol use without getting adequate food (Grover &amp; Bhosh, 2018).(Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>Additional Notes<\/td><td>May also be caused by head injury, or infection. Or illness in people with a history of heavy alcohol use say ten years. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>S\/Sx<\/td><td>Tremors or shaking hands and feet Chest pain Confusion Dehydration Sleep that lasts a day or more Anger or excitability, Seizures or more<\/td><\/tr><tr><td>Tx<\/td><td>Benzodiazepines for <a href=\"https:\/\/nursingstudy.org\/examples\/moderate-alcohol-use-disorder-comprehensive-soap-note-essay-example\/\" data-type=\"post\" data-id=\"265225\">alcohol withdrawal symptoms<\/a> Intravenous fluids to treat dehydration, antipsychotics if the patient has hallucinations and anticonvulsants if having seizures. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Emergency<\/td><td><strong>Serotonin Syndrome (SS)<\/strong><\/td><\/tr><tr><td>Onset\/Causes<\/td><td>Occurs when one uses two or more medications , illicit drugs or nutritional supplements that increase serotonin levels like migraine medication and an antidepressant (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>Additional Notes<\/td><td>Some medications like antiretroviral used to treat ARVs and some antibiotics may also increase serotonin levels.<\/td><\/tr><tr><td>S\/Sx<\/td><td>Agitation or restlessness, confusion, increased heart rate and high blood pressure. Loss of muscle coordination and dilated pupils among others (Buckley et al., 2014).<\/td><\/tr><tr><td>Tx<\/td><td>In <a href=\"https:\/\/nursingstudy.org\/examples\/overdose-and-presentation-of-acetaminophen\/\" data-type=\"post\" data-id=\"247601\">mild cases stop the medication<\/a> or lower its dosage to lower the serotonin levels. Prescription medication that stops the body from producing serotonin level like tropisetron, ondansetron and palonosetron. \u00a0(Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Emergency<\/td><td><strong>Tyramine Reaction\/Hypertensive Crisis<\/strong><\/td><\/tr><tr><td>Onset\/Causes<\/td><td>Interaction between monoamine oxidase inhibitors (MAOIs) and tyramine in food (Sadeghi et al., 2016). (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>Additional Notes<\/td><td>Genetic predisposition may also cause tyramine reaction<\/td><\/tr><tr><td>S\/Sx<\/td><td>Nose bleeds, severe headache, changes in vision, chest pain and shortness of breath.<\/td><\/tr><tr><td>Tx<\/td><td>Intravenous benzodiazepines to control agitation and seizure control. Hospitalization is recommended if the patient\u2019s symptoms do not resolve in 6 hours.(Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Emergency<\/td><td><strong>Acute Dystonia<\/strong><\/td><\/tr><tr><td>Onset\/Causes<\/td><td>Onset\u00a0\u00a0 occurs shortly after taking a dopamine receptor- blocking agent or increasing dosage. Believed to be caused by an imbalance of dopaminergic \u2013cholinergic within the basal ganglia. The cause of the imbalance could be due to diseases like Wilson\u2019s disease, Parkinson\u2019s disease or Huntington\u2019s disease. Other causes include stroke, birth injury, and traumatic brain injury (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>Additional Notes<\/td><td>Depending on the cause, acute dystonia symptoms can be reversible or irreversible.<\/td><\/tr><tr><td>S\/Sx<\/td><td>Difficulties with jaw movement swallowing, or speech, pain, and fatigue. Social withdrawal, Anxiety, Depression,<\/td><\/tr><tr><td>Tx<\/td><td>Administration of intramuscularly anticholinergic drugs or antihistamines (Termsarasab et al., 2016).(Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Emergency<\/td><td>Tardive Dyskinesia* (adverse reaction not always emergency state)<\/td><\/tr><tr><td>Onset\/Causes<\/td><td>A collection of delayed onset iatrogenic movement disorders secondary to dopamine receptor blocking agents\u2019 phenomenology.<\/td><\/tr><tr><td>Additional Notes<\/td><td>In some cases it may be accompanied by sensory phenomenon like paresthesia<\/td><\/tr><tr><td>S\/Sx<\/td><td>Facial grimacing, sticking out the tongue, sucking or fish like movement of the mouth.<\/td><\/tr><tr><td>Tx<\/td><td>Discontinuation of the neuroleptic drug causing the symptoms Administration of drugs like deutetrabenazine or valbenazine (Caroff, 2020). (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Emergency<\/td><td><strong>Lithium Toxicity<\/strong><\/td><\/tr><tr><td>Onset\/Causes<\/td><td>Occurs after daily intake of lithium &nbsp;but the blood &nbsp;serum&nbsp; level has reached toxic range<\/td><\/tr><tr><td>Additional Notes<\/td><td>Lab values? Lithium levels above 1.5 mEq\/L Severe Lithium toxicity is 2.0 mEq\/L Above 2.0 \u2013 the toxicity is life threatening Safe lithium levels are -0.6 and 1.2 mill equivalents per liter(mEq\/L( Hedya et al, 2020). (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>S\/Sx<\/td><td>Drowsiness, diarrhea, vomiting, stomach pains, fatigue, tremors, and muscle weaknesses<\/td><\/tr><tr><td>Tx<\/td><td><a href=\"https:\/\/nursingstudy.org\/examples\/laryngitis-comprehensive-essay-example\/\" data-type=\"post\" data-id=\"260578\">Intravenous fluids<\/a> administration to ensure the patient is not dehydrated and that the lithium is moving out of the system. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Emergency<\/td><td><strong>Tricyclic Antidepressant (TCA) Toxicity<\/strong><\/td><\/tr><tr><td>Onset\/Causes<\/td><td>Onset is 6 hours after excessive medication of TCA type Acute TCA toxicity could be accidental or purposeful overdose.<\/td><\/tr><tr><td>Additional Notes<\/td><td>Chronic TCA toxicity is possible and can present acutely.<\/td><\/tr><tr><td>S\/Sx<\/td><td>Constipation, blurred vision. Dry mouth, constipation, weight gain or loss, increased heart rate amongst others (Khalid &amp; Waseem, 2017). (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>Tx<\/td><td>Administration of intravenous sodium bicarbonate as an antidote.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"640\" height=\"343\" src=\"https:\/\/nursingstudy.org\/examples\/wp-content\/uploads\/2024\/01\/two-women-talking.webp\" alt=\"Psychiatric Emergencies Comprehensive Nursing Paper Example\" class=\"wp-image-265127\" srcset=\"https:\/\/nursingstudy.org\/examples\/wp-content\/uploads\/2024\/01\/two-women-talking.webp 640w, https:\/\/nursingstudy.org\/examples\/wp-content\/uploads\/2024\/01\/two-women-talking-300x161.webp 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Emergency<\/td><td><strong>Neonatal Abstinence Syndrome<\/strong><\/td><\/tr><tr><td>Onset\/Causes<\/td><td>Group of conditions caused when a baby withdraws from some drugs they are exposed to in the womb before they are born. These drugs are like opioids taken by the mother during pregnancy. Other drugs include heroin, codeine, oxycodone, methadone or buprenorphine. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>Additional Notes<\/td><td>They drugs pass into the neonates system through the placenta making the baby dependent on the drug just like their mother.<\/td><\/tr><tr><td>S\/Sx<\/td><td>Blotchy skin, breathing difficulties, fussiness, high-pitched cry or excessive crying, overactive reflexes and tight muscle tone. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><tr><td>Tx<\/td><td>Swaddling to make the baby comfortable. Giving the child <a href=\"https:\/\/nursingstudy.org\/examples\/pharmacotherapy-for-cardiovascular-disorder-comprehensive-solved-nursing-essay-example\/\" data-type=\"post\" data-id=\"263984\">extra calories<\/a> due to their increased activity. Intravenous fluid if the baby is vomiting, or has diarrhea to rehydrate the child. Methadone may be necessary for heroine withdrawal or benzodiazepine for alcohol withdrawal (Wachman et al., 2018). (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>References<\/strong><\/h2>\n\n\n\n<p>Buckley, N. A., Dawson, A. H., &amp; Isbister, G. K. (2014). Serotonin syndrome.&nbsp;<em>Bmj<\/em>,&nbsp;<em>348<\/em>.<\/p>\n\n\n\n<p>Caroff, S. N. (2020). Recent advances in the pharmacology of tardive dyskinesia.\u00a0<em>Clinical Psychopharmacology and Neuroscience<\/em>,\u00a0<em>18<\/em>(4), 493. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/p>\n\n\n\n<p>Grover, S., &amp; Ghosh, A. (2018). Delirium tremens: assessment and management.\u00a0<em>Journal of clinical and experimental hepatology<\/em>,\u00a0<em>8<\/em>(4), 460-470. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/p>\n\n\n\n<p>Hedya, S. A., Avula, A., &amp; Swoboda, H. D. (2020). Lithium toxicity.&nbsp;<em>StatPearls [Internet]<\/em>.<\/p>\n\n\n\n<p>Khalid, M. M., &amp; Waseem, M. (2017). Tricyclic antidepressant toxicity.<\/p>\n\n\n\n<p>Sadeghi, N., Oveisi, M. R., Jannat, B., Behzad, M., Hajimahmoodi, M., &amp; Zareakram, E. (2016). Tyramine in malt beverages interfering with monoamine oxidase inhibitor drugs.\u00a0<em>Journal of Biosciences and Medicines<\/em>,\u00a0<em>4<\/em>(08), 10. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/p>\n\n\n\n<p>Termsarasab, P., Thammongkolchai, T., &amp; Frucht, S. J. (2016). Medical treatment of dystonia.\u00a0<em>Journal of clinical movement disorders<\/em>,\u00a0<em>3<\/em>(1), 1-18. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/p>\n\n\n\n<p>Wachman, E. M., Schiff, D. M., &amp; Silverstein, M. (2018). Neonatal abstinence syndrome: advances in diagnosis and treatment.\u00a0<em>Jama<\/em>,\u00a0<em>319<\/em>(13), 1362-1374. (Psychiatric Emergencies Comprehensive Nursing Paper Example)<\/p>\n\n\n\n<p>National Center for Biotechnology Information (nih.gov)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Psychiatric Emergencies Comprehensive Nursing Paper Example Name: Complete the chart below with the following information: Example: Emergency Neuroleptic Malignant Syndrome (NMS) Onset\/Causes Within hours or days after exposure to a&hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_wpscppro_dont_share_socialmedia":false,"_wpscppro_custom_social_share_image":0,"_facebook_share_type":"","_twitter_share_type":"","_linkedin_share_type":"","_pinterest_share_type":"","_linkedin_share_type_page":"","_instagram_share_type":"","_medium_share_type":"","_threads_share_type":"","_google_business_share_type":"","_selected_social_profile":[],"_wpsp_enable_custom_social_template":false,"_wpsp_social_scheduling":{"enabled":false,"datetime":null,"platforms":[],"status":"template_only","dateOption":"today","timeOption":"now","customDays":"","customHours":"","customDate":"","customTime":"","schedulingType":"absolute"},"_wpsp_active_default_template":true},"categories":[1],"tags":[1703],"class_list":["post-265349","post","type-post","status-publish","format-standard","hentry","category-nursing-paper","tag-week-5-psychiatric-emergencies"],"_links":{"self":[{"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/posts\/265349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/comments?post=265349"}],"version-history":[{"count":1,"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/posts\/265349\/revisions"}],"predecessor-version":[{"id":278092,"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/posts\/265349\/revisions\/278092"}],"wp:attachment":[{"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/media?parent=265349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/categories?post=265349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nursingstudy.org\/examples\/wp-json\/wp\/v2\/tags?post=265349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}