Admitting Diagnosis: Shared Psychotic Disorders Alma was prescribed the following medication: 1. Thorazine (Chlorpromazine) 100mg OD HS Antipsychotic drug 2. Diphenhydramine 50mg OD Antihistamine drug 3. Prolixin decanoate (Fluphenazine decanoate) 20mg/cc monthly IM Antipsychotic drug Berna was prescribed the following medication: 1. Risperdal (Risperidone)) 2mg OD HS Antipsychotic drug 2. Akineton (Biperiden) 2mg OD Anticholinergic drug 3. Prolixin decanoate (Fluphenazine decanoate) 20mg/ cc Monthly IM Antipsychotic drug QUESTIONS. 1. Create a drug study with the following 5 medications stated above with 6 columns. The 6 columns should include the following: 1.1. Generic name, brand name if any, classification, dosage, frequency, route of administration 1.2. Mechanism of action 1.3. Indications and also drug rationale (why the drug is being given to the patient) 1.4. Contraindication 1.5. Common side effects 1.6. Nursing considerations while taking the drug. Thank you so much!
Admitting Diagnosis: Shared Psychotic Disorders Alma was prescribed the following medication: 1. Thorazine (Chlorpromazine) 100mg OD HS Antipsychotic drug 2. Diphenhydramine 50mg OD Antihistamine drug 3. Prolixin decanoate (Fluphenazine decanoate) 20mg/cc monthly IM Antipsychotic drug Berna was prescribed the following medication: 1. Risperdal (Risperidone)) 2mg OD HS Antipsychotic drug 2. Akineton (Biperiden) 2mg OD Anticholinergic drug 3. Prolixin decanoate (Fluphenazine decanoate) 20mg/ cc Monthly IM Antipsychotic drug QUESTIONS. 1. Create a drug study with the following 5 medications stated above with 6 columns. The 6 columns should include the following: 1.1. Generic name, brand name if any, classification, dosage, frequency, route of administration 1.2. Mechanism of action 1.3. Indications and also drug rationale (why the drug is being given to the patient) 1.4. Contraindication 1.5. Common side effects 1.6. Nursing considerations while taking the drug. Thank you so much!
Chapter6: Icd-10-cm Outpatient And Physician Office Coding
Section: Chapter Questions
Problem 2MC
Related questions
Question
100%
Admitting Diagnosis: Shared Psychotic Disorders
Alma was prescribed the following medication:
1. Thorazine (Chlorpromazine) 100mg OD HS Antipsychotic drug
2. Diphenhydramine 50mg OD Antihistamine drug
3. Prolixin decanoate (Fluphenazine decanoate) 20mg/cc monthly IM Antipsychotic drug
Berna was prescribed the following medication:
1. Risperdal (Risperidone)) 2mg OD HS Antipsychotic drug
2. Akineton (Biperiden) 2mg OD Anticholinergic drug
3. Prolixin decanoate (Fluphenazine decanoate) 20mg/ cc Monthly IM Antipsychotic drug
QUESTIONS.
1. Create a drug study with the following 5 medications stated above with 6 columns. The 6 columns should include the following:
1.1. Generic name, brand name if any, classification, dosage, frequency, route of administration
1.2. Mechanism of action
1.3. Indications and also drug rationale (why the drug is being given to the patient)
1.2. Mechanism of action
1.3. Indications and also drug rationale (why the drug is being given to the patient)
1.4. Contraindication
1.5. Common side effects
1.6. Nursing considerations while taking the drug.
1.5. Common side effects
1.6. Nursing considerations while taking the drug.
Thank you so much!
![History of Past and Present Ilness
"Alma," a 45 year old mother, divorced, was admitted to NCMH by her sisters and brothers. Her
daughter "Berna" also came with her mother, both were blaming and angry to their relatives for
forceful psychiatric consultation and not leaving each other's side, even for a minute.
As per the given information and documents shown by her sisters, "Alma" had her first episode
of psychotic illness at the age of 20. At the onset, "Alma" held delusions of persecution against
her sisters and believed the reason was her beauty, the sisters were jealous of as stated by
them. Meanwhile, “Alma" took treatment on and off from a psychiatrist and was diagnosed with
paranoid schizophrenia for past 12 years. Electroconvulsive therapy was also given, although
complete documentation was not available. "Alma," married at the age of 25, had divorce at 28
because of frequent quarrels according to her sisters. Since then, "Alma" is living with her
daughter "Berna" at her mother's home. "Alma," since her separation from her husband, believes
that there is a man named "Carl" who actually helped as an inter-mediator in solving the divorce
terms between the couple, but never saw him again after. According to the sisters. "Alma"
claimed that "Carl" lives in her ex-husband's city and wants to marry her and ready to accept her
with her daughter "Berna." She believed that it is her family members, who don't let "Carl" meet
her and that the family members want to declare her mentally ill, so that "Carl" will not marry her.
Six months back, "Alma" discontinued her treatment and for past 3 months, confided her
daughter "Berna" and herself to home, and threatened her own mother to leave the home. "Alma"
had no contact with any of other family members, since then. She did not even allow her
daughter to attend her school, as she thought that the family members may harm her daughter
too.
The daughter "Berna" who is 17-year-old, also held the same belief for past 3 months. According
to her, the man named "Carl" came to her school 3 months back and gave his name as her
father's name in school documents which was actually given by her mother. She also believes
that this man came over to her school multiple times in past 1 year and saw him every time he
comes but she could never meet him because of the relatives, who along with her teachers
conspired against them and never let them meet. One week back, the duo went to the city, they
believed "Carl" lives in and started searching for him for days. The family members searched for
them and found them wandering here and there in shaggy unwashed clothes, no slippers, and
not taken proper meal in past 2 days. That is when the family members brought them to NCMH
and was subsequently admitted for treatment and management.](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2F77b7ba62-40a0-43f3-8d00-9de6fa5e7963%2F0b793d57-1f2f-453b-ab3e-a6b99bb83e61%2Fw0avx4_processed.png&w=3840&q=75)
Transcribed Image Text:History of Past and Present Ilness
"Alma," a 45 year old mother, divorced, was admitted to NCMH by her sisters and brothers. Her
daughter "Berna" also came with her mother, both were blaming and angry to their relatives for
forceful psychiatric consultation and not leaving each other's side, even for a minute.
As per the given information and documents shown by her sisters, "Alma" had her first episode
of psychotic illness at the age of 20. At the onset, "Alma" held delusions of persecution against
her sisters and believed the reason was her beauty, the sisters were jealous of as stated by
them. Meanwhile, “Alma" took treatment on and off from a psychiatrist and was diagnosed with
paranoid schizophrenia for past 12 years. Electroconvulsive therapy was also given, although
complete documentation was not available. "Alma," married at the age of 25, had divorce at 28
because of frequent quarrels according to her sisters. Since then, "Alma" is living with her
daughter "Berna" at her mother's home. "Alma," since her separation from her husband, believes
that there is a man named "Carl" who actually helped as an inter-mediator in solving the divorce
terms between the couple, but never saw him again after. According to the sisters. "Alma"
claimed that "Carl" lives in her ex-husband's city and wants to marry her and ready to accept her
with her daughter "Berna." She believed that it is her family members, who don't let "Carl" meet
her and that the family members want to declare her mentally ill, so that "Carl" will not marry her.
Six months back, "Alma" discontinued her treatment and for past 3 months, confided her
daughter "Berna" and herself to home, and threatened her own mother to leave the home. "Alma"
had no contact with any of other family members, since then. She did not even allow her
daughter to attend her school, as she thought that the family members may harm her daughter
too.
The daughter "Berna" who is 17-year-old, also held the same belief for past 3 months. According
to her, the man named "Carl" came to her school 3 months back and gave his name as her
father's name in school documents which was actually given by her mother. She also believes
that this man came over to her school multiple times in past 1 year and saw him every time he
comes but she could never meet him because of the relatives, who along with her teachers
conspired against them and never let them meet. One week back, the duo went to the city, they
believed "Carl" lives in and started searching for him for days. The family members searched for
them and found them wandering here and there in shaggy unwashed clothes, no slippers, and
not taken proper meal in past 2 days. That is when the family members brought them to NCMH
and was subsequently admitted for treatment and management.
![Patient # 1 Profile
Name
Patient Alma (Mother)
| 45 year old
Female
Age:
Sex
Nationality
Religion
Filipino
Roman Catholic
Address
Quezon City
Marital Status
Divorced
Chief Complaints
Admitting Diagnosis
Delusion of persecution
Shared Psychotic Disorder
Difficulty sleeping
Patient # 2 Profile
Patient Berna (Daughter)
17 year old
Name
Age:
Sex
Female
Nationality
Religion
Filipino
Roman Catholic
Quezon City
Address
Marital Status
Chief Complaints
Single
Delusion of persecution
Visual hallucination](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2F77b7ba62-40a0-43f3-8d00-9de6fa5e7963%2F0b793d57-1f2f-453b-ab3e-a6b99bb83e61%2F71qqwi_processed.png&w=3840&q=75)
Transcribed Image Text:Patient # 1 Profile
Name
Patient Alma (Mother)
| 45 year old
Female
Age:
Sex
Nationality
Religion
Filipino
Roman Catholic
Address
Quezon City
Marital Status
Divorced
Chief Complaints
Admitting Diagnosis
Delusion of persecution
Shared Psychotic Disorder
Difficulty sleeping
Patient # 2 Profile
Patient Berna (Daughter)
17 year old
Name
Age:
Sex
Female
Nationality
Religion
Filipino
Roman Catholic
Quezon City
Address
Marital Status
Chief Complaints
Single
Delusion of persecution
Visual hallucination
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