Explain the onset of galactorrhea

Reference no: EM133653292

Assignment:

Mrs. Q. is a 35-year-old African American woman you have been seeing at the clinic and treating for schizophrenia. Her current medication regimen includes: Risperdal (Risperidone) 3 mg QHS daily, and Zoloft (sertraline) 50mg, one every morning. You note that she has gained 10 lbs. since her last visit three months ago and a total of 25 lbs. since starting Risperdal.

Today she comes to the clinic for a medication check and reports that overall she is doing well. She believes the voices are quiet enough and says, 'I can do the things I need to do without being bothered like I used to be.' Now she reports that she has noticed some stiffness in her right arm. She adds, 'I feel like my legs have somewhere to go but I don't have anything to do.' Finally, she asks, 'Can you tell me why my breasts have been leaking milk lately? I know I'm not pregnant.' Her youngest child is four and was weaned two years back. An AIMS (Assessment of Involuntary Movements) was completed and a stiffening of the right arm was noted. You are also aware Mrs. Q. has a family history of diabetes (father and sister).

What mechanism of action explains the onset of the stiffening of the arm and the restlessness of the legs?
What action would you take to address this?
What mechanism of action explains the onset of galactorrhea?
What action would you take to address this?
How does the family history of diabetes affect your treatment plan?
What are your plans for follow-up?
Assume you decide to switch her from Risperidone to Geodon. Detail how you would cross titrate from one to the other.

Reference no: EM133653292

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