Reference no: EM133561669

Case Study: 38 year old male admitted to an inpatient psychiatric hospital with increased paranoia and auditory hallucinations. Voices are telling him to hurt himself and saying other derogatory comments about himself. His past medical history includes schizophrenia, hypertension, obesity, and seasonal allergies. He has been compliant with his medications lately but does admit he sometimes forgets to take his morning medications.

His current medications include:

• Risperidone 2 mg BID *Has been on this medication for 6 months
• Olanzapine 5 mg every 6 hours as needed (he states he has used this frequently in the last couple days otherwise usually takes this every night at bedtime) *This was added 1 month ago
• Cetirizine 10 mg daily as needed
• Lisinopril 20 mg daily

Past trials for schizophrenia include haloperidol (experienced akathisia) and quetiapine (wanted to stop this after gaining 10 lbs in 1 month)

Blood pressure on admit is 135/88, HR 92, RR 18. BMI 32.4

Question: What is your next approach for treatment in this patient and why? What monitoring/labs do you need? Please list mechanism of action of each current medication and any new medications you recommend.