Neuroleptic Malignant Syndrome Flashcards

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1
Q

Cause of NMS

A

Antipsychotic medication, but also can occur with dopaminergic drugs

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2
Q

When does NMS occur

A

Hours to days of starting an antipsychotic

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3
Q

Features of NMS

A

Pyrexia, muscle rigidity, hypertension, tachycardia and tachypnoea, agitated, delirium, confusion

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4
Q

What might blood results show in NMS

A

A raised creatine kinase, AKI might develop in severe cases, leukocytosis may also be seen.

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5
Q

Management of NMS

A

Stop antipsychotic, IV fluids to prevent renal failure, dantrolene useful in selected cases

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