CASE ANALYSIS

Diagnosis: Residual Schizophrenia

Overview of the disease: diagnosis of residual schizophrenia when a person has had at least
one schizophrenic episode but is no longer experiencing positive symptoms. A person with residual
schizophrenia will still have negative symptoms. These are symptoms that cause people to withdraw and
feel emotionless or flat.
They include:
 flat affect, or not showing emotion
 alogia, or restricted quantity of speech
 avolition, or a total lack of motivation

Resident Data:
Name: Domingo Francisco “Boyet Highway”
Age: 62 yrs old
Birthday: Dec. 24, 1960
Gender: Male
Status: Single
Religion: Roman Catholic
Date of Admission: September 12, 2000

Resident History
Prior to being admitted the hospital, Highway had been alcohol drinker furthermore a suicidal

attempts like tying a cord around his legs, stabbed himself and attempting to hang himself thrice. During

hospitalization, he experienced an incident where he was slipped and his left leg was fractured that leads

into having his wheelchair permanently.

 Drug Study

Drug name Mechanism Indications Contraindications Adverse Effect Nursing

of Action Responsibilities
Generic Name Antipsychoti Schizophrenia  Contraindicate Drowsiness, dizziness,  Monitor vital
Chlorpromazin cs block d in patients lightheadedness, dry signs including
e several hypersensitive mouth, blurred vision, BP for
neurotransmi to these drugs. tiredness, nausea, hypotension.
Brand Name tter, constipation, weight gain,
Thorazine particularly or trouble sleeping may  Observe for
dopamine. occur. signs of adverse
The exact effects.
Classification mechanism
Therapeutic 9f action and  Monitor I&O
class: ideal ratio and
antipsychotics combination pattern: Urinary
of targeted retention due to
Pharmacologic neurotransmi mental
class: tters remain depression and
antipsychotics unknown. compromised
renal function
may occur. If
Dosage, Route serum creatinine
& Frequency: becomes
100 mg elevated,
therapy should
be discontinued.
 Monitor for
antiemetic effect
of
chlorpromazine,
which may
obscure signs of
overdosage of
other drugs or
other causes of
nausea and
vomiting.
 Be alert to
complaints of
diminished
visual acuity,
reduced night
vision,
photophobia,
and a perceived
brownish
discoloration of
objects. Patient
may be more
comfortable
with dark