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Probably many drugs make someone suffer from NMS. You have not observed NMS properly before your treatment plan. Remember when NMS was treated by totally withdrawing all medicines because the patient was so so sick and the medicines were the cause? Well if you observe those records you will notice that the NMS patient vastly fluctuates over and over again from being tachycardic to bradycardic to tacy etc. They fluctuate from rapid breathing to Cheyne stroke breathing, to rapid breathing to.. They fluctuate from extreme agitation to barely responding to sternal rubs then back to extreme agitation, then... They fluctuate from high blood pressure to normal then to low then to normal then to high then to normal then to low. In the brief amount of time when the patient has stable vital signs, the patint is actually able to talk coherently and eat and drink. During that small amount of time the patient is unlikely to be confused. Then the vital signs continue to head in which ever way they were going again, either up or down. Your treatment plan has not taken into account a thorough, prolonged assessment of NMS because you make no reference to the entire course of NMS. Excellent idea to have the pt cared for in ICU. I also agree with the withdrawal of the meds whilst the patient's body is trying to acheive stability, yet being there in ICU to ward off and buffer the chances of death. At least people are being honest now about the dangers of medicines. After the prehisoric days when it was flouted that the medicines could do no wrong. The days when a blood pressure machine was a dirty object on a psych ward because the patient was not 'that kind of sick'. Those were the days when a patient was having muscle rigidity, facial grimancing and dropping to the floor periodically. To take a blood pressure on such a patient had to be done when the ward manager was not looking. Otherwise she would chase the nurse away saying that the patient was faking and do not give her any attention. When orthostatic hypertention had been determined and more of a (diplomatic) plea could be made to please reduce the patient's high serenace dose so that she might make it out of the prehistoric hell ward a.k.a psych ward. It was reduced but even then there was a nurse at handover saying that she thought the patient was mad and that her medication should be increased. Clearly the patient was not faking her symptoms.

Great! Been waiting for this

Thank you very much

Awesome 👍

What is CMP ?

Amazing

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