Detection, Prevention, and Management of Extrapyramidal Symptoms

Tamra Jean Courey,MSN

Disclosures

Journal for Nurse Practitioners. 2007;3(7):464-469. 

In This Article

Differential Diagnoses

EPSs can easily be mistaken for other disorders, including anxiety, major depression, manic episodes of bipolar disorder, psychosis, Tourette syndrome, cerebral palsy, intoxication, stoke, restless leg syndrome, lupus, or poor-fitting dentures.[1,2,3] Pseudoparkinsonism, one category of EPSs, has a striking resemblance to Parkinson disease, making early detection difficult even for a seasoned NP. Although most APMs are prescribed for clients experiencing mental health decline, NPs must consider their additional uses such as in antiemetic treatment, relief from hiccups, and preoperative relaxation.

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