Assignment 2: Week 8 Practicum: Decision Tree (Due in Week 10)

1/19/2021 Psychopharmacologic Approaches to Treatment of Psychopathology

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6670/08/mm/decision_tree/1.html 1/2

Case #3 Neurocognitive Disorders

Decision Point One

Major frontotemporal neurocognitive disorder (FTNCD)

Decision Point Two

Begin Citalopram 20 mg orally daily

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1/19/2021 Psychopharmacologic Approaches to Treatment of Psychopathology

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RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks

Mr. Wingate’s son returns with Mr. Wingate and informs you that the Citalopram had to be stopped because his father developed nausea, vomiting, and became confused and irritable. These symptoms began approximately 1 week after starting the citalopram. During the hospitalization, it was discovered that Mr. Wingate’s sodium had decreased to 124 mEq/L. He also reported that his father had developed some type of “heart problem,” which they treated during his hospitalization.

Decision Point Three BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO

DISCUSS THE RATIONALE FOR YOUR DECISION.

Restart Citalopram at only 10 mg orally daily and increase to 20

mg in 7 to 10 days

Begin Trazodone 50 mg orally at bedtime

Begin Methylphenidate 20 mg orally daily