Question

You have a patient with Parkinson disease who is presenting with a high fever, rigidity, and unusual shifts in consciousness. Given this information, what is likely to be the patient's treatment?

A) Dantrolene, dopamine agonist, supportive care, and close observation
B) Dantrolene, metoclopramide, supportive care, and close observation
C) Dantrolene, discontinuation of dopamine agonist, supportive care, and close observation
D) Dantrolene, discontinuation of metoclopramide, supportive care, and close observation
E) None of the above

Answer 1

For a Parkinson's patient showing symptoms of Neuroleptic Malignant Syndrome, the appropriate treatment involves Dantrolene, stopping dopamine agonists, supportive care, and careful monitoring.

Step-by-step explanation:

If a patient with Parkinson's disease is presenting with a high fever, rigidity, and unusual shifts in consciousness, this may indicate the development of Neuroleptic Malignant Syndrome (NMS), a life-threatening condition often triggered by the use of dopaminergic drugs. The typical treatment would include the immediate discontinuation of dopamine agonist medications, the administration of Dantrolene to reduce muscle rigidity and fever, supportive care to stabilize the patient, and close observation to monitor the patient's progress. Hence, the correct choice for this patient's treatment is C) Dantrolene, discontinuation of dopamine agonist, supportive care, and close observation.