MDS Alert

"Adverse consequences of ANTIPSYCHOTICS exhibited by this resident":

• "Anticholinergic effects, such as constipation, dry mouth, blurred vision, urinary retention, etc. (clinical record)
• Increase in total cholesterol and triglycerides (clinical record)
• Akathisia (inability to sit still) (clinical record)
• Parkinsonism (any combination of tremors, postural unsteadiness, muscle rigidity, pill-rolling of hands, shuffling gait, etc.) (clinical record)
• Neuroleptic malignant syndrome (high fever with severe muscle rigidity) (clinical record)
• Blood sugar elevation (clinical record)
• Cardiac arrhythmias (I0300)
• Orthostatic hypotension (I0800, clinical record)
• Cerebrovascular accident or transient ischemic attack (I4500)
• Falls (J1700-J1900)
• Tardive dyskinesia (persistent involuntary movement such as tongue thrusting, lip movements, chewing or puckering movements, abnormal limb movements, rocking or writhing trunk movements) (clinical record)
• Lethargy (D0200D, clinical record)
• Excessive sedation (clinical record)
• Depression (D0300, D0600, I5800)
• Hallucinations (E0100A)
• Delirium unrelated to medical illness or severe depression (C1600, clinical record)."