Situation: A 30–year–old on antipsychotic drugs came with high grade fever and abnormal behavior.
Dr Bad: Increase the dose of antipsychotic as the behavior is not under control.
Dr Good: Stop antipsychotics as patient has malignant hyperthermia, a side effect of antipsychotics.
Lesson: Rule out malignant hyperpyrexia in patients on antipsychotics as treatment is simple and life saving i.e. to withdraw drugs and treat with dantrolene sodium.
Dr Bad: Increase the dose of antipsychotic as the behavior is not under control.
Dr Good: Stop antipsychotics as patient has malignant hyperthermia, a side effect of antipsychotics.
Lesson: Rule out malignant hyperpyrexia in patients on antipsychotics as treatment is simple and life saving i.e. to withdraw drugs and treat with dantrolene sodium.
