Psychotic disorders

These disorders pose a variety of challenges to the surgical team depending upon the requirements of the surgery and the patient's mental status. Those who are on a low-potency neuroleptic may need to be switched to a high-potency agent to decrease the risk of hypotension in the postoperative period, particularly with cardiovascular surgery. Individuals who are actively psychotic may be frightening to other patients and to nursing staff, and may require special arrangements such as a single room, close or constant observation, and greater family involvement, if they are available. These patients may misinterpret common ward events in a threatening fashion and may be at increased risk for delirium.

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