Psychiatric Technician Practice Exam

Why would a psychiatric technician question the order for zyprexa (olanzapine) 50mg tid?

1. The medication is contraindicated

2. The dosage exceeds the limit

3. The client has a history of allergic reaction

4. The medication is out of stock

The correct answer is: The dosage exceeds the limit

The rationale behind questioning the order for Zyprexa (olanzapine) 50 mg three times a day (tid) is primarily centered on the dosage exceeding the commonly accepted limit. Generally, the typical dosage range for olanzapine in treating conditions like schizophrenia or bipolar disorder is considerably lower, usually around 5 mg to 20 mg per day for adults. A dosage of 50 mg tid would amount to a total intake of 150 mg per day, which is far beyond the maximum recommended dose. Administering such a high dose can lead to severe side effects, including increased risk of metabolic syndrome, sedation, and extrapyramidal symptoms, all of which could jeopardize the patient's health. Therefore, a psychiatric technician would be justified in raising concerns about the safety and appropriateness of this order based on the significantly high dosage proposed.