Which finding in a medical record might require contacting the physician before administering Risperidone (Risperdal)?

Contacting the physician before administering Risperidone is necessary primarily because the use of prescribed antihypertensive medication could pose a risk for the patient. Risperidone has the potential to lower blood pressure, and when combined with antihypertensive medications, this effect may be amplified. The interaction can lead to significant hypotension, especially during the initiation of treatment or dosage adjustments. Therefore, it’s important to ensure that the physician is aware of this situation to potentially adjust the antihypertensive regimen or monitor the patient more closely.

While the other medical history items may require monitoring or consideration, they do not typically necessitate immediate communication with the physician before administering Risperidone. A history of cataracts may warrant some attention due to possible side effects of antipsychotics on vision, and hypothyroidism could affect medication metabolism, but these concerns are generally not as urgent in terms of immediate safety as the interaction with antihypertensive medications. Similarly, an allergy to acetylsalicylic acid is relevant but does not directly influence the administration of Risperidone.