Clinical Form 3: Clinical Medications WorksheetsGeneric Name
Q 6 hr
Normal dosage range
0.5-5mg 2-3 times daily. Patients with severe symptoms may requireup to 100 mg/day
Why is your patient getting this medication
Acute and chronic psychotic disorders including schizophrenia,manic states, drug-induced psychoses. Also useful in managingaggressive or agitated patients. Tourette’s syndrome.
For IV meds, compatibility with IV drips and/or solutions
Rate of Administation
Mechanism of action and indications(Why med ordered)
Alters the effects of dopamine in the CNS. Also has anticholinergicand alpha-adrenergic blocking activity.
Nursing Implications (what to focus on)Contraindications/warnings/interactions
Hypersensitivity, narrow angle glaucoma. Bone marrow depression.CNS depression. Severe liver or cardiovascular disease. Usecautiously in geriatric or debilitated patients (dosage reductionrequired) Cardiac disease; diabetes; respiratory insufficiency.
Common side effects
Seizures, extrapyramidal reactions, confusion, drowsiness,restlessness, tardive dyskinesia, blurred vision, dry eyes. Respiratorydepression, hypotension, tachycardia, constipation, dry mouth,anorexia, urinary retention, diaphoresis, Neuroleptic malignantsyndrome, hypersensitivity reactions.
Interactions with other patient drugs, OTC or herbal medicines(ask patient specifically)
Increased hypotension with antihypertensives.
Lab value alterations caused by medicine
Monitor CBC with differential and liver function tests periodicallyduring therapy
Be sure to teach the patient the following about this medication
Take medication as directed. Take missed doses as soon asremembered with remaining doses evenly spaced throughout the day.May take several weeks for therapeutic effects. Do not increase doseor discontinue meds without consulting professional. Abruptwithdrawal may cause dizziness, nausea; vomiting; GI upset;trembling; or uncontrolled movements of mouth, tongue, or jaw.
Nursing Process- Assessment
Assess mental status prior to and periodically duringtherapy. Monitor BP and pulse prior to and frequentlyduring the period of dosage adjustment. Observe patient carefully when administering medication toensure that medication in actually taken and nothoarded
AssessmentWhy would you hold or not give this med?
Hypersensitivity, Hypotension, evidence of EPS, respiratory depression.
EvaluationCheck after giving
Decrease in hallucinations,insomnia, agitation, hostility,and delusions. Decreases ticsand vocalization in Tourette’s