NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms

) Generic Name sertraline Peak Unknown Trade Name Zoloft Onset Within 2-4 wk Classification Antidepressant Duration Unknown Dose 100 mg Route PO Time/frequency Q day

Why is your patient getting this medication Depression/anxiety

Normal dosage range 50 mg/day as a single dose in the morning or evening initially; after several weeks may be increased at weekly intervals up to 200 mg/day, depending on response For IV meds, compatibility with IV drips and/or solutions NA

Mechanism of action and indications (Why med ordered) Inhibits neuronal uptake of serotonin in the CNS, thus potentiating the activity of serotonin. Has little effect on norepinephrine or dopamine

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity Common side effects Dizziness, drowsiness, fatigue, headache, insomnia, diarrhea, dry mouth, nausea, increased sweating, tremor

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) None for this pt

Lab value alterations caused by medicine None known

Nursing Process- Assessment (Pre-administration assessment) Monitor appetite and nutritional intake. Weigh weekly. Notify physician or other health care professional of continued weight loss. Adjust diet as tolerated to support nutritional status

Be sure to teach the patient the following about this medication Instruct patient to take sertraline as directed. Take missed doses as soon as possible and return to regular dosing schedule. Do not double doses. Avoid alcohol or other CNS depressant drugs during therapy Assessment Evaluation Why would you hold or not give this med? Check after giving Monitor mood changes. Inform physician or Increased sense of well-being. other health care professional if patient May require 1-4 wk of therapy demonstrates significant increase in anxiety, nervousness, or insomnia