This action might not be possible to undo. Are you sure you want to continue?
Classification: CNS drugs
Mechanism of Action Completely blocks dopamine receptors to cause sedation and also causes alpha-adrenergic and anti-cholinergic blockade. It depresses cerebral cortex, hypothalamus and limbic system, which control activity and aggression but also cause significant extrapyramidal effects. The mechanism for antipsychotic effects are unclear.
Indication for the Patient Indication: Management of Tourette disorders; control of adults; management of severe behavioral problems in children and adults; management of severe behavioral problems in children; short-term treatment of hyperactive children. Long-term antipsychotic therapy. Contraindication: Severe toxic CNS depression or comatose states from any cause; Parkinson disease; Hypersensitivity, blood dyscrasias, coma, bone marrow depression, alcohol and barbiturate withdrawal states; Angina, epilepsy, urinary retention, narrowangle glaucoma.
Adverse Drug Effects CNS: Severe extrapyramidal reactions, tardive dyskinesia, sedation, seizures, neuroleptic malignant syndrome
- Assess patient’s mental status (affect, behavior, sleep pattern, types of hallucinations) - Monitor swallowing of oral administration Cardio: medication Tachycardia, ECG - Monitor vital signs of changes, hypotension, patient hypertension, - Assess for Bradycardia constipation and urinary retention EENT: daily Blurred vision - Monitor Input and Output GU: - Assess for Urine retention, transient neuroleptic malignant leukopenia and syndrome leukocytosis (hyperpyrexia, muscle rigidity, Hepatic: altered mental status) Jaundice - Assess for reflexes, gait, coordination and Skin: EPS including Rash, gynecomastia akathisia - Assess knowledge regarding drug therapy
empyema. cramps. nephrotoxicity. proteinuria. urticaria. genitourinary tract. .Monitor swallowing of oral administration medication . Thrice a day for 7 days Route: Oral Drug Classification: Anti-infectives Mechanism of Action Prevents bacterial wall synthesis during replication Indication for the Patient Indication: Treatment of infections of respiratory tract. anorexia. chills. Not used to treat severe pneumonia. bone marrow depression.Obtain patient’s history of allergy .Drug Name Generic: Amoxicillin Brand: Co-amoxiclav Dosage & Frequency: 500mg. dry mouth. increased BUN. gastritis. oliguria. skin and skin structures. septicemia.Monitor signs of nephrotoxicity: oliguria.Assess for signs and symptoms of infection . Adverse Drug Effects Urticaria. chills. joint pains . cephalosporins. anemia. bacteremia. joint pains. meningitis. pericarditis. and creatinine .Assess for bowel patterns and signs of dehydration . sinusitis.Monitor for bleeding. rectal bleeding. Contraindication: Hypersensitivity to penicillins.Monitor vital signs of patient . meningitis. stomatitis.Assess for allergic reactions during treatment: rash. fever. pruritus. and purulent or septic arthritis during acute stage. black “hairy” tongue. pruritus. otitis media. laryngeal edema Nursing Interventions . transient hepatitis. bacterial endocarditis prophylaxis.
Assess for allergic reaction: Burning. increased exudates. rash. itching. . swelling and redness . and wounds. epistaxis. insect bites. duration. stinging and itching furuncolosis. (Nasal) rhinitis. burning. dry mouth. which result results in inhibition of bacterial protein synthesis. ear pain. rash . cough. and burns. diarrhea. Prophylaxis to prevent bacterial contamination of small cuts. folliculitis. burning.e. blepharitis. taste perversion.Drug Name Generic: Mupirocin Brand: Bactroban Dosage & Frequency: Route: Topical Drug Classification: Dermatologicals Mechanism of Action Binds to bacterial isoleucyl transfer RNA synthetase. infected dermatoses. ecthyma. stinging..Monitor for possible drug induced adverse reactions: (Topical) headache. abdominal pain. erythema. pain. swelling. impetigo.Document indication for therapy including type. nausea. incisions and other clean lesions. i. stinging. abrasions.Assess patient’s and family’s knowledge of drug therapy Topical treatment of Localized burning. . pharyngitis. Indication for the Patient Adverse Drug Effects Nursing Interventions .. minor wounds. stinging. infected abrasions. dermatitis. and characteristics of symptoms. onset.
Monitor Intake and Output ratio . cerebral edema. extrapyramidal reactions. reflexes. Persistent abdominal movement. Nursing Interventions . gait.Assess for EPS . Contraindication: Comatose state. hematologic disorders. relief of restlessness.Assess for mental status: delusions.Drug Name Generic: Chlorpromazine Brand: Laractyl Dosage & Frequency: 100mg. disorganized or catatonic behavior and negative symptoms before therapy . orientation. hypersensitivity Adverse Drug Effects Drowsiness.Assess for constipation and urinary retention . disorganized speech. hallucinations.Monitor vital signs of patient . Indication for the Patient Indication: Management of manifestations of psychotic disorders. to control nausea and vomiting. jaundice.Monitor swallowing of oral administration medication . LOC. postural hypertension. presence of bone marrow depression. presence of large amounts of CNS depressants. Twice a day Route: Oral Drug Classification: CNS drugs Mechanism of Action Blocks postsynaptic dopamine receptors in the brain.Assess affect. to control manifestations of manic depressive illness. treatment of severe behavioral patterns in children marked by combativeness. EKG changes. coordination and sleep pattern .Monitor BP with patient sitting and standing .
coma. incontinence of urine or feces. and follow-up visits w/ the health care provider. aggressiveness and possibly hostility. extrapyramidal symptoms including acute dystonia. ataxia. downbeat nystagmus. epileptiform seizures. restlessness. hypotension. blackout spells. tongue movements. reduced need for sleep. Adverse Drug Effects Tremor. insomnia.Drug Name Generic: Lithium carbonate Brand: Dosage & Frequency: 400mg/tab Route: Oral Drug Classification: CNS drugs Mechanism of Action Lithium ions interfere with chemical reactions that relay and amplify messages carried to the cells of the brain. slowed intellectual functioning. apathy. motor hyperactivity. muscle hyperirritability. peripheral circulatory collapse. worsening of organic brain syndromes. somnolence. dizziness. tics. startled response. lack of interest in activities -Evaluate client’s urine output and body weight. elation. hallucinations. flight of ideas. Indication for the Patient Indication: treatment of manic episodes of manic-depressive illness. slurred speech. cogwheel rigidity. tinnitus. Drug Name Mechanism of Action Indication for the Patient Nursing Interventions . include pressure of speech. confusion. hypertonicity. laboratory tests. bradycardia Adverse Drug Effects Nursing Interventions -Monitor vital signs of the patient -Observe client for signs and symptoms of depression: mood changes. poor memory. stupor. psychomotor retardation. poor judgment. myasthenia gravis. grandiosity. vertigo. -Observe client for fine and gross motor tremors and presence of slurred speech -Check for cardiac dysrhythmias -Emphasize the importance of adherence to therapy.
management of severe behavioral problems in children. seizures. neuroleptic malignant syndrome Drug Name Mechanism of Action Indication for the Patient . short-term treatment of hyperactive children.Assess patient’s mental status (affect.Generic: Haloperidol Brand: Haldol Dosage & Frequency: 5mg/tab. narrowangle glaucoma.Monitor swallowing of oral administration Cardio: medication Tachycardia. transient neuroleptic malignant leukopenia and syndrome leukocytosis (hyperpyrexia. blood dyscrasias. Once a day Route: Oral Drug Classification: CNS drugs Completely blocks dopamine receptors to cause sedation and also causes alpha-adrenergic and anti-cholinergic blockade. Parkinson disease.Assess for reflexes.Assess for Urine retention. ECG . Contraindication: Severe toxic CNS depression or comatose states from any cause.Monitor Input and Output GU: . gynecomastia akathisia . management of severe behavioral problems in children and adults. coma. hypothalamus and limbic system. alcohol and barbiturate withdrawal states. bone marrow depression. patient hypertension. Angina. types of hallucinations) . sedation. Indication: Management of Tourette disorders. control of adults. sleep pattern. urinary retention. .Monitor vital signs of changes. epilepsy. Hepatic: altered mental status) Jaundice .Assess knowledge regarding drug therapy Adverse Drug Effects Nursing Interventions . The mechanism for antipsychotic effects are unclear.Assess for Bradycardia constipation and urinary retention EENT: daily Blurred vision . It depresses cerebral cortex. Long-term antipsychotic therapy. CNS: Severe extrapyramidal reactions. Hypersensitivity. behavior. gait. which control activity and aggression but also cause significant extrapyramidal effects. coordination and Skin: EPS including Rash. hypotension. tardive dyskinesia. muscle rigidity.
blocks cholinergic responses in the Central Nervous System. worsening of mental symptoms during early therapy. At higher doses. twice a day Route: Oral Drug Classification: Antiparkinsonian Drugs Synthetic anticholinergic drug. Ataxia.Generic: Biperiden HCL Brand: Akineton Dosage & Frequency: 2mg/tab. and purulent or septic arthritis during acute stage. impaired speech. micturition difficulties. extrapyramidal symptoms.Assess patient’s response if anticholinergics are given. agitation. cephalosporins. onset of signs and symptoms and other agents tried and outcome of therapy. CNS depression. frequency and incontinence. empyema. fatigue and dizziness.Increase fluid intake and add fiber to diet . Dyskinesia. distention. . . restlessness. Rashes.Monitor for constipation.Assess for mental status: affect. . Not used to treat severe pneumonia. meningitis. retention commonly cause decreased urinary output. mood. Indication: Treatment to counteract muscular rigidity and tremor. bacteremia.Monitor input-output ratio. Contraindication: Hypersensitivity to penicillins. . anxiety and confusion.Document indication for therapy. . . pericarditis. twitching. cramping pain in abdomen and abdominal distention.
dosage may have to be increased or changed.and exercise if these occurs.Assess for tolerance over long-term therapy. .. .
This action might not be possible to undo. Are you sure you want to continue?
We've moved you to where you read on your other device.
Get the full title to continue reading from where you left off, or restart the preview.