Drug Mode of Action Indication Contraindicati Side Effects Nursing

ons Responsibilities
Patient Name: Blocks To control Cardiogenic CNS: Agitation, Assess mental status
Patient acetylcholine’ extrapyramidal shock, heart confusion, prior to and
Confidential s action at symptoms failure unless delirium, periodically during
cholinergic caused by delusions, therapy.
Generic Name: receptor tachyarrhythmi depression ,
Biperiden sites. This a, second or disorientation, Monitor BP and pulse
action third degree dizziness, prior to and
Brand Name: restores the heart failure drowsiness, frequently during the
Akineton brain's normal excitement, period of dosage
dopamine and fever, adjustment. May cause
acetylcholine hallucinations, QT interval changes
Classification: balance, which headache, memory on ECG.
Anticholinergic relaxes muscle loss,
movement and nervousness, Observe patient
decreases paranoia, carefully when
Dosage: rigidity and weakness, administering
2mg/tab 1 tremors. May psychosis medication, to ensure
tablet O.D in also inhibit that medication is
A.M dopamine CV: Hypotension, actually taken and
reuptake and mild bradycardia, not hoarded.
storage, which orthostatic
prolongs hypotension, Monitor I&O ratios
dopamine's palpitations and daily eight.
action tachycardia Assess patient for
signs and symptoms of
EENT: Blurred dehydration.
vision, diplopia,
dry mouth, Caution patient to
Increased IOP avoid other
activities that
GI: Constipation require alertness
duodenal ulcer ,
 epigastric
distresm ileus, Because it decreases
nausea, vomiting sweating, urge
patient to avoid
GU : extremelyhot and
Dysuria , urinary humid conditions to
hesitance, urine reduce risk of heat
retention stroke and sever
hyperthermia
MS:
Muscle spasms,
muscle weakness

Skin:
Decreased
sweating,
urticarial

Drug Mode of Action Indication Contraindications Side Effects Nursing

Responsibilities
Patient Name: Depresses brain To manage Comatose states; CNS: Drowsiness, Assess mental
Patient areas that symptoms of hypersensitivity extrapyramidal status prior to
Confidential control psychotic to reactions, and periodically
activity and disorders or chlorpromazine, seizures during therapy.
Generic Name: aggression control manic phenothiazine’s
Chlorpromazine including the manifestations or their CV: ECG changes, Monitor BP and
cerebral of manic- components, Use pulse prior to
Brand Name: cortex, depression in of large amounts EENT: Blurred and frequently
Thorazine hypothalamus outpatients of CNS vision, dry during the
and limbic depressants mouth, nasal period of dosage
system, by an congestion and adjustment. May
Classification: unknown ocular changes cause QT
Antipsychotic mechanisms. interval changes
GI: on ECG.
Constipation,
Dosage: nausea Observe patient
200mg/tab carefully when
HEME: administering
½ tab in AM Aplastic anemia, medication, to
1 tab @ HS leukopenia ensure that
medication is
Skin: actually taken
Exofoliative and not hoarded
dermatitis,
jaundice, Monitor I&O
photosensitivity ratios and daily
, tissue eight. Assess
necrosis patient for
signs and
symptoms of
dehydration.

Monitor for
development of
neuroleptic
malignant
 syndrome (fever,
respiratory
distress,
tachycardia,
seizures,
diaphoresis,
hypertension or
hypotension,
pallor,
tiredness,
severe muscle
stiffness Report
symptoms
immediately)

Drug Mode of Action Indication Contraindica Side Effects Nursing

tions Responsibilities
Patient Name: Blocks Acute Cardiogenic CNS:extrapyramidal Assess mental status
Patient acetylcholine’s psychotic shock, heart symptom such as prior to and
Confidential action at symptoms; failure muscle rigidity or periodically during
cholinergic Relieve unless spasm, shuffling therapy.
Generic name: receptor sites. hallucinations caused by gait, posture
Haloperidol This action , delusions, tachyarrhyth leaning forward, Monitor BP and pulse
restores the disorganized mia, second drooling, masklike prior to and
Brand name: brain's normal thinking. or third facial appearance, frequently during
Haldol dopamine and degree heart dysphagia, the period of dosage
acetylcholine failure akathisia, tardive adjustment. May
Classification: balance, which dyskinesia, cause QT interval
Antipsychotics relaxes muscle headache, seizures. changes on ECG.
movement and
decreases CV: tachycardia, Observe patient
Dosage: rigidity and arrhythmias, carefully when
5mg/ IM PRN tremors. May hypertension, administering
also inhibit orthostatic medication, to
dopamine hypertension. ensure that
reuptake and medication is
storage, which EENT: blurred actually taken and
prolongs vision, glaucoma not hoarded.
dopamine's
action GI: dry mouth, Monitor I&O ratios
anorexia, nausea, and daily eight.
vomiting, Assess patient for
constipation, signs and symptoms
diarrhea, weight of dehydration.
gain.
Monitor for
GU: urinary development of
frequency, urine neuroleptic
retention, malignant syndrome
impotence, (fever, respiratory
enuresis, distress,
amenorrhea, tachycardia,
gynecomastia seizures,
Hematologic:anemia, diaphoresis,
leucopenia, hypertension or
agranulocytosis hypotension, pallor,
tiredness, severe
Skin: rash, muscle stiffness,
dermatitis, loss of bladder
phtosensitivity control. Report
symptoms
immediately. May
also cause
leukocytosis,
elevated liver
function tests,
elevated CPK.

Advise patient to
take medication as
directed.