PATIENT: ALMA

DRUG MECHANISM INDICATIONS CONTRAINDICATION ADVERSE NURSING

OF ACTION S REACTIONS RESPONSIBILITIES
Generic name: Chlorpromazine It is primarily used Patients with the following  ECG  Monitor vital signs
Chlorpromazine belongs to the for treatment of conditions should not take abnormality including BP for
category of typical schizophrenia and chlorpromazine:  Contact hypotension.
Brand name: antipsychotics or adult psychosis.  Breast cancer dermatitis,  Be alert for signs
Thorazine neuroleptics, also  Anemia
known as first- Drug rationale:   Constipation of neuroleptic
 Low platelet count or
Pharmacologic generation this medication is  Breast malignant
low WBC count
class: antipsychotics used for the engorgement, syndrome. Report
 Alcoholism
Phenothiazine (FGAs). It treatment of  ejaculatory immediately.
 Parkinsonism
derivatives produces its schizophrenia and  Neuroleptic malignant disorder  Monitor I&O ratio
antipsychotic effect other psychotic syndrome  Jaundice and pattern:
Therapeutic class: by the post- disorders which are Urinary retention
 Glaucoma  Nonimmune
Typical synaptic blockade conditions that due to mental
 Chronic heart failure anaphylaxis
Antipsychotics at the D2 receptors cause difficulty depression and
in the mesolimbic telling the  Orthostatic  Asthma 
hypotension compromised
Dose: 100mg pathway. However, difference between
the blockade of D2 things or ideas that  Liver problems renal function may
Route & receptors in the are real and things  Chronic lung problems None were seen in occur.
Frequency: Oral; nigrostriatal or ideas that are not  Seizures the client
ODHS (once a day pathway is real.  High blood sugar
at bedtime) responsible for its Chlorpromazine  Dementia
extrapyramidal side helps you to think
effects. more clearly, feel
less nervous, and
take part in
everyday life.
Chlorpromazine is
also believed to
help with insomnia
because one of its
side effects is
drowsiness.
 DRUG MECHANISM INDICATIONS CONTRAINDICATIONS ADVERSE NURSING
OF ACTION REACTIONS RESPONSIBILITIES
Generic name: Competes with It is indicated for  Contraindicated in  Dizziness  Administer with food
Diphenhydramine histamine for H1- patients as a patients hypersensitive to  Headache if GI upset occurs.
receptor sites. nighttime sleep aid. drug and other  Dryness of  Administer syrup
Pharmacologic Prevents, but histamines. mouth form if patient is
class: doesn’t reverse, Drug rationale:  Contraindicated in  Thickened unable to take
Ethanolamine histamine- Diphenhydramine lactating women. respiratory tablets.
mediated can be used to help secretion  Monitor patient
Therapeutic responses you relax and fall  Blurring of response, and
class: particularly those asleep. This vision arrange for
Antihistamine of the bronchial medication works  Urinary adjustment of dosage
tubes, GI tract, by blocking a retention to lowest possible
Dose: 50mg uterus, and blood certain natural effective dose.
 GI
vessels. substance  Don’t confuse
disturbances
Route & (histamine) that diphenhydramine
 Bloody
Frequency: Oral; your body makes with dimenhydrinate.
dyscrasias
OD during an allergic
reaction. However,
None were seen
taking
in the client
diphenhydramine
as a sleep aid does
not lead to better
sleep quality and
should only be
administered in
small doses.

DRUG MECHANISM INDICATIONS CONTRAINDICATIONS ADVERSE NURSING

OF ACTION REACTIONS RESPONSIBILITIES
Generic name: A piperazine Indicated as  Contraindicated in  Drowsiness  Report immediately
Fluphenazine phenothiazine that treatment for patients hypersensitive to  Lethargy onset of mental
decanoate blocks psychotic the drug.  Dizziness depression and
postsynaptic disorders.  Use cautiously in  Lightheadednes extrapyramidal
Brand name: dopamine patients at high risk for s symptoms
Prolixin receptors in the Drug rationale: It suicide and in those with  Nausea  Be alert for red, dry,
decanoate brain. is used in the history of DM, seizures,  Loss of appetite hot skin; full,
treatment of mania, or hepatic, renal,  Sweating bounding pulse,
Pharmacologic chronic psychoses or CV disease.  Dry mouth dilated pupils,
class: such as  Contraindicated with  Blurred vision dyspnea, mental
Phenothiazine schizophrenia. It is patients with the  Headache confusion, elevated
used to ease following conditions: BP, temperature
 Constipation
Therapeutic symptoms such as o Breast cancer over 40.6° C (105°
 Pain/redness at
class: hallucinations, o Anemia F). Inform physician
the injection site
Antipsychotic delusions, and o Low magnesium, and institute
may occur
hostility. calcium, or measures to reduce
Dose: 20cc potassium in the body temperature
None were seen in
blood rapidly.
the patient.
Route & o Decreased blood  Monitor kidney
Frequency: platelets function in patients
Monthly IM on long-term
treatment. Withhold
drug and notify
physician if BUN is
elevated
 Monitor I&O ratio
and bowel
elimination pattern.
Check for abdominal
distension and pain.
Medication Instructed compliance to prescribed medications:
 Thorazine (Chlorpromazine) 100mg ODHS
 Diphenhydramine 50mg OD
 Prolixindecanoate (Fluphenazine decanoate) 20mg/cc IM
monthly
Exercise/Environment  Instructed the client to balance activities with adequate rest
periods.
 Encouraged the patient to do exercises such as yoga and cardio
exercises.
 Made sure to provide a safe environment for the client for the
staff, and other patients.
Treatment  Educated the patient about the importance of compliance to
medication and other treatments ordered by the doctor.
 Made sure to explain medical procedures to the patient
properly and evaluated if the patient understands.
 Encouraged the patient to attend therapy sessions as
scheduled.
Health teaching  Encouraged the patient to perform self-care and personal
hygiene.
 Advised patient on promotion of good sleep hygiene strategies.
 Instructed to eat healthy foods for good nutrition.
 Encouraged activity and exercise to maintain a healthy lifestyle
and to counteract the side effect of psychiatric medications.
 Advised to limit direct exposures from extremes in
temperature.
 Encouraged control of fluid intake and weight gain to avoid
fluid intoxication.
 Instructed and assisted client to develop self-monitoring skills.
Outpatient Referral  If discharged, advice patient to undergo follow-up check-up for
continuing health promotion and screening practices.
Diet  Encouraged a balanced diet rich in fruits, vegetables, lean
protein, and whole grains.
 Instructed to avoid processed foods and foods high in salt and
sugar. The incidence of blood sugar problems and diabetes is
 also much higher in those with schizophrenia.
 Advised the patient to avoid caffeine and other stimulants.
 Encouraged to boost physical activity to lose excess body
weight and stay healthy.
Spiritual and  Advised regular counseling sessions to support the
Emotional development of positive coping skills.
 Encouraged patient pray often to promote and maintain good
spiritual condition.
 Encouraged the patient to communicate emotions.