PATIENT’S TARGET SYMPTOMS

CLASS OF USUAL DOSE

NAME GENERIC DOSE AND DRUG IS INTENDED TOP 3-5 NURSING IMPLICATIONS
DRUG RECOMMENDED
ROUTE TO ADDRESS
1. Ativan Lorazepam Benzodiazep 2 mg/mL IV 4 mg/mL Anxiety 1. Offer emotional support to the
ine anxious patient.
Skeletal 2. Assess motor responses
muscle (agitation, trembling, tension),
relaxant autonomic responses (cold or
clammy hands, diaphoresis).
3. Monitor BP, respiratory rate,
heart rate CBC with differential,
liver function tests, blood counts
should be performed periodically.
4. Educate the client to avoid
tasks that require alertness,
motor skills until response to
drug is established.
2. Zyprexa Olanzapine Antipsychoti 10 mg IM 10 mg Controls agitation in 1. Monitor blood pressure. Assess
c schizophrenia for tremors, changes in gait,
abnormal muscular movements
and behavior.
2. Assess for therapeutic
response (interest in
surroundings, improvement in
self-care, increased ability to
concentrate, relaxed facial
expression).
3. Assess sleeping pattern.
3. Prozac Fluoxetine Anti- 20 mg PO 5-10 mg Reduces obsessive- 1. Assess appearance, behavior,
obsessional compulsive disorder speech pattern, level of interest
 PATIENT’S TARGET SYMPTOMS
CLASS OF USUAL DOSE
NAME GENERIC DOSE AND DRUG IS INTENDED TOP 3-5 NURSING IMPLICATIONS
DRUG RECOMMENDED
ROUTE TO ADDRESS
agent and mood.
2. Avoid tasks that require
alertness, motor skills until
response to drug is established.
3. Maximum therapeutic
response may require 4 or more
week of therapy. Do not abruptly
discontinue medication.
4. Constilac Lactulose Laxative 40 mL PO 40-90 mL / day Treatment of 1. Encourage fluid intake. Assess
constipation bowel sounds for peristalsis.
2. Monitor daily bowel activity,
stool consistency, record time of
evacuation. Assess for abdominal
disturbances.
3. Monitor serum electrolytes in
patients exposed to prolonged,
frequent or excessive use of
medication.
4. Educate the client to increase
fluid intake, exercise, high-fiber
diet.
5. Risperdal Risperidone Antipsychoti 25 mg/mL PO 25 mg Suppresses psychotic 1. Serum renal and liver function
c behavior tests should be performed before
therapy.
2. Assess behavior, appearance,
emotional status, response to
environment, speech pattern,
 PATIENT’S TARGET SYMPTOMS
CLASS OF USUAL DOSE
NAME GENERIC DOSE AND DRUG IS INTENDED TOP 3-5 NURSING IMPLICATIONS
DRUG RECOMMENDED
ROUTE TO ADDRESS
thought content.
3. Monitor blood pressure, heart
rate, weight, liver function tests,
EKG.
4. Assess for therapeutic
response (greater interest in
surroundings, improved self-care,
increased ability to concentrate,
relaxed facial expression).
5. Educate the family of the
patient to avoid the patient from
doing tasks that may require
alertness, motor skills until
response to drug is established.
.